Effect Of Early Ambulation Research Articles

Safety and benefit of ambulation within 24 hours in elderly patients undergoing lumbar fusion: propensity score matching study of 882 patients

BACKGROUND CONTEXTElderly patients are less likely to recover from lumbar spine fusion (LSF) as rapidly compared with younger patients. However, there is still a lack of research on the effect of early ambulation on elderly patients undergoing LSF surgery for lumbar degenerative disorders. PURPOSETo evaluate the safety and benefit of ambulation within 24 hours in elderly patients who underwent LSF. STUDY DESIGNA retrospective study. PATIENT SAMPLEConsecutive patients (aged 65 and older) who underwent elective transforaminal lumbar interbody fusion surgery for degenerative disorders from January 2019 to October 2022. OUTCOME MEASURESOutcome measures included postoperative complications, postoperative drainage (mL), laboratory test data, length of hospital stay (LOS), readmission and reoperation within 3 months. METHODSEarly ambulation patients (ambulation within 24 hours after surgery) were propensity-score matched 1:1 to a delayed ambulation patients (ambulation at a minimum of 48 hours postoperatively) based on age, intraoperative blood loss, and number of fused segments. The incidence of postoperative adverse events (AEs, including rates of complications, readmission, and prolonged LOS) and the average LOS were used to assess the safety and benefit of early ambulation, respectively. Multivariable regression analysis was performed to assess the association between early ambulation and postoperative AEs. The risk factors for delayed ambulation were also determined using multivariable logistic analyses. RESULTSA total of 998 patients with LSF surgery were reviewed in this study. After excluding 116 patients for various reasons, 882 patients (<24 hours: N=350, 24–48 hours: N=230, and >48 hours: N= 302) were included in the final analysis. After matching, sex, BMI, preoperative comorbidities, laboratory test data and surgery-related variables were comparable between the groups. The incidence of postoperative AEs was significantly lower in the EA group (44.3% vs 64.0%, p<.001). The average postoperative LOS of the EA group was 2 days shorter than the DA group (6.5 days vs 8.5 days, p<.001). Patients in the EA group had a significantly lower rate of prolonged LOS compared with the DA group (35.1% vs 55.3%, p<.001). There was no significant difference in postoperative drainage volumes between the two groups. Multivariable analysis identified older age (odds ratio [OR] 1.07, p<.001), increased intraoperative EBL (OR 1.002, p=.001), and higher international normalization ratio (OR 10.57, p=.032) as significant independent risk factors for delayed ambulation. CONCLUSIONSAmbulation within 24 hours after LSF surgery is independently associated fewer AEs and shorter hospital stays in elderly patients. Implementing the goal of ambulation within 24 hours after LSF surgery into enhanced recovery after surgery protocols for elderly patients seems appropriate. Older age, increased intraoperative blood loss and worse coagulation function are associated with delayed ambulation.

Influência da deambulação precoce combinada a terapia dhikr no peristaltismo intestinal de pacientes submetidos a colecistectomia aberta

ABSTRACT Objectives: to analyze and determine the effect of a combination intervention of early ambulation and dhikr therapy on intestinal peristaltic recovery in post-open cholecystectomy patients. Methods: a pre-experimental design with one group pre and post-test design was used. The samples were 15 post-open cholecystectomy patients which were selected using the purposive sampling technique. The data were collected using the instrument observation sheet and analyzed using the Wilcoxon test. Early ambulation used standard operational procedure in the hospital and dhikr therapy was carried out at 2 hours post-operation for 10-15 minutes. Results: there was an effect of early ambulation and dhikr therapy on intestinal peristaltic recovery in post-open cholecystectomy patients with general anesthesia (Z=-3.442; p=0.001). Conclusions: a combination of early ambulation and dhikr therapy can be recommended as interventions to improve intestinal peristaltic in a post-open cholecystectomy patient with general anesthesia.

Effectiveness of early ambulation on maternal outcome among post caesarean mothers admitted in a tertiary care hospital

After every surgery the body takes time to heal. A caesarean section is a major surgical procedure after the mother not only has to deal with herself but also has to take care of her baby. It is the initial day which acts as a turning point in her life. Adding to her plight is the excruciating pain that she feels initially which delays the breastfeeding, further leading to poor infant mother bonding. Study aimed to assess maternal outcome (pain score & infant behaviour) after early ambulation among post cesarean mothers.Objectives: To assess the pain score of post caesarean mothers before and after ambulation.. To assess the infant’s behaviour of post caesarean mother after ambulation.. To compare the maternal outcome among post caesarean mothers in both groups.Methods and Material: Experimental approach with two group pre-test post-test design was adopted for the study. The study included 60 subjects selected by computerised random sampling technique; 30 in experimental and 30 in control group. Pain score assessed by VAS and infant behaviour by modified BOAT.Findings: There was significant difference with regard to application of statistical test results of maternal outcome in experiment group. Thus proving that early ambulation is effective to improve maternal outcome among post caesarean mothers.Conclusion: The study concludes that early ambulation; after six hours of post caesarean section plays a vital and beneficial role in improving maternal outcome of post caesarean mothers, and it can be practiced safely and independently by the nursing staff in hospital setting for the benefits of post cesarean mothers.

