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Postoperative Mobilization: Evidence-Based Practices

Yıl 2025, Cilt: 4 Sayı: 1, 50 - 62, 28.03.2025
https://doi.org/10.59312/ebshealth.1566408

Öz

Postoperative mobilization is an important component of the surgical process. By ensuring early mobilization, many complications after surgery are prevented and recovery and hospital stay are shortened. Enhanced Recovery of After Surgery (ERAS) protocols, which consist of evidence-based practices, recommend that mobilization be done early and in a planned manner by a multidisciplinary team. However, postoperative mobilization rates are not at the desired level due to various obstacles. Identifying the obstacles to early postoperative mobilization and creating strategies for changeable elements and ensuring mobilization within the framework of protocols are the important keys to achieving the postoperative mobilization goal. This review was written to emphasize the importance of postoperative mobilization, the roles and responsibilities of surgical nurses in postoperative mobilization practices, the obstacles encountered in providing early and targeted mobilization, and the recommendations of current guidelines on this subject.

Kaynakça

  • Alexander, M., Lou Garey, M., Yates, E., & Vogt, M. (2023). Postoperative Mobilization Protocol in Lumbar Laminectomy Patients. Orthopaedic Nursing, 42(3), 151–155. https://doi.org/10.1097/NOR.0000000000000941
  • Allahbakhshian, A., Khalili, A. F., Gholizadeh, L., & Esmealy, L. (2023). Comparison of early mobilization protocols on postoperative cognitive dysfunction, pain, and length of hospital stay in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. Applied Nursing Research : ANR, 73. https://doi.org/10.1016/J.APNR.2023.151731
  • Amponsah-Poku, A. (2022). Implementation of Nurse-Driven Early Mobility Protocol in an Inpatient Medical-Surgical Unit Item Type DNP Project Implementation of Nurse-Driven Early Mobility Protocol in an Inpatient Medical. http://hdl.handle.net/10713/18882NURSE-DRIVENEARLYMOBILITYPROTOCOL Anada, S., Iigaya, M., Takahashi, M., Soda, K., & Wada, N. (2022). Impact of early mobilization on the duration of delirium in elderly hospitalized patients: A retrospective cohort pilot study. Medicine, 101(44), E31641. https://doi.org/10.1097/MD.0000000000031641
  • Awaludin, S., & Novitasari, D. (2024). Determinants of Early Mobilization in Postcardiac Surgery Patients. Current Problems in Cardiology, 49, 102110. https://doi.org/10.1016/j.cpcardiol.2023.102110
  • Aygin, D., Kaynar Kalkan, Ö., & Akbayır, N. (2022). Ameliyat Sonrası Erken Dönem Mobilizasyonun Hızlı İyileşmeye Katkısı. Sakarya Üniversitesi Holistik Sağlık Dergisi, 5(3), 392–403. https://doi.org/10.54803/sauhsd.1168814
  • Batchelor, T. J. P., Rasburn, N. J., Abdelnour-Berchtold, E., Brunelli, A., Cerfolio, R. J., Gonzalez, M., Ljungqvist, O., Petersen, R. H., Popescu, W. M., Slinger, P. D., & Naidu, B. (2019). Guidelines for enhanced recovery after lung surgery: Recommendations of the Enhanced Recovery after Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 55(1), 91–115. https://doi.org/10.1093/ejcts/ezy301
  • Brustia, R., Monsel, A., Skurzak, S., Schiffer, E., Carrier, F. M., Patrono, D., Kaba, A., Detry, O., Malbouisson, L., Andraus, W., Vandenbroucke-Menu, F., Biancofiore, G., Kaido, T., Compagnon, P., Uemoto, S., Rodriguez Laiz, G., De Boer, M., Orloff, S., Melgar, P., … Scatton, O. (2022). Guidelines for Perioperative Care for Liver Transplantation: Enhanced Recovery after Surgery (ERAS) Recommendations. Transplantation, 106(3), 552–561. https://doi.org/10.1097/TP.0000000000003808
  • Cerantola, Y., Valerio, M., Persson, B., Jichlinski, P., Ljungqvist, O., Hubner, M., Kassouf, W., Muller, S., Baldini, G., Carli, F., Naesheimh, T., Ytrebo, L., Revhaug, A., Lassen, K., Knutsen, T., Aarsether, E., Wiklund, P., & Patel, H. R. H. (2013). Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced recovery after surgery (ERAS®) society recommendations. Clinical Nutrition, 32(6), 879–887. https://doi.org/10.1016/j.clnu.2013.09.014
  • Cinel, İ., ve Kasapoğlu, U. (2023). Cerrahi stres yanıtın fizyoloji ve fizyopatolojisi. H. Gündoğdu ve N. Alkış (Ed.), 2023 ERAS kitabı: Kanıta dayalı cerrahi (ss. 5-8). Bayt Yayın Hizmetleri.
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Ameliyat Sonrası Mobilizasyon: Kanıta Dayalı Uygulamalar

