Kinesiophobia, Postoperative Pain, and Early Mobilization After Elective Abdominal Surgery
ConditionKinesiophobia
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorVolkan Gokmen
About this trial
This study examines the level of kinesiophobia (fear of movement) in patients undergoing elective abdominal surgery and its relationship with postoperative pain severity and early mobilization. In this descriptive, cross-sectional study, adult patients who have undergone elective abdominal surgery under general anesthesia at two centers (Agri Training and Research Hospital and Taksim Training and Research Hospital) will be assessed after completing their first postoperative mobilization (typically postoperative day 1). Kinesiophobia will be measured with the Turkish version of the Tampa Scale for Kinesiophobia (TSK), postoperative pain with the Numeric Rating Scale (NRS), and early mobilization with a researcher-developed Early Mobilization Record Form (time to first ambulation, standing duration, and first walking distance/duration). The investigators hypothesize that patients' kinesiophobia levels will be positively associated with postoperative pain severity and with delayed/reduced early mobilization, and that patients without prior surgical experience will have higher kinesiophobia levels than those with prior surgical experience.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older
Having undergone elective (planned) abdominal surgery
Having had surgery under general anesthesia
ASA (American Society of Anesthesiologists) physical status class I-II
Disqualifiers
A known pre-existing walking/movement disorder, balance problem, or orthopedic-neurological disease history
Having undergone emergency surgery
Being followed in an intensive care unit
Having a significant cognitive impairment or communication difficulty that prevents responding to data collection tools
Trial population
Adult patients (18 years or older) undergoing elective abdominal surgery under general anesthesia in the General Surgery clinics of Agri Training and Research Hospital and Taksim Training and Research Hospital, who have completed their first postoperative mobilization (typically postoperative day 1).
Trial design
Design model
Cohort
Time perspective
Cross-sectional
Treatments tested in this trial
Tampa Scale for Kinesiophobia (TSK)
Diagnostic testA single assessment battery administered after the patient completes first postoperative mobilization, consisting of the Turkish version of the 17-item Tampa Scale for Kinesiophobia (TSK) to measure fear of movement, the Numeric Rating Scale (NRS, 0-10) to assess postoperative pain at rest and during movement, and a researcher-developed Early Mobilization Record Form documenting time to first standing, standing duration, and first walking distance/duration. No experimental intervention or treatment is applied.
Treatment groups
120 Participants
are divided into 1 treatment groupGroup A: Elective Abdominal Surgery Patients1 intervention
Trial outcomes
Primary outcomes
1
Kinesiophobia Level (Tampa Scale for Kinesiophobia Score)
Kinesiophobia (fear of movement) level assessed with the Turkish version of the 17-item Tampa Scale for Kinesiophobia (TSK), a 4-point Likert scale (1=strongly disagree to 4=strongly agree) with total scores ranging from 17-68. Higher scores indicate greater kinesiophobia.
Time frame
Assessed once, at the time the patient completes first postoperative mobilization (typically postoperative day 1)Secondary outcomes
1
Postoperative Pain Severity (Numeric Rating Scale)
Postoperative pain severity assessed with the Numeric Rating Scale (NRS), scored from 0 (no pain) to 10 (worst imaginable pain), evaluated both at rest and during movement.
Time frame
Assessed once, at the time the patient completes first postoperative mobilization (typically postoperative day 1)2
Time to First Postoperative Standing
Time elapsed from the end of surgery to the patient's first standing/ambulation attempt, recorded on the Early Mobilization Record Form from nursing observation records and patient self-report.
Time frame
Recorded once, at the time of first postoperative mobilization (typically postoperative day 1)3
First Walking Distance/Duration
Distance walked and/or duration of the patient's first postoperative walk, recorded on the Early Mobilization Record Form from nursing observation records and patient self-report.
Time frame
Recorded once, at the time of first postoperative mobilization (typically postoperative day 1)Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Volkan Gokmen
Lead sponsor
Agri Ibrahim Cecen University
Sponsor institution
Source ClinicalTrials.gov
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