The Effects of Early Ambulation and Deep Breathing Exercise on Anxiety, Pain and Physiological Parameters in Patients Undergoing Abdominal Hysterectomy

The Effects of Early Ambulation and Deep Breathing Exercise on Anxiety, Pain and Physiological Parameters in Patients Undergoing Abdominal Hysterectomy

Effects of Early Ambulation in Post Operative Recovery Among Women with Abdominal Hysterectomy

Effects of Early Ambulation in Post Operative Recovery Among Women with Abdominal Hysterectomy

Effect of Early Ambulation in Patients After Lower Limb Surgery: Literature Review

Early ambulation is one of the main goals of inpatient rehabilitation aimed at reducing the negative effects of immobilization and achieving functional recovery. Many studies have proven the benefits of early ambulation in patients after lower limb surgery so early ambulation is highly recommended as a form of orthopedic treatment. Although research related to the influence of early ambulation in post-operative patients has been widely carried out, it is necessary to do further study of the research article on the benefits of early ambulation. The purpose of this study was to look at the effect of early ambulation in patients after lower limb surgery. This literature study was made by analyzing nine scientific articles published in 2010-2020 and English language. Data obtained from the database include Proquest, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Google Scholar with keywords early ambulation, early weightbearing, lower extremity, lower limb and post-surgery. The results of this literature study found nine articles that fit the inclusion and exclusion criteria. The results of the study found that early ambulation in patients after lower limb surgery affected pain, complication rates, muscle strength and length of stay. Therefore, the results of the study of this literature can be a reference in assessments related to early ambulation in patients after lower limb surgery.

Quantization and effects of early ambulation among children with gastrointestinal operation

Objective To explore the quantization and effects of early ambulation among children with gastrointestinal operation based on enhanced recovery after surgery (ERAS) . Methods From January to August 2018, 72 children with gastrointestinal operation in general surgery at He'nan Children's Hospital were selected. All of them were randomly divided into two groups. Observation group carried out optimized perioperative nursing based on ERAS, while control group implemented traditional perioperative nursing. Results After surgery, the amount of postoperative early ambulation of observation group was more than that of control group; and the time of anal exhaust for the first time, defecation and food taking of observation group were earlier than those of control group; and hospital stay as well as cost of observation group were less than those of control group all with statistical differences (P 0.05) . Conclusions With ERAS perioperative treatment, early ambulation not only can promote exhaust, defecation and early foot taking, but also can reduce postoperative hospital stay as well as cost. Key words: Child; Enhanced recovery after surgery; Early ambulation; Gastrointestinal operation

Effectiveness of Early Ambulation on Post Operative Recovery among the Women with Caesarean Section CS

Effectiveness of Early Ambulation on Post Operative Recovery among the Women with Caesarean Section CS

Influence of early ambulation on postoperative complications and hip joint function among patients with total hip replacement

Objective To explore the effects of early ambulation on postoperative complications and hip joint function among patients with total hip replacement. Methods From January 2017 to January 2018, we selected 149 patients with total hip replacement of Department of Orthopedics in the First Affiliated Hospital of Zhengzhou University by convenience sampling. All of the patients were divided into observation group (n=79) and control group (n=70) according to operation time. Control group carried out routine nursing. On the basis of that in control group, observation group received early ambulation related intervention beginning ambulation and training on the first day after surgery. We compared the complications and recoveries of hip joint function after surgery between two groups. Results One month after surgery, there were no patients with lower extremity deep venous thrombosis (DVT) , astriction, prosthetic dislocation in observation group, but there were 6, 10 and 4 cases respectively in control group with statistical differences (P<0.05) . The total scores of Harris hip of observation group 15 days and one month after surgery were (69.10±2.46) and (84.31±2.54) respectively higher than those [ (63.05±3.38) and (78.32±2.57) ] of control group with statistical differences (P<0.01) . Conclusions Early ambulation in patients with total hip replacement can decrease the incidence of complications and enhance the recovery hip joint function. Key words: Arthroplasty, replacement, hip; Postoperative complications; Early ambulation; Total hip arthroplasty; Hip joint function

A Quasi Experimental Study to assess the Effectiveness of Early Ambulation in Post Operative Recovery among Women with Cesarean Section Delivery admitted in selected Hospitals of Jalandhar, Punjab, 2017