Yıl 2025, Cilt: 4 Sayı: 1, 50 - 62, 28.03.2025
https://doi.org/10.59312/ebshealth.1566408

Öz

Ameliyat sonrası mobilizasyon, cerrahi sürecin önemli bir bileşenidir. Erken mobilizasyonun sağlanmasıyla, cerrahi girişim sonrası birçok komplikasyon önlenmekte, iyileşme hızlanmakta ve hastanede kalış süresi kısalmaktadır. Kanıta dayalı uygulamalardan oluşan Enhanced Recovery of After Surgery (ERAS) Ameliyat sonrası hızlandırılmış iyileşme protokolleri, mobilizasyonun multidisipliner ekip tarafından, erken ve planlı olarak yapılmasını önermektedir. Ancak ameliyat sonrası mobilizasyon oranları, çeşitli birçok engelden dolayı istenilen düzeyde değildir. Ameliyat sonrası erken mobilizasyonun önündeki engellerin belirlenmesi ve değiştirilebilir unsurlar için stratejiler oluşturulması, protokoller çerçevesinde mobilizasyonun sağlanması ameliyat sonrası mobilizasyon hedefine ulaşmanın önemli anahtarıdır. Bu derleme, ameliyat sonrası mobilizasyonun önemini, cerrahi hemşirelerinin ameliyat sonrası mobilizasyon uygulamalarındaki rol ve sorumluluklarını, erken ve hedefli mobilizasyonun sağlanmasında karşılaşılan engelleri ve güncel rehberlerin bu konudaki önerilerini vurgulamak amacıyla yazılmıştır.

