Effects of early mobilization in elderly patients undergoing cardiac surgery
       
Yazarlar (3)
Dr. Öğr. Üyesi İsmail CEYLAN Kırşehir Ahi Evran Üniversitesi, Türkiye
Azhar Hassan Mhmood
Ibn Al-Bitar Cardiac Centre, Irak
Raed Qadri Khudhair Al‑Janabi
Ibn Al-Bitar Cardiac Centre, Irak
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Irish Journal of Medical Science (Q2)
Dergi ISSN 0021-1265 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili Türkçe Basım Tarihi 01-2024
Cilt / Sayı / Sayfa 193 / 6 / 2733–2744 DOI 10.1007/s11845-024-03811-5
Makale Linki http://dx.doi.org/10.1007/s11845-024-03811-5
Özet
Background Although early mobilization is associated with improved outcomes in postoperative cardiac patients, implementation of early mobilization in elderly patients is still a challenge. Aims In this study, we aimed to design and assess an early mobilization program for cardiac rehabilitation. Methods We conducted a clinical trial in elderly patients aged over 65 years after coronary artery bypass graft surgery. Patients were randomly assigned to an early mobilization group (Group A) or a routine therapy group (Group B). Short-Form International Physical Activity Questionnaire (SF-IPAQ), to assessment balance Time Up and Go (TUG), to assessment functional capacity the 2-min walking test (2MWT) and the short physical performance battery (SPPB) were used as a reference to formulate and monitor the early mobilization regimen. Results A total of 100 patients were enrolled (n = 50 per group). The mean walking distance in Group A was significantly higher at 135.6 +/- 9.29 than the mean walking distance in Group B which was lower at 123.4 +/- 8.48. Also, the patients in Group B had a mean SF-IPAQ of 389.44 with an SD of 85.7, P < 0.001, whereas the mean SF-IPAQ amount in Group A was 556.16 with an SD of 91.47. In early mobilization group, a strong positive connection was indicated by the correlation coefficient of r = 0.957 between the amount of SF-IPAQ and 2 MWT and there was a significant negative association r = - 0.768 between 2MWT and TUG. Conclusion Our study's findings suggest that early mobilization and functional exercises enhanced balance, functionality, and life quality for older cardiac patients.
Anahtar Kelimeler
Cardiac rehabilitation | Cardiac surgery | Early rehabilitation | Elderly