Investigation of the Effect of Time to Ambulation on Patient Outcomes, Anxiety and Depression

Year 2022, , 217 - 224, 27.01.2022

Serap Bayram Akkaya Kevser Karacabay

https://doi.org/10.30621/jbachs.1018224

Cited By: 4

Abstract

Purpose: The aim of the study was to investigation of the effects of time to ambulation on patient outcomes, anxiety and depression.
Method: This is a descriptive cross-sectional study. The study was conducted on 157 patients in the general surgery clinic of a training and research hospital in western Turkey. The data were collected using a Descriptive Form, Patient Outcomes Follow-up Form, Brief Pain Inventory, Hospital Anxiety and Depression Scale (HADS) and analysed by number, percentage, Mann–Whitney U test, Spearman correlation method using the Statistical Package for Social Science software version 24.
Results: The mean age of the patients who participated in the study was 49.5±18.1 years. The mean time to ambulation of the patients was 12.45±9.07 hours. The mean pain level of the participants in the last 24 hours, mean HADS-anxiety score and mean HADS-depression score were 3.7±1.7, 4.0±2.6 and 4.4±3.0, respectively.
Conclusions: In our study, we found that the time to ambulation was increased as the patients' age, duration of anaesthesia and depression scores increased. Additionally, the ambulation of patients with drains and catheters delayed. Furthermore, it was found that the duration of hospitalisation increased with the increase in the time to ambulation of patients.

Keywords

pain, ambulation, anxiety, depression, patient outcome

Supporting Institution

None

Thanks

We would like to thank all patients who approved to participate to the study. This study was conducted as a master's thesis (2020) in Kutahya Health Sciences University, Institute of Post-graduate Education, Department of Nursing.