Kaynakça

  • Alexander, M., Lou Garey, M., Yates, E., & Vogt, M. (2023). Postoperative Mobilization Protocol in Lumbar Laminectomy Patients. Orthopaedic Nursing, 42(3), 151–155. https://doi.org/10.1097/NOR.0000000000000941
  • Allahbakhshian, A., Khalili, A. F., Gholizadeh, L., & Esmealy, L. (2023). Comparison of early mobilization protocols on postoperative cognitive dysfunction, pain, and length of hospital stay in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. Applied Nursing Research : ANR, 73. https://doi.org/10.1016/J.APNR.2023.151731
  • Amponsah-Poku, A. (2022). Implementation of Nurse-Driven Early Mobility Protocol in an Inpatient Medical-Surgical Unit Item Type DNP Project Implementation of Nurse-Driven Early Mobility Protocol in an Inpatient Medical. http://hdl.handle.net/10713/18882NURSE-DRIVENEARLYMOBILITYPROTOCOL Anada, S., Iigaya, M., Takahashi, M., Soda, K., & Wada, N. (2022). Impact of early mobilization on the duration of delirium in elderly hospitalized patients: A retrospective cohort pilot study. Medicine, 101(44), E31641. https://doi.org/10.1097/MD.0000000000031641
  • Awaludin, S., & Novitasari, D. (2024). Determinants of Early Mobilization in Postcardiac Surgery Patients. Current Problems in Cardiology, 49, 102110. https://doi.org/10.1016/j.cpcardiol.2023.102110
  • Aygin, D., Kaynar Kalkan, Ö., & Akbayır, N. (2022). Ameliyat Sonrası Erken Dönem Mobilizasyonun Hızlı İyileşmeye Katkısı. Sakarya Üniversitesi Holistik Sağlık Dergisi, 5(3), 392–403. https://doi.org/10.54803/sauhsd.1168814
  • Batchelor, T. J. P., Rasburn, N. J., Abdelnour-Berchtold, E., Brunelli, A., Cerfolio, R. J., Gonzalez, M., Ljungqvist, O., Petersen, R. H., Popescu, W. M., Slinger, P. D., & Naidu, B. (2019). Guidelines for enhanced recovery after lung surgery: Recommendations of the Enhanced Recovery after Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 55(1), 91–115. https://doi.org/10.1093/ejcts/ezy301
  • Brustia, R., Monsel, A., Skurzak, S., Schiffer, E., Carrier, F. M., Patrono, D., Kaba, A., Detry, O., Malbouisson, L., Andraus, W., Vandenbroucke-Menu, F., Biancofiore, G., Kaido, T., Compagnon, P., Uemoto, S., Rodriguez Laiz, G., De Boer, M., Orloff, S., Melgar, P., … Scatton, O. (2022). Guidelines for Perioperative Care for Liver Transplantation: Enhanced Recovery after Surgery (ERAS) Recommendations. Transplantation, 106(3), 552–561. https://doi.org/10.1097/TP.0000000000003808
  • Cerantola, Y., Valerio, M., Persson, B., Jichlinski, P., Ljungqvist, O., Hubner, M., Kassouf, W., Muller, S., Baldini, G., Carli, F., Naesheimh, T., Ytrebo, L., Revhaug, A., Lassen, K., Knutsen, T., Aarsether, E., Wiklund, P., & Patel, H. R. H. (2013). Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced recovery after surgery (ERAS®) society recommendations. Clinical Nutrition, 32(6), 879–887. https://doi.org/10.1016/j.clnu.2013.09.014
  • Cinel, İ., ve Kasapoğlu, U. (2023). Cerrahi stres yanıtın fizyoloji ve fizyopatolojisi. H. Gündoğdu ve N. Alkış (Ed.), 2023 ERAS kitabı: Kanıta dayalı cerrahi (ss. 5-8). Bayt Yayın Hizmetleri.
  • Cusack, B., & Buggy, D. J. (2020). Anaesthesia, analgesia, and the surgical stress response. BJA education, 20(9), 321–328. https://doi.org/10.1016/j.bjae.2020.04.006
  • Debono, B., Wainwright, T. W., Wang, M. Y., Sigmundsson, F. G., Yang, M. M. H., Smid-Nanninga, H., Bonnal, A., Le Huec, J. C., Fawcett, W. J., Ljungqvist, O., Lonjon, G., & de Boer, H. D. (2021). Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Spine Journal, 21(5), 729–752. https://doi.org/10.1016/j.spinee.2021.01.001
