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266196

Effect of Early Ambulation Program on Selected Outcomes among Patients Undergoing Cardiac Surgery

Article

Last updated: 03 Jan 2025

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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.

DOI

10.21608/ejhc.2022.266196

Keywords

Early ambulation, Program, 6, minute walk test, cardiac surgery

Authors

First Name

Fatma

Last Name

Abdelaziz Mohammed

MiddleName

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Affiliation

Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing -Cairo University

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Orcid

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First Name

Fatma

Last Name

Shoeib Ali

MiddleName

-

Affiliation

Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing -Cairo University

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Volume

13

Article Issue

4

Related Issue

36500

Issue Date

2022-12-01

Receive Date

2022-10-18

Publish Date

2022-12-01

Page Start

888

Page End

904

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_266196.html

Detail API

https://ejhc.journals.ekb.eg/service?article_code=266196

Order

66

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Early Ambulation Program on Selected Outcomes among Patients Undergoing Cardiac Surgery

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Article

Created At

22 Jan 2023