Cesarean section (CS) is a surgical procedure, the period after which can be more challenging. The present study was undertaken to assess the Effectiveness of Early Ambulation in Post Operative Recovery among Women with Cesarean Section Delivery. The aim of the study is to enhance the postoperative recovery in women with CS delivery. Quasi experimental research design was used. The study was conducted on conveniently selected 60 samples of CS women admitted in civil hospital, Jalandhar, Punjab. Data was collected by Socio-demographic variables. Numerical pain rating scale to assess pain level and checklist for maternal outcome was used to collect the data and it was analyzed by descriptive and inferential statistics. Tables and bar diagrams were used to depict the findings. The result of the study showed that the pretest mean maternal outcome and pain level in experimental group was 2.50 and 8.40 whereas in control group it was 2.47 and 8.53 respectively. The mean post test maternal outcome on 2nd, 3rd, 4th and 5th day in experimental group was 9.40, 11.43, 13.50 and 14.73 whereas in control group it was 3.27, 6.63, 8.03 and 9.03 respectively. The t value on 4 days was 17.484, 8.843, 10.576 and 10.532 respectively. The mean pain level in experimental group on 2nd, 3rd, 4th and 5th day was 7.33, 6.50, 5.17 and 3.77 whereas in control group it was 7.87, 7.37, 6.57 and 5.90 respectively. The t value on 4 days was 2.138, 2.913, 4.164, 6.354 respectively. On all the 4 days the tabulated t value was more than the calculated t value. There is a significant difference in the maternal outcome and pain level between both the groups. There was no association between post operative recovery and socio demographic variables. Thus, it can be concluded that early ambulation has a significant impact on post operative recovery among women with CS delivery.

A5178 - Effect of Early Ambulation on Hospital Length of Stay Following Bariatric Surgery

were no significant differences between active and sedentary (BMI in kg / m2 1⁄4 43.5 5.4 vs 42.5 5.2, respectively), demonstrating that individuals who underwent activities for more than 30 minutes 5 times a week showed no significant difference in body weight and BMI compared to sedentary. Conclusion: The results showed that even patients considered active do not showed significant differences in BMI compared to sedentary, proving the inefficiency of the current practices of physical activity for weight loss. Thus, it is essential to review the current concepts regarding prescription of continuous long-term aerobic exercise aimed at weight loss in obese individuals, especially those undergoing bariatric surgery.

The Effect of Early Ambulation on Patient Outcomes for Total Joint Replacement

The Effect of Early Ambulation on Patient Outcomes for Total Joint Replacement

The Effect of Early Ambulation on Patient Outcomes for Total Joint Replacement.

The National Association of Orthopaedic Nurses published clinical practice guidelines in 2010 to improve outcomes with day of surgery mobilization in the total joint replacement patient (). With the cost of healthcare skyrocketing and reimbursement marginally covering costs, healthcare professionals must look for ways to reduce length of stay for elective procedures. The purpose of this change project was to provide and measure the effectiveness of an educational intervention on the benefits of day of surgery mobility for nurses and physical therapy staff. Acquisition of caregivers' knowledge, attitudes, and practice was measured along with three patient outcomes (length of stay, discharge destination, and day of ambulation). The findings from this change project resulted in improvements in structure (new practice protocol), processes (nursing and physical therapy care processes), and patient and organization outcomes.

The effect of early ambulation on the incidence of neurological complication after spinal anesthesia with lidocaine

The effect of early ambulation on the incidence of neurological complication after spinal anesthesia with lidocaine

The Effect of early ambulation on nausea in patients undergoing Appendectomy

Background: Achieving quality care is an important issue which is often paied attention to in providing nursing care. It seems that communication skills can affect the quality of care. Aim: This study investigated the effect of training the communication skills on the quality of nursing care in patients. Methods: The study was a pretest/posttest experimental design with control group. 60 nurses working in Qhaem and Emamreza hospitals were selected using stratified sampling and then randomly allocated to one of the two groups. In addition, three patients per each nurse were selected using convenience sampling before and also one, two and three weeks after the intervention. The intervention included communication skills training workshop which was held for eight hours over two days in 2012. Data collection tools included demographic data sheet, Quality Patient Care Scale (QUALPAC) and communication skills Check list. The data were analyzed by SPSS software version 16 using t student test, Mann-Whitney, Wilcoxon and ANOVA tests. Results: The mean score for overall quality of care in communication skills training group was significantly higher at the 2nd, 3rd, and 4th weeks after the intervention compared with the control group (p <0/001). This increase was not similar in different dimensions of quality care. It was 50.8% in the individual psychosocial, 63.8% in the group psychosocial, 54.4% in the relationship, 50/6% the physical, 41% in the general and 98% in the professional dimension. In both intervention and control group, the mean score for overall quality of care significantly decreased at the 2nd, 3rd, and 4th weeks after the intervention compared with preintervention period (p <0/001). Conclusion: As communication skill training is an effective method to improve the quality of care, it is suggested that managers and staff should consider it to improve the quality of patients' care.