  • Dort, J. C., Farwell, D. G., Findlay, M., Huber, G. F., Kerr, P., Shea-Budgell, M. A., Simon, C., Uppington, J., Zygun, D., Ljungqvist, O., & Harris, J. (2017). Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: A consensus review and recommendations from the enhanced recovery after surgery society. In JAMA Otolaryngology - Head and Neck Surgery (Vol. 143, Issue 3, pp. 292–303). American Medical Association. https://doi.org/10.1001/jamaoto.2016.2981
  • Gustafsson, U. O., Scott, M. J., Hubner, M., Nygren, J., Demartines, N., Francis, N., Rockall, T. A., Young-Fadok, T. M., Hill, A. G., Soop, M., de Boer, H. D., Urman, R. D., Chang, G. J., Fichera, A., Kessler, H., Grass, F., Whang, E. E., Fawcett, W. J., Carli, F., … Ljungqvist, O. (2019). Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. In World Journal of Surgery (Vol. 43, Issue 3, pp. 659–695). Springer New York LLC. https://doi.org/10.1007/s00268-018-4844-y
  • Hanada, M., Kanetaka, K., Hidaka, · Shigekazu, Taniguchi, K., Masato Oikawa, ·, Sato, S., Eguchi, S., & Ryo Kozu, ·. (2018). Effect of early mobilization on postoperative pulmonary complications in patients undergoing video-assisted thoracoscopic surgery on the esophagus. Esophagus, 15, 69–74. https://doi.org/10.1007/s10388-017-0600-x
  • Hu, Y., McArthur, A., & Yu, Z. (2019). Early postoperative mobilization in patients undergoing abdominal surgery: A best practice implementation project. JBI Database of Systematic Reviews and Implementation Reports, 17(12), 2591–2611. https://doi.org/10.11124/JBISRIR-D-19-00063
  • Huang, J., Li, P., Wang, H., Lv, C., Han, J., & Lu, X. (2023). Exploring elderly patients’ experiences and concerns about early mobilization implemented in postoperative care following lumbar spinal surgery: a qualitative study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01510-7
  • Hübner, M., Kusamura, S., Villeneuve, L., Al-Niaimi, A., Alyami, M., Balonov, K., Bell, J., Bristow, R., Guiral, D. C., Fagotti, A., Falcão, L. F. R., Glehen, O., Lambert, L., Mack, L., Muenster, T., Piso, P., Pocard, M., Rau, B., Sgarbura, O., … Nelson, G. (2020). Guidelines for Perioperative Care in Cytoreductive Surgery (CRS) with or without hyperthermic IntraPEritoneal chemotherapy (HIPEC): Enhanced Recovery After Surgery (ERAS®) Society Recommendations — Part II: Postoperative management and special considerations. European Journal of Surgical Oncology, 46(12), 2311–2323. https://doi.org/10.1016/J.EJSO.2020.08.006
  • Iskender, M. D., Bektas, O., & Eren, H. (2020). Effect of preoperative in-bed exercises and mobilization training on postoperative anxiety and mobilization level. Japan Journal of Nursing Science, 17(4). https://doi.org/10.1111/jjns.12339
  • Joliat, G. R., Kobayashi, K., Hasegawa, K., Thomson, J. E., Padbury, R., Scott, M., Brustia, R., Scatton, O., Tran Cao, H. S., Vauthey, J. N., Dincler, S., Clavien, P. A., Wigmore, S. J., Demartines, N., & Melloul, E. (2023). Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022. In World Journal of Surgery (Vol. 47, Issue 1, pp. 11–34). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s00268-022-06732-5
  • Kanejima, Y., Shimogai, T., Kitamura, M., Ishihara, K., & Izawa, K. P. (2020). Effect of Early Mobilization on Physical Function in Patients after Cardiac Surgery: A Systematic Review and Meta-Analysis. International journal of environmental research and public health, 17(19), 7091. https://doi.org/10.3390/ijerph17197091
