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Volume 1, Issue 3 (2020)                   J Clinic Care Skill 2020, 1(3): 139-146 | Back to browse issues page


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Koohpeyma M, Sadat S, Zoladl M, Afrasiabifar A. Effect of Gradual Mobilization with Bed Activity on Hemodynamic Parameters in Patients Undergoing Sleeve Gastrectomy. J Clinic Care Skill 2020; 1 (3) :139-146
URL: http://jccs.yums.ac.ir/article-1-45-en.html
1- “Laparoscopic Research Center” and “Surgery Department, Medicine Faculty”, Shiraz University of Medical Sciences, Shiraz, Iran
2- Nursing Department, Nursing & Midwifery Faculty, Yasuj University of Medical Sciences, Yasuj, Iran , sadatsaiedjavad@gmail.com
3- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
4- Nursing Department, Nursing & Midwifery Faculty, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract:   (1858 Views)
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, 88 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 (44 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, 6, 12 and 24 h after withdrawal from the bed. Data were analyzed by SPSS 21 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<0.05).
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.
Full-Text [PDF 501 kb]   (623 Downloads)    
Article Type: Original Research | Subject: Special
Received: 2018/12/18 | Accepted: 2019/07/4 | Published: 2020/09/21
* Corresponding Author Address: Nursing Department, Nursing & Midwifery Faculty, Yasuj University of Medical Sciences, Yasuj, Iran. Postal Code: 7591947901

References
1. Seki Y, Kasama K. Current status of laparoscopic bariatric surgery. Surg Technol Int. 2010;20:139-44. [Link]
2. Ghorbani M, Talebi H, Tavakoli M, Abdolmajidi F. The effect of central obesity on the auditory threshold of 25 to 40-years-old men and women. J Res Rehabil Sci. 2017;13(4):233-8. [Persian] [Link]
3. Chang S-H, Stoll CR, Colditz GA. Cost-effectiveness of bariatric surgery: should it be universally available? Maturitas. 2011;69(3):230-8. [Link] [DOI:10.1016/j.maturitas.2011.04.007]
4. Sarvghadi F, Rambod M, Hosseinpanah F, Hedayati M, Tohidi M, Azizi F. Prevalence of obesity in subjects aged 50 years and over in Tehran. Iran J Endocrinol Metab. 2007;9(1):99-104. [Persian] [Link]
5. Mehrabian F, Omidi S, Mahdavi Roshan M, Mirzaei M. Correlation between nutritional behavior, obesity, and overweight in female elementary school students in Anzali. J Health. 2018;9(3):291-301. [Persian] [Link] [DOI:10.29252/j.health.9.3.291]
6. Ogden J. The psychology of eating: from healthy to disordered behavior. 2nd Edition. Hoboken: Wiley; 2011. [Link]
7. McTigue KM, Harris R, Hemphill B, Lux L, Sutton S, Bunton AJ, et al. Screening and interventions for obesity in adults: summary of the evidence for the US Preventive Services Task Force. Ann Intern Med. 2003;139(11):933-49. [Link] [DOI:10.7326/0003-4819-139-11-200312020-00013]
8. Bessesen DH. Update on obesity. J Clin Endocrinol Metab. 2008;93(6):2027-34. [Link] [DOI:10.1210/jc.2008-0520]
9. Piazza L, Ferrara F, Leanza S, Coco D, Sarvà S, Bellia A, et al. Laparoscopic mini-gastric bypass: short-term single-institute experience. Updates Surg. 2011;63(4):239-42. [Link] [DOI:10.1007/s13304-011-0119-y]
10. Sheikhtaheri A, Beitollahi M, Pazouki A, Orooji A. Effective factors of mini gastric bypass surgery complications. Razi J Med Sci. 2018;25(168):48-58. [Persian] [Link]
11. Birkmeyer NJ, Dimick JB, Share D, Hawasli A, English WJ, Genaw J, et al. Hospital complication rates with bariatric surgery in Michigan. JAMA. 2010;304(4):435-42. [Link] [DOI:10.1001/jama.2010.1034]
12. Schernthaner G, Morton JM. Bariatric surgery in patients with morbid obesity and type 2 diabetes. Diabetes Care. 2008;31(Suppl 2):S297-302. [Link] [DOI:10.2337/dc08-s270]
13. Biörserud C. Excess skin after bariatric surgery-patients' perspective and objective measurements [Dissertation]. Gothenburg, Sweden: University of Gothenburg; 2015. [Link]
14. Gagner M, Deitel M, Kalberer TL, Erickson AL, Crosby RD. The second international consensus summit for sleeve gastrectomy, March 19-21, 2009. Surg Obes Relat Dis. 2009;5(4):476-85. [Link] [DOI:10.1016/j.soard.2009.06.001]
15. Karamanakos SN, Vagenas K, Kalfarentzos F, Alexandrides TK. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247(3):401-7. [Link] [DOI:10.1097/SLA.0b013e318156f012]
16. Ramos AC, Bastos EL, Ramos MG, Bertin NT, Galvao TD, de Lucena RT, et al. Medium-term follow-up results with laparoscopic sleeve gastrectomy. Arq Bras Cir Dig. 2015;28 Suppl 1:61-4. [English, Portuguese] [Link] [DOI:10.1590/S0102-6720201500S100017]
17. ASMBS Clinical Issues Committee. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2012;8(3):e21-6. [Link] [DOI:10.1016/j.soard.2012.02.001]
18. Moir J, Mc Callum I, Seymour K. The effect of bariatric surgery on bone health. Br J Med Med Res. 2015;8(2):110-22. [Link] [DOI:10.9734/BJMMR/2015/16903]
19. Rubinshtein R, Ciubotaru M, Elad H, Bitterman H. Severe orthostatic hypotension following weight reduction surgery. Arch Intern Med. 2001;161(17):2145-7. [Link] [DOI:10.1001/archinte.161.17.2145]
20. Billakanty SR, Kligman MD, Kanjwal YM, Kosinski DJ, Maly GT, Karabin B, et al. New‐onset orthostatic intolerance following bariatric surgery. Pacing Clin Electrophysiol. 2008;31(7):884-8. [Link] [DOI:10.1111/j.1540-8159.2008.01103.x]
21. Abu-Jaish W, Patel R, Mohammad Jafferj M. Orthostatic intolerance following laparoscopic sleeve gastrectomy for morbid obesity. Bariatric Times. 2014;11(7):8-10. [Link]
22. Jacob G, Costa F, Shannon JR, Robertson RM, Wathen M, Stein M, et al. The neuropathic postural tachycardia syndrome. N Engl J Med. 2000;343(14):1008-14. [Link] [DOI:10.1056/NEJM200010053431404]
23. Shibao C, Lipsitz LA, Biaggioni I, American Society of Hypertension Writing Group. Evaluation and treatment of orthostatic hypotension. J Am Soc Hypertens. 2013;7(4):317-24. [Link] [DOI:10.1016/j.jash.2013.04.006]
24. Omalu BI, Luckasevic T, Shakir AM, Rozin L, Wecht CH, Kuller LH. Postbariatric surgery deaths, which fall under the jurisdiction of the coroner. Am J Forensic Med Pathol. 2004;25(3):237-42. [Link] [DOI:10.1097/01.paf.0000136638.26060.78]
25. Koohpyma MR, Sadat SJ, Afrasiabifar A, Zoladl M. Effect of early mobilization on hemodynamic parameters of patients undergoing sleeve gastrectomy; a randomized clinical trial. J Clin Care Skills. 2019;1(2):55-61. [Link]
26. Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med. 2015;4(1):16. [Link] [DOI:10.1186/s13728-015-0036-7]
27. Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity. 2013;21(Suppl 1):S1-27. [Link] [DOI:10.1002/oby.20461]
28. Browning L, Denehy L, Scholes RL. The quantity of early upright mobilisation performed following upper abdominal surgery is low: an observational study. Aust J Physiother. 2007;53(1):47-52. [Link] [DOI:10.1016/S0004-9514(07)70061-2]
29. Rezaeikia R Najafi Doulatabad S, Afrasiabifar A, Zoladl M. Effect of passive movements of lower extremity on hemodynamic parameters of the patients under ventilator. J Clin Care Skills. 2019;1(1):37-42. [Link]
30. Barth MM, Jenson CE. Postoperative nursing care of gastric bypass patients. Am J Crit Care. 2006;15(4):378-87. [Link] [DOI:10.4037/ajcc2006.15.4.378]
31. O'Malley C, Cunningham AJ. Physiologic changes during laparoscopy. Anesthesiol Clin North Am. 2001;19(1):1-19. [Link] [DOI:10.1016/S0889-8537(05)70208-X]
32. Younis GA, Ahmed SES. Effectiveness of passive range of motion exercise on hemodynamic parameters and behavioral pain intensity among adult mechanically ventilated patients. IOSR J Nurs Health Sci. 2015;4(6):47-59. [Link]
33. Thelandersson A, Volkmann R, Cider Å. Blood flow velocity and vascular resistance during passive leg exercise in the critically ill patient. Clin Physiol Funct Imaging. 2012;32(5):338-42. [Link] [DOI:10.1111/j.1475-097X.2012.01132.x]
34. Fukuda S, Shimada K, Kawasaki T, Kono Y, Jissho S, Taguchi H, et al. "Passive exercise" using whole body periodic acceleration: effects on coronary microcirculation. Am Heart J. 2010;159(4):620-6. [Link] [DOI:10.1016/j.ahj.2009.12.034]
35. Achugbue FS. The effects of therapeutic passive movement on cardiovascular response in stroke patients. Res J Med Sci. 2009;3(1):12-5. [Link]
36. Şenduran M, Arzu G, Mert A, Günerli A. Effects of mobilization on hemodynamic and respiratory responses in critically ill patients. Fizyoter Rehabil J. 2012;23(1):3-9. [Link]
37. Genc A, Ozyurek S, Koca U, Gunerli A. Respiratory and hemodynamic responses to mobilization of critically ill obese patients. Cardiopulm Phys Ther J. 2012;23(1):14-8. [Link] [DOI:10.1097/01823246-201223010-00003]

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