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

The purpose of the study was to investigate the effect of early ambulation after cardiac catheterization (CC) on patients' back pain, puncture site pain, vascular complications, urinary discomfort, general well-being perception and satisfaction level. This study was a randomized single-blinded controlled trial. Overall, 137 participants were randomly assigned to experimental (63 participants) or control (74 participants) group according to a computer generated random list. Early ambulation (ambulate at 4 hours post-CC) and routine post-procedure care of 12 to 24 hours were used in the experimental and control groups respectively. Independent t-test, Chi-square test, multiple logistic regression and generalized estimation equation model were applied to compare various outcomes between experimental and control groups. Only one patient in the control group experienced puncture site bleeding after CC. Ambulation at 4 hours after CC significantly reduced patients' back pain 8 hours after they returned to the unit (OR=0.19, 95% CI: 0.08-0.45, p<0.001) and in the next morning (OR=0.36, 95% CI: 0.15-0.87, p=0.023), decrease urinary discomfort (OR=0.35, 95% CI: 0.14-0.90, p=0.03 for "very or unbearable urination discomfort" and OR=0.22, 95% CI: 0.06-0.74, p=0.015 for "much difficulty or unable to urinate at all"), and increase general well- being (p=0.005 for vitality subscale and p=0.014 for the total general well-being). However, it made no significant differences on puncture site pain as well as the satisfaction level of patients. The study enhanced health providers' understanding about the effects of early ambulation on patient outcomes. Nurses may provide more individualized and appropriate care to post-CC patients in a more competent and cost-effective way.

Does Continuous Sciatic Nerve Block Improve Postoperative Analgesia and Early Rehabilitation After Total Knee Arthroplasty?

The aim of this prospective, randomized, double-blind study was to evaluate whether continuous sciatic nerve block can improve postoperative pain relief and early rehabilitation compared with single-injection sciatic nerve block in patients undergoing total knee arthroplasty (TKA) and lumbar plexus block. After ethical committee approval and written informed consent, 38 patients with ASA physical status I to II were enrolled. The first group received continuous sciatic and continuous lumbar plexus blocks (group regional or R, n = 19), whereas the second group received a single sciatic nerve block followed by saline infusion through the sciatic catheter and continuous lumbar plexus block (group control or C, n = 19). We assessed morphine consumption, scores for visual analog scale for pain at rest (VASr), and during continuous passive motion (VASi during CPM) for 48 hours postoperatively. Effectiveness of early ambulation was also evaluated. Scores for VASr and VASi during CPM, as well as morphine consumption, were significantly higher in group C than in group R (P < 0.01). Moreover, patients in group R showed earlier rehabilitation with more effective ambulation (P < 0.05). Continuous sciatic nerve block improves analgesia, decreases morphine request, and improves early rehabilitation compared with single-injection sciatic nerve block in patients undergoing TKA and lumbar plexus block.

Effect of Early Ambulation : On the Incidence of Postoperative Complications of Cataract Surgery

Effect of Early Ambulation : On the Incidence of Postoperative Complications of Cataract Surgery

Transverse and oblique muscle-splitting abdominal incisions.

The anatomic and physiologic soundness of these incisions is compared with that of vertically placed pararectus or midline abdominal incisions. The results in 730 consecutive muscle-splitting or transverse abdominal incisions are discussed. The beneficial effects of early ambulation are presented. The infrequency of evisceration or incisional hernia in these types of incisions is contrasted with the higher incidence in vertically placed abdominal incisions.

PHYSICAL MEDICINE AND REHABILITATION IN THE PREVENTION OF CHRONIC INVALIDISM

The most important causes of chronic invalidism are degenerative changes associated with aging and the destructive lesions of chronic disease. Certain acute illnesses, accidents and injuries also leave damaged tissues and functional abnormalities which lead to enduring physical disabilities. That the specific technics of rehabilitation and retraining can be applied to reduce such physical handicaps is now being demonstrated in treatment centers scattered throughout the country. 1 I propose herein not to review these trends but rather to discuss some of the mechanisms which explain why dynamic activity appears to be the keynote to rehabilitation and how physical medicine furthers its objectives. The clinical literature of the present decade has focused considerable attention on the evils of bed rest 2 and the restorative effects of early ambulation. 3 The work of Blodgett, 4 recently editorialized on in TheJournal of the American Medical Association, 5 now suggests that early ambulation following