  • Karaaslan, E., & Guner, İ. (2024). Hastaların Ameliyat Sonrasındaki Hareket Uyumunu Eğitim Vererek Arttırabilir Miyiz? Bingöl Üniversitesi Sağlık Dergisi. https://doi.org/10.58605/bingolsaglik.1407583
  • Kavadar, H., Yoldaş, B., Gül, G., & Göktaş, A. (2021). Hasta Bakımında Motivasyon Bilekliği Kullanımının Etkileri. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 3(3), 153–158. https://doi.org/10.48071/sbuhemsirelik.1003363
  • Kaya, Ç., Bilik, Ö. (2020). Total Diz Protezi Ameliyatı Planlanan Bireylere Neden Danışmanlık Verilmeli? Hemşirelik Bilimi Dergisi, 3(1), 25-30.
  • Kehlet, H. (1997). Multimodal approach to control postoperative pathophysiology and rehabilitation. British Journal of Anaesthesia, 78(5), 606–617. https://doi.org/10.1093/BJA/78.5.606
  • Kehlet, H. (2020). Enhanced postoperative recovery: good from afar, but far from good? Anaesthesia, 75 Suppl 1(S1), e54–e61. https://doi.org/10.1111/ANAE.14860
  • Kırtıl, İ., & Kanan, N. (2023). Early and targeted mobilization after surgical interventions. Balıkesir Medical Journal, 7(2), 41–55. https://doi.org/10.33716/bmedj.1381699
  • Kırtıl, İ., Kanan, N., & Karip, A. B. (2023). Effects of a Mobilization Program Applied to Bariatric Surgery Patients on Preventing Gastrointestinal Complications: a Quasi-Experimental Study. Obesity Surgery, 33(6), 1820–1830. https://doi.org/10.1007/s11695-023-06609-z
  • Kim, B. J., & Aloia, T. A. (2018). What Is “Enhanced Recovery,” and How Can I Do It? Journal of Gastrointestinal Surgery, 22(1), 164–171. https://doi.org/10.1007/s11605-017-3605-9
  • Koyuncu, F., & Iyigun, E. (2022). The effect of mobilization protocol on mobilization start time and patient care outcomes in patients undergoing abdominal surgery. Journal of Clinical Nursing, 31(9–10), 1298–1308. https://doi.org/10.1111/jocn.15986
  • Lei, Y.-T., Xie, J.-W., Huang, Q., Huang, W., & Pei, F.-X. (n.d.). Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. https://doi.org/10.1186/s40779-021-00310-x Ljungqvist, O., Scott, M., & Fearon, K. C. (2017). Enhanced Recovery After Surgery: A Review. JAMA Surgery, 152(3), 292–298. https://doi.org/10.1001/JAMASURG.2016.4952
  • Low, D. E., Allum, W., De Manzoni, G., Ferri, L., Immanuel, A., Kuppusamy, M. K., Law, S., Lindblad, M., Maynard, N., Neal, J., Pramesh, C. S., Scott, M., Mark Smithers, B., Addor, V., & Ljungqvist, O. (2019). Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. In World Journal of Surgery (Vol. 43, Issue 2, pp. 299–330). Springer New York LLC. https://doi.org/10.1007/s00268-018-4786-4
  • McGinigle, K. L., Spangler, E. L., Pichel, A. C., Ayyash, K., Arya, S., Settembrini, A. M., Garg, J., Thomas, M. M., Dell, K. E., Swiderski, I. J., Lindo, F., Davies, M. G., Setacci, C., Urman, R. D., Howell, S. J., Ljungqvist, O., & de Boer, H. D. (2022). Perioperative care in open aortic vascular surgery: A consensus statement by the Enhanced Recovery After Surgery (ERAS) Society and Society for Vascular Surgery. Journal of Vascular Surgery, 75(6), 1796–1820. https://doi.org/10.1016/j.jvs.2022.01.131
  • Melloul, E., Lassen, K., Roulin, D., Grass, F., Perinel, J., Adham, M., Wellge, E. B., Kunzler, F., Besselink, M. G., Asbun, H., Scott, M. J., Dejong, C. H. C., Vrochides, D., Aloia, T., Izbicki, J. R., & Demartines, N. (2020). Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019. In World Journal of Surgery (Vol. 44, Issue 7, pp. 2056–2084). Springer. https://doi.org/10.1007/s00268-020-05462-w
