Background: Anxiety and postoperative pain are the most common distressing
adverse effects associated with abdominal hysterectomy. Providing pre-operative and
postoperative instruction about early ambulation and deep breathing exercise are widely
important for patient to reduce postoperative complication. Aim: To evaluate the effects of
early ambulation and deep breathing exercise on anxiety, pain and physiological parameters
in patients undergoing abdominal hysterectomy. Design: Quai-experimental research design
was utilized in this study. Setting: This study was conducted in Obstetrics and Gynecology
Department at Mansoura Old General Hospital affiliated to the Ministry of Health and
Population. Sample: A purposive sample of 60 patients' undergone abdominal hysterectomy.
The patients divided randomly into two group: study group (n=30) and the control group
(n=30). Tools: It consisted of fours tools: Part I: Demographic Data and Medical
Information Sheet, Part II: Physiological Data Collection Form, Part III: Numeric Pain
Rating Scale and Part IV: Hamilton Anxiety Rating Scale. Results: There was a statistically
significant decrease anxiety, pain, and enhanced physiological parameters mainly to blood
pressure and oxygen saturation among patients in study group compared to the control group.
Conclusion: The early ambulation and deep breathing had a positive effect in reducing
anxiety and postoperative pain and enhance physiological parameters in study group
compared to control group in patients undergoing abdominal hysterectomy.
Recommendations: The hospital authority can practice ambulation and deep breathing with
all surgical patients to help in promoting patient's relaxation, enhance the post-operative
recovery and enhancing tissue healing