Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables
Yıl: 2020 Cilt: 45 Sayı: 2 Sayfa Aralığı: 613 - 620 Metin Dili: İngilizce DOI: 10.17826/cumj.691723 İndeks Tarihi: 14-12-2020
Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables
Öz: Purpose: The purpose of this study was to determine theeffect on sleep duration, pain level, first flatus anddefecation time, and discharge of a mobilization programadministered under nurse supervision and monitoringfollowing open cholecystectomy.Materials and Methods: This experimental study wasperformed in February-August 2019 in the general surgeryclinic of a public hospital. Considering the possibility ofdata loss, 68 patients meeting the research criteria wereincluded. Two patients from the experimental group andtwo from the control group subsequently dropped out, andthe study was finally completed with 64 patients. Data werecollected using a patient description form, a VisualAnalogue Scale, and a walking chart on which pedometeroutput was recorded.Results: Length of hospitalization was shorter, first flatusand defecation time occurred earlier, and walking distanceswere longer in the experimental group compared to thecontrol group. No difference was determined between thegroups in terms of amount of drainage, or times tospontaneous urination. It was determined that the painlevels in the control were lower than those in theexperimental group on postoperative day 1, and sleepdurations on postoperative days 2 and 3 were significantlylonger.Conclusion: Earlier first flatus, defecation time, anddischarge, and significantly longer walking distances, weredetermined in the experimental group compared to thecontrol group. However, the mobilization program had noeffect on sleep duration or pain levels.
Anahtar Kelime: Açık kolesistektomi sonrası hastalara uygulanan bir mobilizasyon programının uyku süresi ve diğer klinik değişkenlere etkisi
Öz: Amaç: Bu çalışma açık kolesistektomi sonrası hastalara hemşire gözetimi ve denetiminde uygulanan mobilizasyon programının uyku süresi, ağrı düzeyi, ilk flatus, gayta çıkışı ve taburculuk üzerine etkisinin belirlenmesi amacıyla yapıldı. Gereç Yöntem: Deneysel tipteki çalışma bir devlet hastanesinin genel cerrahi kliniğinde Şubat-Ağustos 2019 tarihleri arasında yapıldı. Veri kaybı olasılığı göz önüne alındığında, araştırma kriterlerini karşılayan 68 hasta çalışmaya dahil edildi. Çalışma süresince iki hasta deney grubundan iki hasta kontrol grubundan çıkarıldı ve çalışma 64 hastayla tamamlandı. Veriler hasta tanıtım formu, postoperatif izlem çizelgesi, Görsel kıyaslama ölçeği, pedometre çıktılarının kaydedildiği yürüme çizelgesi ile toplandı. Bulgular: Deney grubu hastaların, kontrol grubuna göre hastanede yatış sürelerinin kısa, gaz ve gaita çıkış saatlerinin daha erken, yürüme mesafelerinin ise uzun olduğu, dren geleni ve spontan idrara çıkış zamanları açısından iki grup arasında fark olmadığı saptandı. Kontrol grubunun postop 1. gün ağrı düzeylerinin anlamlı düzeyde daha düşük, postop 2 ve 3. günde ise fark olmadığı, uyku süreleri ise, postop 1. ve 2. günde kontrol grubunun deney grubundan daha yüksek olduğu belirlendi. Sonuç: Deney grubu hastaların ilk gaz ve gayta çıkışlarının, taburculukların kontrol gruba göre erken olduğu, yürüme mesafelerinin anlamlı şekilde uzun olduğu saptandı. Buna rağmen mobilizasyon programının uyku süreleri ve ağrı düzeylerine etkisi olmadığı belirlendi.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Abdikarim I, Cao XY, Li SZ, Zhao YQ, Taupyk Y, Wang Q. Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas. World J Gastroenterol. 2015;21:1339-44.
- 2. Jimenez RS, Alvarez AB, Lopez JT, Jimenez AS, Conde FG, Saez JAC. ERAS (Enhanced Recovery after Surgery) in colorectal surgery. In Colorectal Cancer - Surgery, Diagnostics and Treatment (Ed JS Khan). Rijeka, Croatia, InTech, 2014.
- 3. Bayar ÖÖ, Bademci R, Sözener U, Tüzüner A, Karayalçın K. Major karaciğer rezeksiyonunda ERAS protokolü. Okmeydanı Tıp Dergisi. 2013;29:135-42.
- 4. Cerantola Y, Valerio M, Persson B, Jichlinski P, Ljungqvist O, Hubner M et al. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERASR) society recommendations. Clin Nutr. 2013;32:879-87.
- 5. Yamada T, Hayashi T, Aoyama T, Shirai J, Fujikawa H, Cho H. et al. Feasibility of enhanced recovery after surgery in gastric surgery: a retrospective study. BMC Surg. 2014;14:41.
- 6. Kabataş MS, Özbayır T. Enhanced recovery after surgery (ERAS) protocols after colorectal surgery: a systematic review. Gümüşhane University Journal of Health Sciences. 2016;5:120-32.
- 7. Kaneda H, Saito Y, Okamoto M, Maniwa T, Minami K, Imamura H. Early postoperative mobilization with walking at 4 hours after lobectomy in lung cancer patients. Gen Thorac Cardiovasc Surg. 2007;55:493-8.
- 8. Litwack K. Postoperative patient. in Medical Surgical Nursing (Eds SM Lewis, MM Heitkemper, SR Dirksen):390-412. St Louis, Mosby, 2000.
- 9. Anderson AD, McNaught CE, MacFie J, Tring I, Barker P, Mitchell CJ. Randomized clinical trial of multimodal optimization and standard perioperative surgical care. Br J Surg. 2003;90:1497–504.
