A Study to Determine the Effectiveness of Scheduled Ambulation on Post Operative Outcomes among Patients Following Major Abdominal Surgeries in Surgical Ward at PGIMS, Rohtak, Haryana

  • Murti College of Nutrsing, PGIMS, Rohtak, India.
Keywords: Keywords: Scheduled ambulation, Major abdominal surgery, post-operative outcomes.

Abstract

Background of the study: One of the most effective recovery procedures that can be done is postoperative exercises: early ambulation is done immediately to the patient after surgery starting from the exercise on bed that is leg exercises, left and right sloping, wake up and sit beside the bed, stand up and start learning to walk. The effect of early ambulation is effective in postoperative recovery and prevent complications post-surgery, there are significant differences between the intervention group and the control group for the recovery to assess the intensity of pain, use of analgesics, oral intake, early flatus, this will speed up the patient out of the hospital.

Aims of the study: This study was conducted to determine the effectiveness of scheduled ambulation on post operative outcomes among patients following major abdominal surgeries in surgical ward at PGIMS, Rohtak.

Material and Method: The researcher conducted the study using quantitative approach and post-test research design on 50 subjects by convenient sampling technique. Observational checklist was used to assess the effectiveness of scheduled ambulation in experimental and control group.

Results: Unpaired t-test was used to determine the effectiveness of scheduled ambulation on post operative outcomes among patients following major abdominal surgeries. the calculated t-value is 2.27 which is higher than the table value (2.011), P-value is 0.027 which is also significant at < 0.05 level at df -48. hence the values of unpaired t-test shows that the study was statistically significant. The chi-square test is used to determine the association between range of motion exercises with selected demographic variables such as age, sex, Religion, Marital status, Occupation, Income, Place of residence, Dietary pattern, Habits. In Experimental group, there was a significant association between sociodemographic variable (sex) with range of motion and there is no significant association with other demographic variables. However, in control group, there was a significant association between sociodemographic variables with range of motion.

Conclusion: The investigator concluded that the scheduled ambulation (Range of motion exercises)helpful for the postoperative patients who are exposed to the intervention.

Background of the study: One of the most effective recovery procedures that can be done is postoperative exercises: early ambulation is done immediately to the patient after surgery starting from the exercise on bed that is leg exercises, left and right sloping, wake up and sit beside the bed, stand up and start learning to walk. The effect of early ambulation is effective in postoperative recovery and prevent complications post-surgery, there are significant differences between the intervention group and the control group for the recovery to assess the intensity of pain, use of analgesics, oral intake, early flatus, this will speed up the patient out of the hospital.

Aims of the study: This study was conducted to determine the effectiveness of scheduled ambulation on post operative outcomes among patients following major abdominal surgeries in surgical ward at PGIMS, Rohtak.

Material and Method: The researcher conducted the study using quantitative approach and post-test research design on 50 subjects by convenient sampling technique. Observational checklist was used to assess the effectiveness of scheduled ambulation in experimental and control group.

Results: Unpaired t-test was used to determine the effectiveness of scheduled ambulation on post operative outcomes among patients following major abdominal surgeries. the calculated t-value is 2.27 which is higher than the table value (2.011), P-value is 0.027 which is also significant at < 0.05 level at df -48. hence the values of unpaired t-test shows that the study was statistically significant. The chi-square test is used to determine the association between range of motion exercises with selected demographic variables such as age, sex, Religion, Marital status, Occupation, Income, Place of residence, Dietary pattern, Habits. In Experimental group, there was a significant association between sociodemographic variable (sex) with range of motion and there is no significant association with other demographic variables. However, in control group, there was a significant association between sociodemographic variables with range of motion.

Conclusion: The investigator concluded that the scheduled ambulation (Range of motion exercises)helpful for the postoperative patients who are exposed to the intervention.

References

Chatterley, Laurie, “Improving Nurse Knowledge and Attitudes of Early Mobilization of the Postoperative

Patient” (2017). Master’s Theses, Dissertations, Grade ate Research and Major Papers Overview. 188. https://

digitalcommons.ric.edu/etd/188.

Suvarna V.M, Salunkhe JA. A study to assess the effectiveness of early ambulation on selected aspects of post operative recovery among the women who have undergone LSCS at Krishna hospital, Kadar. Int J Health Sci Res. 2014;4(12):230-239

Pelletier, Jessica P., “Early Ambulation for Colorectal Enhanced Recovery Patients in a

SurgicalSpecialtiesUnit”(2017). Master’s Projects. http://scholarworks.gvsu.edu/kcon_projects/7

Owoicho Adogwa, ‘Assessing the effectiveness of routine use of post-operative in-patient physical therapy

services” Vol 3, No 2 (June 2017)

Hussein Elgoharya, Mostafa Baiuomya, Ashraf Abdelkader, Mohamed Hamedb, Ahmed MosaadbThe Egyptian Journal of Surgery | Published by Wolters Kluwer – Med knows Vol. 36 No. 2, April-June 2017.

M. Deepa wiper, 2018,4(11), 196-198 SJIF Impact Factor: 4.639 Research Article ISSN 2455-3301 WJPMR WORLD JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH

S Wahyuni et al 2019 J. Effect of early ambulation to peristaltic activity of abdominal post operative patients IOP Conf. Series: Journal of Physics: Conf. Series 1317 (2019) 012102 IOP Publishing doi:10.1088/1742-

/1317/1/012102.

Sunita Singh, Mrs. Kumari Nutans, Dr. Jaiswar, S.P 2020. “Effectiveness of early ambulation on post-operative recovery among caesarean mothers”, International Journal of Current Research 12, (06), 11938-11945.

Vincy Selwyn. Evaluate the effectiveness of scheduled ambulation on functional ability, Anxiety and quality of life among patient, who had undergone abdominal surgery in selected hospitals at Chennai. Int J Adv Res

Nurs 2020;3(1):24-27.

Cahill H, Jackson. History of day surgery. Day Surgery- Principles and practice. 1st ed. London: Bailliere Tindall;

l997. 225-8.

Published
2023-03-03