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Showing 4 results for Early Mobilization
Rasoul Azarfarin, Ziae Totonchi, Zahra Arizavi, Manizheh Yousefi-Moghadam,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to evaluate the effect of early mobility on respiratory parameters in patients after open heart surgery.
Background. Post-operative phase of open heart surgery is the most critical period during which many serious and fatal complication can occur. Early mobility can prevent such complications. The role of the critical care nurse is crucial in this regard.
Method. In a randomized clinical trial, 104 patients who were candidate for open heart surgery were randomly assigned to experimental (n=52) and control (n=52) group. Patients in control group received hospital routine treatments. Patients in experimental group were mobilized from the bed in the first, second and third day after surgery. Early mobility included change position, siting on the bed, legs dangling off the bed, sitting in the chair next to the bed, and walking). The effect of early mobilization on respiratory indices was examined. Data were analyzed in SPSS version 18 using independent t-test, Chi-square and one way ANOVA statistical testes.
Findings. There was no statistically significant difference between groups regarding demographic variables and underlying disease. Better lung function and arterial blood gases suitable changes were seen in the experimental group. Inspiratory capacity and arterial oxygen saturation was greater in the experimental than control group.
Conclusion. Early mobility after open heart surgery is a safe and effective intervention and can have a positive effect on the patient's respiratory indices reducing pulmonary complications following surgery.
Mohammad Najaflu, Seyed-Tayab Moradian, Seyed-Mohammadsaeid Ghiasi, Hosein Mahmoudi, Salman Barasteh,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of early mobilization on hemodynamic parameters in patients undergoing coronary artery bypass graft (CABG) surgery.
Background. CABG is one of the most common surgeries that can increase quality of life and reduce mortality in most cases. It seems that early mobilization of patients from bed may reduce complications after surgery. The most important concern regarding early mobilization is the possible effect on hemodynamic parameters based on which this important intervention is neglected.
Method. In a clinical trial with 100 patients who were candidate for CABG. The patients were randomly assigned to experimental and control group. The experimental group were mobilized from bed in the first, second and third day after surgery. The control group received the hospital routine treatments and mobilization was done in the third day after the operation. The effect of early mobilization on hemodynamic parameters were compare between the groups. Other treatment programs were the same for both group. Data were analyzed in SPSS version 18 and using independent t-test, Chi-square and ANOVA statistical testes.
Findings. There was no statistically significant difference between groups regarding demographic variables and underlying diseases. In the experimental group, blood pressure was higher in the second and third days compared with that control group. Chest tube drainage on the third day were 495±241 ml for experimental group and 556±285 ml for the control group, and no statistically significant difference was found between the groups in terms of chest tube drainage. None of the patients showed any complication during the mobilization.
Conclusion. The experimental group experienced a minimal increase in blood pressure, but it was not clinically significant. The results of this study indicate that early mobilization from bed in patients undergoing coronary artery bypass graft is a safe and applicable intervention, and don’t increase bleeding and acute hemodynamic changes.
Nasibeh Janatifard, Fatemeh Salmani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of early mobilization program on incidence of arrhythmias in patients after acute myocardial infarction in Imam Khomeini Hospital in Dehdasht, Iran.
Background. Acute myocardial infarction is one of the most common causes of disability and mortality in most countries. Rehabilitation and mobility management of these patients, immediately after admission to the cardiac care unit, can reduces complications and decreases their physical and cognitive function impairment.
Method. This was a clinical trial study, in which 60 patients with acute myocardial infarction, referred to Imam Khomeini Hospital in Dehdasht, Iran were selected by convenience sampling during the year 2019 and randomly assigned to experimental (n=30) and control (n=30) groups. In the experimental group, patients received an organized program in 8 stages, 18 hours after admission to the cardiac care unit, and in control group, the patients got out of bed 48 hours after admission based on the usual protocol. Patients were monitored before, during, and after getting out of bed for the number and type of arrhythmias. Data were analyzed by descriptive and inferential statistics in SPSS version 22.
Findings. There was a statistically significant difference between the experimental and control group in the number and type of arrhythmias, 48 hours and 51 hours after admission in the cardiac care unit. However, this difference was not statistically significant at 54 hours after admission to the cardiac care unit.
Conclusion. Early mobilization can reduce the number of arrhythmias in patients after myocardial infarction. Early mobilization can be included in the cardiac care unit rehabilitation program as a safe mathod. Therefore, it is recommended to use early mobilization program for patients with acute myocardial infarction in cardiac care unit on the first day of hospitalization.
Sara Lotfian, Hasan Arian, Rasool Azarfarin, Hooman Bakhshandeh, Pardis Moradnejad,
Volume 11, Issue 1 (3-2022)
Abstract
ABSTRACT
Aim. The aim of the present study was to examine the effect of early mobilization protocol on the strength of diaphragmatic muscle and other inspiratory muscles after open heart surgery.
Background. Early mobilization is recommended as a safe protocol after open heart surgery to decrease hospital stay and post-op respiratory complications; however, our knowledge about its effect on improving respiratory muscles strength is limited.
Methods. This is a randomized single-blinded clinical trial conducted on 80 consecutive patients who underwent coronary artery bypass surgery and/or valvular surgery that were randomly assigned to experimental group (postoperative early mobilization) and control group (routine physiotherapy). On the day before surgery and the day before leaving intensive care unit (ICU), two scores were measured for assessing diaphragmatic muscle strength: maximum inspiratory pressure (PI max) and Strength index (S index). Hemodynamic parameters were also measured and compared.
Findings. According to both PI max and S index, diaphragmatic muscle strength decreased from 77.28 to 59.53 cmH2O in patients after surgery, but the changes in the experimental group was less than the control group, which indicates a significant improvement in the strength of the diaphragm muscle in the experimental group (p≤0.0001). Hemodynamic changes after surgery (lower blood pressure and increased heart rate) occurred in both groups without any significant clinical effect.
Conclusion. Early mobilization after cardiac surgery has positive effect on the strength of diaphragmatic muscle and is also safe as shown to have no adverse effect on hemodynamic parameters.
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