en Medical-Surgical Care Medical-Surgical Care توصيفی و نظرسنجی Descriptive Study <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#44546a">Aims:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif">Sleeve gastrectomy is a widely performed bariatric procedure with long-term benefits; however, it is often accompanied by postoperative complications such as pain, nausea, and vomiting. Early mobilization has been shown to improve recovery and reduce complications in other surgeries; yet, evidence regarding the optimal timing and approach to ambulation after sleeve gastrectomy remains limited. This study aimed to compare the effects of early and gradual ambulation on postoperative complications after sleeve gastrectomy.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#44546a">Instrument & Methods:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif">In this randomized clinical trial, 132 patients undergoing sleeve gastrectomy were allocated to three groups: early ambulation, gradual ambulation, and control. Early ambulation patients began mobilization 4 hours after entering the ward following a structured protocol, gradual ambulation patients started 7 hours post-surgery according to a gradual protocol, and the control group ambulated based on personal willingness. Postoperative pain intensity was measured using a 10-cm Visual Analog Scale, and vomiting frequency was recorded at admission, immediately after mobilization, and at 6, 12, and 24 hours.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#44546a">Findings:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif">Early ambulation significantly reduced pain intensity (p<0.001) and vomiting frequency (p<0.01) compared to both the gradual ambulation and control groups. Gradual ambulation also decreased pain compared to the control group (p=0.036) but had no significant effect on vomiting.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#44546a">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"> Early ambulation is more effective than gradual or conventional ambulation in reducing postoperative complications, particularly pain and vomiting, after sleeve gastrectomy.</span></span></span></span></span> Ambulation,Postoperative Complications,Gastrectomy,Pain,Vomiting, 211 218 http://jccs.yums.ac.ir/browse.php?a_code=A-10-379-1&slc_lang=en&sid=1 S.J. Sadat 10031947532846006414 10031947532846006414 No Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran F. Shirazi 10031947532846006415 10031947532846006415 No “Community Based Psychiatric Care Research Center” and “Department of Nursing, Faculty of Nursing and Midwifery”, Shiraz University of Medical Sciences, Shiraz, Iran M. Zoladl 10031947532846006416 10031947532846006416 No “Social Determinants of Health Research Center” and “Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Yasuj University of Medical Sciences, Yasuj, Iran M.R. Koohpeyma 10031947532846006417 10031947532846006417 Yes Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran