Effect of Gradual Mobilization with Bed Activity on Hemodynamic Parameters in Patients Undergoing Sleeve Gastrectomy

Aims: Among different treatments for obesity, sleeve gastrectomy has been more effective. Despite the positive effect of this surgery on the treatment of obesity, sleeve gastrectomy, like other invasive interventions, results in an imbalance in hemodynamic parameters. The aim of this study was to investigate the effect of gradual mobilization with bed activity on hemodynamic parameters in patients undergoing sleeve gastrectomy. Materials & Methods: In this randomized clinical trial, ۸۸ patients candidate for sleeve gastrectomy in Ghadir Mother and Child Hospital affiliated to the Shiraz University of Medical Sciences, who were eligible, were selected by convenience sampling method and divided into the intervention and control groups (۴۴ subjects in each group) using random block allocation. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, and arterial oxygen saturation of all patients were recorded at the time of admission to the ward immediately, ۶, ۱۲ and ۲۴ h after withdrawal from the bed. Data were analyzed by SPSS ۲۱ software and descriptive and inferential statistics. Findings: The changes of hemodynamic parameters in the intervention group were significantly different at each time point of measurement after the interventions compared to these changes in control group (p<۰.۰۵). Conclusion: The effect of gradual mobilization with bed activity is more than the conventional procedure for patients’ mobilization after gastrectomy on balancing of systolic blood pressure, diastolic blood pressure, and arterial oxygen saturation.

Keywords:

Gradual Mobilization , Motion , Hemodynamic , Gastrectomy