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Immediate Mobilisation After Elective Colorectal Surgery-Patients' and Healthcare Professionals' Experiences: A
Rose-Marie Wilnerzon Thörn1, Anette Forsberg1, Rebecca Ahlstrand2
1Department of Physiotherapy, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Early mobilization after colorectal surgery offers benefits but presents challenges. Patients and healthcare professionals found it feasible yet resource-intensive, requiring tailored approaches for successful implementation.
Area of Science:
- Surgical Recovery
- Patient Experience
- Healthcare Management
Background:
- Early mobilization is recommended post-colorectal surgery.
- Investigating patient and healthcare professional experiences is crucial for implementation.
- Immediate mobilization (30 min post-PACU arrival) feasibility has been established.
Purpose of the Study:
- To explore patient experiences with immediate post-colorectal surgery mobilization.
- To explore healthcare professional experiences with immediate post-colorectal surgery mobilization.
Main Methods:
- Qualitative study involving 41 patients and 5 healthcare professionals.
- Data collected via individual interviews between October 2017 and June 2019.
- Inductive qualitative content analysis used for data analysis.
Main Results:
- Patients reported challenges (symptoms, fear) and benefits (safety, recovery).
- Healthcare professionals identified benefits but noted resource intensity and initial concerns.
- Key themes: 'The body cannot keep up,' 'Being in good hands,' 'A first step towards recovery,' and 'Balancing gains and challenges.'
Conclusions:
- Immediate mobilization is perceived as beneficial yet challenging by both patients and staff.
- Successful implementation requires skilled staff, resources, adapted facilities, and clear procedures.
- Mobilization efforts must be tailored to individual patient abilities.
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