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

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.