Format

Send to

Choose Destination
Eur J Surg Oncol. 2019 Oct;45(10):1847-1853. doi: 10.1016/j.ejso.2019.04.013. Epub 2019 Apr 18.

Objectively measured mobilisation is enhanced by a new behaviour support tool in patients undergoing abdominal cancer surgery.

Author information

1
Karolinska Institutet, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Alfred Nobels Allé 23, 23100, 141 83, Huddinge, Sweden; Karolinska University Hospital, Function Area Occupational Therapy and Physiotherapy, Allied Health Professionals Function, 171 76, Stockholm, Sweden. Electronic address: andrea.porserud@ki.se.
2
Karolinska Institutet, Department of Medical Epidemiology and Biostatistics, 171 77, Stockholm, Sweden; Karolinska Institutet, Department of Molecular Medicine and Surgery, 171 77, Stockholm, Sweden; Karolinska University Hospital, Patient Area Pelvic Cancer, Theme Cancer, 171 76, Stockholm, Sweden. Electronic address: markus.aly@ki.se.
3
Karolinska Institutet, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Alfred Nobels Allé 23, 23100, 141 83, Huddinge, Sweden; Karolinska University Hospital, Function Area Occupational Therapy and Physiotherapy, Allied Health Professionals Function, 171 76, Stockholm, Sweden. Electronic address: malin.nygren-bonnier@ki.se.
4
Karolinska Institutet, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Alfred Nobels Allé 23, 23100, 141 83, Huddinge, Sweden; Karolinska University Hospital, Function Area Occupational Therapy and Physiotherapy, Allied Health Professionals Function, 171 76, Stockholm, Sweden; Sophiahemmet University, Department of Health Promoting Science, Box 5605, 114 86, Stockholm, Sweden. Electronic address: maria.hagstromer@ki.se.

Abstract

INTRODUCTION:

Mobilisation reduces the risk of complications after abdominal surgery. Despite that, patients spend most of their time immobilised during hospital stay. Hence, the aim of this study was to evaluate a tool called the Activity board, which includes behaviour change techniques, regarding effects on mobilisation and postoperative recovery after abdominal cancer surgery.

MATERIAL AND METHODS:

Patients who were planned for abdominal surgery due to colorectal, ovarian or urinary bladder cancer, and at least three postoperative days at Karolinska University Hospital were included in this non-randomised controlled trial, from January 2017 to May 2018. The patients were allocated to Activity board or standard treatment when they were admitted to hospital. Mobilisation was evaluated objectively with activity monitor the first three postoperative days, and postoperative recovery was assessed continuously during hospital stay.

RESULTS:

In total, 133 patients, mean (sd) age 68.1 (12.3) years were included. The patients with the Activity board had postoperatively higher levels of mobilisation, compared to standard treatment, as mean value over the first three days, steps, median (min-max) 1057 (3-10433) and 360 (0-6546), respectively (p = 0.001), and for each day separately. Further, the group with the Activity board had a shorter length of stay, 6 (3-13), compared to standard treatment 7 (3-14) (p = 0.027).

CONCLUSION:

The Activity board is an effective tool to enhance mobilisation after abdominal surgery due to cancer, in hospital settings. Using the Activity board could lead to improved postoperative recovery.

KEYWORDS:

Activity monitor; Physical activity; Physiotherapy; Postoperative; Rehabilitation

PMID:
31030805
DOI:
10.1016/j.ejso.2019.04.013

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center