References

• Wahyuni S, Wahyuni AS, Tarigan R, Syarifah S. Effect of early ambulation to peristaltic activity of abdominal post-operative patients in Medan city hospital, Indonesia. J. Phys. Conf. Ser 2019; 1317: 1–6.
• Puppo Moreno AM, Abella Alvarez A, Morales Conde S, Pérez Flecha M, García Ureña MÁ. The intensive care unit in the postoperative period of major abdominal surgery. Med. Intensiva 2019; 43: 569–577.
• İzveren AÖ, Dal Ü. The early period complications in patients who were performed abdominal surgery intervention and the nursing practices for these complications. Hacettepe University Faculty of Health Sciences Journal 2011; 18: 6–46.
• Glaysher MA, Cresswell AB. Management of common surgical complications. Surg 2017; 35: 90–194.
• Turhan Y, Avci R, Özcengiz D. The relationship between preoperative and postoperative anxiety, and patient satisfaction in preparation for elective surgery. Journal of Anesthesia 2012; 20: 27–33.
• Dayılar H, Oyur G, Kamer E, Sarıçiçek A, Cengiz F, Hacıyanlı M. Evaluation of anxiety levels of patients before colon surgery. Turkish J. Color. Dis 2017; 27: 6–10
• Taşdemir N, Şenol Çelik S. Patients’ experience towards postoperative abdominal distention. Journal of Ege University Nursing Faculty 2010; 26(3): 23–31.
• Vermişli S, Çam K. The efficacy of early mobilization after urologic radical surgery. Bull. Urooncol 2015; 14: 324–326.
• Birlikbaş S, Bölükbaş N. Enhanced recovery after surgery protocols. Ordu University Journal of Nursing Studies 2019; 2(3): 194-205.
• Kabataş MS, Özbayir T. Enhanced recovery after surgery (ERAS) protocols after colorectal surgery : a systematic review. Gümüşhane Univ. J. Heal. Sci. Rev 2016; 5, 120–132.
• Arıcı E, Taştan S. Determination of the Factors Affecting Daily Living Activities of Individuals After Abdominal Surgery. Turkey J Nurs Clinical Sc 2018; 10(3): 188–96.
• Morris BA, Benetti M, Marro H, Rosenthal C. Clinical practice guidelines for early mobilization hours after surgery. Orthopaedic Nursing 2010; 29(5): 290–316.
• Kibler V, Hayes R, Johnson D, Anderson L, Just S, Wells N. Early postoperative ambulation: Back to basics. AJN 2012; 112(4): 63–69.
• Nesbitt JC, Deppen S, Corcoran R, et al. Postoperative ambulation in thoracic surgery patients: Standard versus modern ambulation methods. Nursing in Critical Care 2012; 17(3): 130–137.
• Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for perioperative care in elective colorectal surgery: enhanced recovery after surgery (ERAS) society recommendations: 2018. World J Surg 2019; 43(3): 659– 695.
• Kalisch BJ, Lee S, Dabney BW. Outcomes of inpatient mobilization: a literature review. Journal of Clinical Nursing 2013; 1–16.
• Yolcu S, Akın S, Durna Z. The evaluation of mobility levels of postoperative patients and associated factors. Journal of Education and Research in Nursing 2016; 13(2): 129–138.
• Scott MJ, Baldini G, Fearon K, et al. Enhanced recovery after surgery (ERAS) for gastrointestinal surgery, part 1: Pathophysiological considerations. Acta Anaesthesiologica Scandinavica 2015; 59(10): 1212–1231.
• Uğurlu AK, Kula Şahin S, Seçginli S, Eti Aslan F. The effect of standing up early in the first 24 hours after surgery on rapid ımprovement: Systematic review. Turkiye Klin. J. Nurs 2017; 9:2 80–288.
• Miwa S, Visintainer P, Engelman R, et al. Effects of an ambulation orderly program among cardiac surgery patients. Am J Med 2017; 30(11): 1306–1312.
• Mahmudova R, Candan Dönmez Y. Investigation of the factors affecting the standing conditions of patients after surgery. Turkiye Klin. J. Nurs. Sci 2019; 11: 1–6.
• Cleeland CS, Ryan K. Pain assessment: Global use of the brief pain inventory. Annals of the Academy of Medicine 1994; 23(2): 129–38
• Dicle A, Karayurt Ö, Dirimeşe E. Validation of the Turkish version of the Brief Pain Inventory in surgery patients. Pain Management Nursing 2009; 107–113
• Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 1983: 361-370.
• Aydemir Ö, Güvenir T, Küey L, Kültür S. Validity and reliability of Turkish version of hospital anxiety and depression scale. Turkish Journal of Psychiatry 1997; 8(4): 280–287.
• Arı M, Yılmaz E. Impact of preoperative anxiety on postoperative constipation. Turkish J. Color. Dis 2016; 26: 39–46.
• Yıldızeli Topçu S, Deniz Öztekin S. Effect of gum chewing on reducing postoperative ileus and recovery after colorectal surgery: a randomised controlled trial. Complementary Therapies in Clinical Practice 2016; 23: 21-25.
• Kalisch B, Lee K. The impact of teamwork on missed nursing care. Nurs Outlook 2010; 58(5): 233–241.
• Zencir G, Eşer İ. A new concept in nursing: missed nursing care. Journal of Ege University Nursing Faculty 2015; 31(1): 83–94.
• Adogwa O, Elsamadicy A, Fialkoff J, Cheng J, Karikari I, Bagley C. Early ambulation decreases length of hospital stay, perioperative complications and improves functional outcomes in elderly patients undergoing surgery for correction of adult degenerative scoliosis. Spine 2017; 42(18): 1420–1425.
• Kırdemir P, Solmaz FA. Enhanced Recovery After Surgery (ERAS) and Anesthesia. Acta Med. Alanya 2020; 4(1): 95-101..
• Aygin D. Nausea and vomiting. Journal of Intensive Care Nursing 2016;20(1):44–56.
• Karadağ Arlı, Ş. Evaluation of constipation risk among inpatients in surgery and internal medicine wards. Turk J Colorectal Dis 2019; 29(1): 19–24.
• Ahmed M, Sayed Ahmed W, Atwa K, Metwally L. Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: A prospective randomized trial. European Journal of Obstetrics & Gynecology and Reproductive Biology 2014; 176: 60–63.
• de Lima VP, Bonfim D, Risso TT, et al. Influence of pleural drainage on postoperative pain, vital capacity and six-minute walk test after pulmonary resection. J Bras Pneumol 2008; 34(12): 1003–1007.
• Okanlı A, Özer N, Akyıl RC, Koçkar Ç. Determining the anxiety and depression levels of the patients hospitalızed in surgical clinics. Journal of Anatolia Nursing and Health Sciences 2006; 9(4): 38–44.
• Gok F, Kabu Hergul F. Determination of level of anxiety and depression of patients hospitalized in surgery clinics. Journal of Advanced Research in Health Sciences 2020; 3(3): 195–206.
• Esteghamat SS, Moghaddami S, Esteghamat SS, Kazemi H, Kolivand PH, Gorji A. The course of anxiety and depression in surgical and nonsurgical patients. Int J Psychiatry Clin Pract 2014; 18(1): 16–20.
• Teeuwen PHE, Bleichrodt RP, Strik C, et al. Enhanced recovery after surgery (ERAS) versus conventional postoperative care in colorectal surgery. J Gastrointest Surg 2010; 14(1): 88–95.
• Kuru T, Olçar HA. Effects of erly mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis. Turk J Med Sci 2020 ;50(1): 117–125.
• Öndeş Bayar Ö, Bademci R, Sözener U, Tüzüner A, Karayalçın K. ERAS protocol in major liver resection. Okmeydanı Medical Journal 2013; 29(3): 135–142.
• McWilliams D, Pantelides K. Does physiotherapy led early mobilisation affect length of stay on ICU? ACPRC Journal 2008: 40: 5–11.