Nurse-Led Early Mobilization After Colorectal Surgery
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEge University
About this trial
This study was designed to evaluate the effectiveness of a nurse-led early mobilization protocol on postoperative recovery outcomes in patients undergoing elective colorectal surgery. The outcomes assessed include walking distance, mobility levels, gastrointestinal function (time to first flatus and first defecation), nausea, vomiting, comfort, fatigue, time to initiation of oral intake, patient satisfaction, incidence of postoperative complications, and length of hospital stay.
Research Question:
In patients undergoing colorectal surgery (P), does a nurse-led early mobilization protocol (I), compared with standard mobilization practices (C), improve postoperative recovery outcomes (O), including walking distance, mobility levels, gastrointestinal function (time to first flatus and first defecation), nausea, vomiting, comfort, fatigue, time to initiation of oral intake, patient satisfaction, postoperative complication rates, and length of hospital stay?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 years and older
Scheduled for elective colorectal surgery (e.g., procedures related to
colorectal cancer, diverticulitis, or inflammatory bowel disease [IBD])
Able to ambulate independently preoperatively
Disqualifiers
Undergoing emergency colorectal surgery
Patients requiring postoperative intensive care unit (ICU) admission
Severe cognitive impairment or psychiatric disorders that may affect participation
Musculoskeletal or neurological conditions that impair mobility
Trial design
Design model
Parallel
Treatments tested in this trial
Nurse-Led Early Mobilization
Other intervention1. Preoperative Period Patients will receive verbal education regarding the purpose, benefits, and process of early mobilization. To support this education, a Postoperative Mobilization Information Brochure prepared by the researchers will be provided to the patient and their caregiver. 2. Postoperative Day 0 Within the first 6-8 hours after surgery, vital signs will be monitored, and mobilization will be initiated in clinically stable patients under nurse supervision. 2.1. In-Bed Activities (Postoperative Hour 5) The following lower-extremity exercises will be performed: Ankle dorsiflexion and plantar flexion Toe movements Leg extension without knee flexion Circular foot movements Each exercise will be performed 5-10 repetitions. The patient will then be positioned in an upright sitting position in bed. 2.2. First Standing and Ambulation (Postoperative Hours 6-8) Vital signs will be assessed. The patient will be assisted to sit at the bedside for 1-2 minutes under nurse
Standard Mobilization Care
Other interventionParticipants in the control group will receive standard postoperative mobilization care routinely provided in the institution. Mobilization activities will be performed according to existing clinical practices, and no structured or protocol-based nurse-led early mobilization program will be implemented. Participants in the control group will continue to receive usual nursing care without any disadvantage or additional risk in terms of patient care.
Treatment groups
80 Participants
are divided into 2 treatment groupsGroup A: Nurse-Led Early Mobilization ProtocolExperimental treatment 1 intervention
Group B: Standard Mobilization CareActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Mobility level assessed
Patient-reported / Observer-rated Mobility Scale The Patient Mobility Scale is used to assess pain and perceived exertion experienced during the postoperative period while performing four activities: turning from one side to the other in bed, sitting at the bedside, standing up at the bedside, and walking in the patient's room. Permission to use the scale was obtained from the responsible authors. The Observer Mobility Scale evaluates the degree of patient dependence/independence during mobilization activities. Blood pressure, heart rate, and respiratory rate are measured by the observer two minutes before and after mobilization. Furthermore, the Patient- and Observer-rated Mobility Scales will be administered on postoperative days 1, 2, and 3, and the results will be documented in the monitoring form.
Time frame
between postoperative day 0 and postoperative day 32
Total walking distance (measured by pedometer)
Mobilization will be monitored using the Mobilization Monitoring Form and step counts obtained from the pedometer will be recorded at the end of each day.
Time frame
between postoperative day 0 and postoperative day 33
Time to first flatus (hours postoperatively)
The time interval (in hours) from the end of surgery to the first passage of flatus reported by the patient.
Time frame
From the end of surgery until the patient-reported first postoperative passage of flatus (within the first 72 hours postoperatively)4
Time to first defecation (hours postoperatively)
The time interval (in hours) from the end of surgery to the patient's first defecation will be determined and recorded based on patient self-report.
Time frame
From the end of surgery until the patient-reported first postoperative passage of defecation (within the first 72 hours postoperatively)Secondary outcomes
1
Postoperative nausea and vomiting (PONV)
Postoperative nausea and vomiting will be assessed based on patient self-report and will be recorded by the researcher as a binary outcome (presence or absence) without using a standardized scale during the first three postoperative days.
Time frame
during the first 3 postoperative days2
Fatigue level
Modified Borg Scale Fatigue was assessed using the Modified Borg Scale, an 11-point scale ranging from 0 (no fatigue) to 10 (very, very hard). Patients' fatigue levels were evaluated on postoperative days 0, 1, 2, and 3.
Time frame
researcher during the first 3 postoperative days3
Comfort level
The Visual Analog Scale (VAS) is a valid, reliable, and practical measurement tool widely used to quantify subjective experiences that cannot be directly measured numerically. In this study, patient satisfaction will be assessed using the VAS (0-10). Higher VAS scores indicate greater levels of comfort.
Time frame
Patients will be assessed on postoperative days 0, 1, 2, and 3.4
Patient satisfaction
The Visual Analog Scale (VAS) is a valid, reliable, and practical measurement tool widely used to quantify subjective experiences that cannot be directly measured numerically. In this study, patient satisfaction will be assessed using the VAS (0-10). Scores ranged from 0 (low satisfaction) to 10 (high satisfaction)
Time frame
on postoperative day 3Sponsors and contacts
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Source ClinicalTrials.gov
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