  • Mortensen, K., Nilsson, M., Slim, K., Schäfer, M., Mariette, C., Braga, M., Carli, F., Demartines, N., Griffin, S. M., & Lassen, K. (2014). Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. The British Journal of Surgery, 101(10), 1209–1229. https://doi.org/10.1002/BJS.9582
  • Nelson, G., Bakkum-Gamez, J., Kalogera, E., Glaser, G., Altman, A., Meyer, L. A., Taylor, J. S., Iniesta, M., Lasala, J., Mena, G., Scott, M., Gillis, C., Elias, K., Wijk, L., Huang, J., Nygren, J., Ljungqvist, O., Ramirez, P. T., & Dowdy, S. C. (2019). Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery after Surgery (ERAS) Society recommendations - 2019 update. In International Journal of Gynecological Cancer (Vol. 29, Issue 4, pp. 651–668). BMJ Publishing Group. https://doi.org/10.1136/ijgc-2019-000356
  • Ni, Y. X., Li, Z., Zhou, L. L., & Gong, S. (2023). Factors influencing early mobilisation for patients undergoing pancreatic surgery from multiple perspectives: a qualitative descriptive study. BMJ Open, 13(12). https://doi.org/10.1136/bmjopen-2023-077419
  • Oliveira, R. A., Guatura, G. M. G. B. da S., Peniche, A. de C. G., Costa, A. L. S., & Poveda, V. de B. (2017). An Integrative Review of Postoperative Accelerated Recovery Protocols. AORN Journal, 106(4), 324-330.e5. https://doi.org/10.1016/j.aorn.2017.08.005
  • Oodit, R., Biccard, B. M., Panieri, E., Alvarez, A. O., Sioson, M. R. S., Maswime, S., Thomas, V., Kluyts, H. L., Peden, C. J., de Boer, H. D., Brindle, M., Francis, N. K., Nelson, G., Gustafsson, U. O., & Ljungqvist, O. (2022). Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low–Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation. In World Journal of Surgery (Vol. 46, Issue 8, pp. 1826–1843). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s00268-022-06587-w
  • Porserud, A., Lundberg, M., Eriksson, J., Nygren Bonnier, M., & Hagströmer, M. (2023). Like I said, I would not have likely gotten up otherwise: patient experiences of using an Activity Board after abdominal cancer surgery. Disability and Rehabilitation, 45(6), 1022–1029. https://doi.org/10.1080/09638288.2022.2048097
  • Schuring, N., Geelen, S. J. G., van Berge Henegouwen, M. I., Steenhuizen, S. C. M., van der Schaaf, M., van der Leeden, M., & Gisbertz, S. S. (2023). Early mobilization after esophageal cancer surgery: a retrospective cohort study. Diseases of the Esophagus, 36(6). https://doi.org/10.1093/dote/doac085
  • Shirvani, F., Naji, S. A., Davari, E., & Sedighi, M. (2020). Early mobilization reduces delirium after coronary artery bypass graft surgery. Asian Cardiovascular and Thoracic Annals, 28(9), 566–571. https://doi.org/10.1177/0218492320947230/ASSET/IMAGES/LARGE/10.1177_0218492320947230-FIG1.JPEG
  • Simpson, J. C., Bao, X., & Agarwala, A. (2019). Enhanced Recovery after Surgery (ERAS) for Colorectal Surgery: Pain Management in Enhanced Recovery after Surgery (ERAS) Protocols. Clinics in Colon and Rectal Surgery, 32(2), 121. https://doi.org/10.1055/S-0038-1676477
  • Stiller, K., & Phillips, A. (2003). Safety aspects of mobilising acutely ill inpatients. Physiotherapy Theory and Practice, 19(4), 239–257. https://doi.org/10.1080/716100582
