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“I Have Everything to Win and Nothing to Lose”: Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery

Physical therapy, 2020-12, Vol.100 (12), p.2079-2089 [Peer Reviewed Journal]

The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. 2020 ;The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. ;COPYRIGHT 2020 Oxford University Press ;COPYRIGHT 2020 Oxford University Press ;ISSN: 0031-9023 ;ISSN: 1538-6724 ;EISSN: 1538-6724 ;DOI: 10.1093/ptj/pzaa168 ;PMID: 32941610

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Title:
“I Have Everything to Win and Nothing to Lose”: Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery
Author: Svensson-Raskh, Anna ; Schandl, Anna ; Holdar, Ulrika ; Fagevik Olsén, Monika ; Nygren-Bonnier, Malin
Subjects: Abdomen ; Abdominal surgery ; Adult ; Aged ; Aged, 80 and over ; Analysis ; Breathing Exercises ; Content analysis ; Data Analysis ; Early Ambulation - psychology ; Female ; Gastrointestinal Neoplasms - surgery ; Gastrointestinal Stromal Tumors - surgery ; Gynecologic Surgical Procedures ; Health Status ; Humans ; Male ; Medical research ; Medicin och hälsovetenskap ; Medicine, Experimental ; Middle Aged ; Motivation ; Neurosciences ; Neurovetenskaper ; Original Research ; Patient outcomes ; Patient Satisfaction ; Physiological aspects ; Postoperative Care - methods ; Postoperative Care - psychology ; Qualitative Research ; Recovery of function ; Social aspects ; Stomach cancer ; Sweden ; Time Factors
Is Part Of: Physical therapy, 2020-12, Vol.100 (12), p.2079-2089
Description: Abstract Objective Early mobilization is advocated for patients going through abdominal surgery; however, little is known about the patient experience of being mobilized immediately after surgery. The purpose of this study was to explore patient experiences of mobilization immediately after elective abdominal cancer surgery. Methods This interview study used qualitative content analysis. With the use of purposeful sampling, a total of 23 participants who had been mobilized immediately after abdominal surgery were recruited at a university hospital in Stockholm, Sweden. Individual face-to-face interviews were conducted within 1 to 4 days after surgery and took place at the surgical ward where the participants were treated. A semi-structured guide was used. All interviews were audio recorded and transcribed verbatim. Results The content analysis revealed 3 categories that emerged into 1 overarching theme: “to do whatever it takes to get home earlier.” The participants experienced that mobilization out of bed had an impact on their physical and mental well-being. Motivation and the experiences of themselves and others were factors that affected patient attitudes toward early mobilization. Preparation and competent caregivers were emphasized as important factors that enabled the patient to feel safe and confident during mobilization. Conclusions Patients experienced mobilization as an important part of the care that had an impact on recovery and well-being, physically as well as mentally, both immediately and over time. Impact As this is the first study to our knowledge to investigate patient experiences of mobilization immediately after abdominal surgery, this information can be used to support the development of early mobilization protocols in hospital settings.
Publisher: United States: Oxford University Press
Language: English
Identifier: ISSN: 0031-9023
ISSN: 1538-6724
EISSN: 1538-6724
DOI: 10.1093/ptj/pzaa168
PMID: 32941610
Source: MEDLINE
Alma/SFX Local Collection
SWEPUB Freely available online
Open Access: Oxford University Press Open Journals

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“I Have Everything to Win and Nothing to Lose”: Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery

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