- 10. Gatt M, Anderson AD, Reddy BS, Hayward-Sampson P, Tring IC, MacFie J. Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection. Br J Surg. 2005;92:1354–62.
- 11. Wind J, Hofland J, Preckel B, Hollmann MW, Bossuyt PM, Gouma DJ et al. Perioperative strategy in colonic surgery; laparoscopy and/or fast track multimodal management versus standard care (LAFA trial). BMC Surg. 2006;6:16.
- 12. Delaney CP, Zutshi M, Senagore AJ, Remzi FM, Hammel J, Fazio VW. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection, Dis Colon Rectum. 2003;46:851– 9.
- 13. Lin JH, Whelan RL, Sakellarios NE, Cekic V, Forde KA, Bank J et al. Prospective study of ambulation after open and laparoscopic colorectal resection Surg Innov. 2009;16:16-20.
- 14. Ni C, Wang Z, Huang Z, Zhou H, Fu L, Cai H et al. Early enforced mobilization after liver resection: A prospective randomized controlled trial. Int J Surg. 2018;54:254–258.
- 15. Kibler VA, Hayes RM, Johnson DE, Anderson LW, Just SL, Wells NL. Early postoperative ambulation: Back to basics. Am J Nurs. 2012;112:63–69.
- 16. Cline ME, Herman J, Show F, Marton RD. Standardization of the visual analoque scale, Nurs Res.1992;41:378-9.
- 17. Collins SL, Moore AR, McQuay HJ. The visual analoque pain intensity scale: what is moderate pain in milimetres? Pain. 1997;72:95-97.
- 18. Pitta F, Troosters T, Probst VS, Spruit MA, Decramer M, Gosselink R. Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Eur Respir J. 2006;27:1040-55.
- 19. Ahn KY, Hur H, Kim DH, Min J, Jeong DH, Chu SH et al. The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients: randomized controlled trial. Int J Colorectal Dis. 2013;28:643-51.
- 20. Dubljanin-Raspopovic E, Markovic-Denic L, Ivkovic K, Nedeljkovic U, Tomanovic, S, Kadija M et al. The impact of postoperative pain on early ambulation after hip fracture, Acta Chir. 2013;60:61–4.
- 21. Liebermann M, Awad M, Dejong M, Rivard C, Sinacore J, Brubaker L. Ambulation of hospitalized gynecologic surgical patients: a randomized controlled trial. Obstet Gynecol. 2013;121:533-7.
- 22. Wolk S, Linke S, Bogner A, Sturm D, Meißner T, Müssle B et al. Use of activity tracking in major visceral surgery—the enhanced perioperative mobilization trial: a randomized controlled trial. J Gastroint Surg. 2019;23:1218–26.
- 23. Le H, Khankhanian P, Joshi N, Maa J, Crevensten H. Patients recovering from abdominal surgery who walked with volunteers had improved postoperative recovery profiles during their hospitalization. World J Surg. 2014;38:1961-5.
- 24. Wasowicz-Kemps DK, Slootmaker SM, Kemps HM, Borel- Rinkes IH, Biesma DH., van Ramshorst B. Resumption of daily physical activity after day-case laparoscopic cholecystectomy. Surg Endosc. 2009;23:2034–40.
| APA | ALDEMİR k, AYDIN SAYILAN A (2020). Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. , 613 - 620. 10.17826/cumj.691723 |
| Chicago | ALDEMİR kadriye,AYDIN SAYILAN Aylin Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. (2020): 613 - 620. 10.17826/cumj.691723 |
| MLA | ALDEMİR kadriye,AYDIN SAYILAN Aylin Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. , 2020, ss.613 - 620. 10.17826/cumj.691723 |
| AMA | ALDEMİR k,AYDIN SAYILAN A Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. . 2020; 613 - 620. 10.17826/cumj.691723 |
| Vancouver | ALDEMİR k,AYDIN SAYILAN A Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. . 2020; 613 - 620. 10.17826/cumj.691723 |
| IEEE | ALDEMİR k,AYDIN SAYILAN A "Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables." , ss.613 - 620, 2020. 10.17826/cumj.691723 |
| ISNAD | ALDEMİR, kadriye - AYDIN SAYILAN, Aylin. "Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables". (2020), 613-620. https://doi.org/10.17826/cumj.691723 |
| APA | ALDEMİR k, AYDIN SAYILAN A (2020). Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. Cukurova Medical Journal, 45(2), 613 - 620. 10.17826/cumj.691723 |
| Chicago | ALDEMİR kadriye,AYDIN SAYILAN Aylin Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. Cukurova Medical Journal 45, no.2 (2020): 613 - 620. 10.17826/cumj.691723 |
| MLA | ALDEMİR kadriye,AYDIN SAYILAN Aylin Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. Cukurova Medical Journal, vol.45, no.2, 2020, ss.613 - 620. 10.17826/cumj.691723 |
| AMA | ALDEMİR k,AYDIN SAYILAN A Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. Cukurova Medical Journal. 2020; 45(2): 613 - 620. 10.17826/cumj.691723 |
| Vancouver | ALDEMİR k,AYDIN SAYILAN A Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables. Cukurova Medical Journal. 2020; 45(2): 613 - 620. 10.17826/cumj.691723 |
| IEEE | ALDEMİR k,AYDIN SAYILAN A "Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables." Cukurova Medical Journal, 45, ss.613 - 620, 2020. 10.17826/cumj.691723 |
| ISNAD | ALDEMİR, kadriye - AYDIN SAYILAN, Aylin. "Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables". Cukurova Medical Journal 45/2 (2020), 613-620. https://doi.org/10.17826/cumj.691723 |
