Effect of Early Ambulation Program on Selected Outcomes among Patients Undergoing Cardiac Surgery | ||||
| Egyptian Journal of Health Care | ||||
| Article 66, Volume 13, Issue 4, December 2022, Page 888-904 PDF (410.59 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.266196 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Fatma Abdelaziz Mohammed1; Fatma Shoeib Ali2 | ||||
| 1Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing -Cairo University | ||||
| 2Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing -Cairo University | ||||
| Abstract | ||||
| Background: Early mobilization appears to be important to prevent postoperative complications, improve functional capacity, and reduce the length of hospital stay in patients after cardiac surgery. Aim of the study: the aim of the current study is to evaluate the effect of early ambulation program on selected outcomes among patients undergoing cardiac surgery. Research Design: A quasi-experimental study with one group pre-test and post-test design was utilized in this study. Setting: The study was carried out at the cardiothoracic intensive care unit at a private hospital, in Egypt. Sample: A purposive sample consisting of 30 patients who underwent cardiac surgery was included in the current study. Tools of data collection: Two tools were used to collect data pertinent to the current study: Tool I -Cardiac surgery patients’ ambulation assessment sheet, Tool II -Borg scale (Rate of Perceived Dyspnea. Results: 43.3% of them were overweight, with a mean ejection fraction of 54.74± 13.37. Post- coronary artery bypass grafting (GABG) with 3 grafts, post-CABG with 4 grafts, and aortic valve replacement were the most frequent medical diagnoses among the studied sample in percentages of 30%, 30%, and 16.7% respectively, there is a significant negative correlation between the Borg scale and distance walked (r=- .483, P= 0.007) at the first assessment time, there is a significant negative correlation between the Borg scale and oxygen saturation (r=-.477, P= 0.008) at the second assessment time. However, there is no significant negative correlation between distance walked, Borg scale, and HR. There is a significant negative correlation between the Borg scale and distance walked (r=-.600, P= .000) at the third assessment time. A highly significant statistical difference between the means of Borg scale, distance walked, and oxygen saturation in the different assessment times. Conclusion: The early ambulation program improved functional capacity and hemodynamic parameters among patients undergoing cardiac surgery, the current study findings supported the research hypotheses. Recommendations: Based upon findings of the current study, the following are recommended: Used the early ambulation program with the 6-minute walk test (6-MWT) should be held periodically for such group of patients to improve their outcomes. Replication of the same study on larger probability samples at different geographical locations for data generalization. | ||||
| Keywords | ||||
| early ambulation; program; 6; minute walk test; cardiac surgery | ||||
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