  • Svensson-Raskh, A., Schandl, A., Holdar, U., Fagevik Olsén, M., & Nygren-Bonnier, M. (2020). "I Have Everything to Win and Nothing to Lose": Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery. Physical therapy, 100(12), 2079–2089. https://doi.org/10.1093/ptj/pzaa168 Tang, J. H., Wang, B., Chow, J. L. J., Joseph, P. M., Chan, J. Y., Abdul Rahman, N., Low, Y. H., Tan, Y. P., & Shelat, V. G. (2021). Improving postoperative mobilisation rates in patients undergoing elective major hepatopancreatobiliary surgery. Postgraduate Medical Journal, 97(1146), 239–247. https://doi.org/10.1136/postgradmedj-2020-138650
  • Temple-Oberle, C., Shea-Budgell, M. A., Tan, M., Semple, J. L., Schrag, C., Barreto, M., Blondeel, P., Hamming, J., Dayan, J., & Ljungqvist, O. (2017). Consensus review of optimal perioperative care in breast reconstruction: Enhanced recovery after surgery (ERAS) society recommendations. Plastic and Reconstructive Surgery, 139(5), 1056e–1071e. https://doi.org/10.1097/PRS.0000000000003242
  • Uğurlu, A. K., Kula Şahin, S., Seçginli, S., & Eti Aslan, F. (2017). The Effect of Standing up Early in the First 24 Hours After Surgery on Rapid Improvement: Systematic Review. Turkiye Klinikleri Journal of Nursing, 9(4), 280–288. https://doi.org/10.5336/nurses.2016-53678
  • Ünver, S., Yildirim, M., Akbal, S., & Sever, S. (2024). Challenges experienced by cardiac intensive care nurses during first out-of-bed patient mobilization after open-heart surgery: A descriptive phenomenological qualitative study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16091
  • Yayla, A., & Özer, N. (2019). Effects of early mobilization protocol performed after cardiac surgery on patient care outcomes. International Journal of Nursing Practice, 25(6). https://doi.org/10.1111/ijn.12784
  • Zhang, L., Wu, Q., Wang, X., Zhu, X., Shi, Y., & Wu, C. J. (2024). Factors impacting early mobilization according to the Enhanced Recovery After Surgery guideline following gastrointestinal surgery: A prospective study. Geriatrics and Gerontology International, 24(2), 234–239. https://doi.org/10.1111/ggi.14799
  • Wainwright, T. W., Gill, M., McDonald, D. A., Middleton, R. G., Reed, M., Sahota, O., Yates, P., & Ljungqvist, O. (2020). Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Acta Orthopaedica, 91(1), 3–19. https://doi.org/10.1080/17453674.2019.1683790
  • Willner, A., Teske, C., Hackert, T., & Welsch, T. (2023). Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis. In BJS Open (Vol. 7, Issue 5). Oxford University Press. https://doi.org/10.1093/bjsopen/zrad102
  • Xie, J., Luo, C., Du, Q., Zou, W., Li, X., Ma, Z., Wu, X., & Zhang, M. (2023). Factors associated with early mobilization among colorectal cancer patients after surgery: A cross-sectional study. European Journal of Oncology Nursing, 64. https://doi.org/10.1016/j.ejon.2023.102317
Toplam 52 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Derlemeler
Yazarlar

Nebihat Tekin 0000-0001-5733-7059

Meryem Yavuz Van Giersbergen 0000-0002-8661-0066

Yayımlanma Tarihi 28 Mart 2025
Gönderilme Tarihi 13 Ekim 2024
Kabul Tarihi 2 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 4 Sayı: 1

Kaynak Göster

APA Tekin, N., & Yavuz Van Giersbergen, M. (2025). Ameliyat Sonrası Mobilizasyon: Kanıta Dayalı Uygulamalar. Doğu Karadeniz Sağlık Bilimleri Dergisi, 4(1), 50-62. https://doi.org/10.59312/ebshealth.1566408

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ebshealth@giresun.edu.tr

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