Impact of Early Rehabilitation Programme on Post-Open Abdominal Surgery Gastrointestinal Patients’ Ability to Perform Activities of Daily Living
Keywords:
Early rehabilitation program, activity of daily living competency, open abdominal surgeryAbstract
Abstract
Objective: To compare two groups of post-open abdominal surgery gastrointestinal patients in terms of their competency to perform activities of daily living (ADLs), with one group receiving only standard care and the other receiving both standard care and an early rehabilitation programme, using King’s Theory of Goal Attainment as a conceptual framework.
Design: Two group quasi-experimental research with a pre-test and post-test.
Methodology: The sample was 64 male and female gastrointestinal patients who had undergone elective open abdominal surgery in the general surgery unit at a university hospital from July 2016 to February 2017. The sample was selected based on preset inclusion criteria and paired according to age- and surgery-related information. The frst 32 participants were assigned to the control group, which received only standard care, and the remaining 32 participants were assigned to the experimental group, which received both standard care and the early rehabilitation programme developed based on King’s Theory of Goal Attainment. General
information, treatment data, and data on each participant’s ability to perform activities of daily living were collected in three stages—the preoperative period, Day 1 after open abdominal surgery, and Day 3 after open abdominal surgery. The data were analysed using descriptive statistics, statistical analysis of covariance (ANCOVA), and repeated measures two-way analysis of variance (ANOVA).
Results: The patients in both the control and experimental groups were able to perform the patients’ activity of daily living better on the third day after open abdominal surgery than on the frst day with statistical signifcance (p<.01). Furthermore, the patients in the experimental group were able to perform activity of daily living better at 48 hours after open abdominal surgery that the control group with statistical signifcance (p<.01)
Recommendations: The application of the early rehabilitation programme should integrate both preoperative instructions and postoperative patient care in order to allow patients to regain or improve their ability to perform activities of daily living.
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