Evidence Based Exercise and Early Mobilization Effectiveness on Post Cardiac Surgeries Physiological and Psychological Outcomes

Eid Shaban Mosa, Hassnaa; Hassan Atrous, Masouda; Elsayed Bauomey Mohamed, Eman; El- Said Hassan El-Sol, Abeer

doi:10.21608/ejhc.2022.216643

Evidence Based Exercise and Early Mobilization Effectiveness on Post Cardiac Surgeries Physiological and Psychological Outcomes

Document Type : Original Article

Authors

¹ Medical-Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

² Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Egypt.

³ Psychiatric and Mental Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.

10.21608/ejhc.2022.216643

Abstract

Early ambulation of patients had cardiac surgeries on first post-operative days is recommended as in
many studies evidence, furthermore performing different range of motion exercises and changing
patients' positions are very essential nursing interventions required to enhance patients' outcomes
and prevent post cardiac surgery complications. The purpose of the study: to evaluate evidence
based exercise and early mobilization effectiveness on post cardiac surgeries physiological and
psychological outcomes. Design: Quasi Experimental design. Setting: Intensive cardiac care unit
at Menoufia University and Shebin El- kom Teaching Hospitals. Subject: A convenience sample of
100 adult patients of both sexes undergoing different cardiac surgeries. Instruments: Three
instruments; as follows: Instrument one: Cardiac surgery patient’s profile data; Instrument two: Post
cardiac surgery outcomes assessment record and Instrument three: Visual analogue pain scale.
Results: there was a significant difference between study and control group regarding to
physiological outcomes; as respiratory rate, heart rate, temperature, blood pressure, central venous
pressure and pain; otherwise there was a significant difference between study and control group
regarding to psychological outcomes as anxiety and depressive symptoms. Conclusion: the result of
the current study approved that evidence exercise and early mobilization after cardiac surgeries
attributes significant positive effect on patients’ psychological and physiological outcomes.
Recommendations: The present study recommended that; warranted through a multidisciplinary
perspective to identify all barriers against patient mobility and translate the evidence to practice for
final global improvements in patients' outcomes.

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