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
Vincy Selwyn
Background: Abdominal explorations surgery and surgery for inflammatory bowel disease are some of the common abdominal surgeries performed with complete or partial removal of small or large intestine. Alike any other surgical procedure, there are always side effects and complications present in abdominal surgeries too. In an abdominal surgery, the risks may include infection, damage to nearby organs and bleeding. The complications may also be because of anesthesia, medication reactions and breathing problems too. The post-surgical immobility may have much detrimental impact towards the body and mind of the patients. The physiological impacts can involve pressure ulcers, deep vein thrombosis, bowel obstruction, urinary tract infections and ventilator-related pneumonia. Furthermore, the immobility can contribute towards different depression levels. Prevention of such complexities can benefit the caregiver, patients, and medical facilities concerning with better outcomes and costs. The following are the some important post-operative complications raised after abdominal surgery.
Aim: aim of this experimental study is to analyze the effectiveness of scheduled ambulation on functional ability, anxiety and quality of life among patient who had undergone abdominal surgery.
Objectives: 1 To assess the effectiveness of scheduled ambulation on functional ability of the patient who had undergone abdominal surgery in the intervention group and control group. 2. To find out the effectiveness of scheduled ambulation on anxiety among patient who had undergone abdominal surgery in the intervention group and control group. 3. To determine the effectiveness of scheduled ambulation on quality of life among patient who had undergone abdominal surgery in the intervention group and control group.4. To determine the association between selected demographic variables and functional ability, activities of daily living, functional activity and anxiety in the study group and control group.
Methods: A quantitative approach experimental pre-test, post-test design 150 Post-operative patients were selected by Simple random sampling technique.
Results: Study revealed that, among The Posttest mean scores and SD of the experimental study group that is observed after the surgery at regular time-interval of 24 hours are 10.880 (.9438), 10.613 (1.0384), 10.533 (1.0441), 10.480 (1.1314) and 10.147 (1.1234). In the same way, the mean and SD scores of control group 10.933 (.8436), 10.867 (.9492), 10.573 (1.1291), 10.467 (1.0946) and 10.347 (1.2247) individually. Among study group and control group obtained t-value of post-test are t = .390 (p< 0.01); 1.550 (p< 0.01), .225 (p< 0.01), - .080 (p< 0.01) and 1.064 (p< 0.01).
Conclusion: Posttest activities of anxiety gains among the control group and study group in association with the altered early ambulation intervention. The modified early ambulation intervention shown significant changes in the postoperative recovery, it positively influences and improves the postoperative recovery and also physical, functional and psychological wellbeing after surgery will be of greater advantage to the patient. Moreover it forms a holistic approach that helps to maintain the health of patients in the study group.
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. DOI: 10.33545/nursing.2020.v3.i1a.75
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