Evaluation of Early Mobilization Protocol in Patients Undergoing Gastrointestinal Surgery

Evaluation of the Early Mobilization Protocol Established in Accordance With Enhanced Recovery After Surgery Guidelines in Patients Undergoing Gastrointestinal Surgery

In this study, the investigators aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

This study is an experimental study. The participants in the control group are applied to the mobilization applied in routine clinics. The participants in the intervention group are applied to the mobilization protocol created in accordance with the Enhanced Recovery After Surgery (ERAS) guidelines. It is planned to evaluate the postoperative mobilization process of both groups.

In this study, the researchers aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

Inclusion Criteria:

• Being 18 years of age or older
• Agreeing to participate in the study
• Being able to understand, speak Turkish or have no obstacle to communication
• Having undergone open gastrointestinal surgery
• Having an American Society of Anesthesiologists (ASA) score <IV
• Being fully independent according to the Modified Barthel Index during the pre-operative period
• Staying in the hospital for at least 48 hours after the surgery
• Having a phone
• Agreeing to download the 'StepsApp Pedometer' application to their phone
• Agreeing to carry the phone with them during the post-operative mobilization processes

Exclusion Criteria:

• Being taken into emergency surgery
• Having had major gastrointestinal surgery before
• Having a diagnosis that may restrict mobilization (neurological, cardiovascular, respiratory and musculoskeletal comorbidities)
• High risk of falling in the preoperative period
• Using medication that may affect mobilization
• Having a diagnosis of any psychiatric disease
• Having a Nutritional Risk Score score of ≥3
• Being in contact isolation
• Being morbidly obese
• Being in intensive care for more than 24 hours during the postoperative period
• Having an intubation period of more than 24 hours during the postoperative period
• Developing a complication that may prevent mobilization after surgery
• Withdrawing from participating in the study,