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IRCT20231120060120N2 IRCT 2024-02-10 Zahedan University of Medical Sciences Effect of Implementing the Early Movement Protocol on the amount of Postoperative Bleeding Investigating the Effect of Implementing the Early Movement Protocol on the amount of Postoperative Bleeding in patients undergoing Open Heart Surgery 2024-03-19 anticipated 46 Complete https://irct.ir/trial/75383 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Blinding description: The researcher will be present at the bedside of the patients, will explain to them the purpose of the study, and the informed consent form will be completed by the patients to participate in the study, but the people in the intervention and control groups will not know which group they will be in. Both groups will receive routine ward care. That is, they will be taken out of bed on the third day after the operation. The people of the intervention group will be taken out of bed on the second day to move, but they will not know that they will be part of the intervention group. N/A Open Heart Surgery. Intervention 1: Intervention group: On the second day after open heart surgery, they will be taken out of bed to perform the movement protocol. Early movement will be done in such a way that first the patient will be placed in the bed in a semi-sitting position, he will be in this condition for 15 minutes, then he will return to the lying position. After one hour in bed, he will be in a sitting position, he will be in this position for 15 minutes, then he will return to the lying position. An hour later, he will be placed on the edge of the bed with his legs hanging for 15 minutes, then he will return to the lying position, after an hour he will sit on the side of the bed for 15 minutes and return to the bed again. An hour later, he will walk a few steps next to the bed and return to the bed again. All steps will be according to the patient's tolerance. Intervention 2: Control group: On the third day, according to the department's routine, they will be taken out of bed to implement the movement protocol. Yes - There is a plan to make this available What will be shared: The data will be analyzed and the results will be presented in the article. When: Since 2024 To whom: The data will be presented in the form of results in the article and researchers can access it Conditions: The data will be presented in the form of results in the article and researchers can access it Where to obtain: By sending an email to Mehla Dehmardeh, mahla.dahmardeh.nurse1999@gmail.com How to obtain: sending an email Comments:
public Mahla Dahmardeh
Dr. Hasabi Square, Zahedan University of Medical Sciences
Zahedan Iran (Islamic Republic of) 9816113876 +98 54 3348 6610 mahla.dahmardeh.nurse1999@gmail.com Zahedan University of Medical Sciences scientific Mahla Dahmardeh
Dr. Hasabi Square, Zahedan University of Medical Sciences
Zahedan Iran (Islamic Republic of) 9816113876 +98 54 3348 6610 mahla.dahmardeh.nurse1999@gmail.com Zahedan University of Medical Sciences Iran (Islamic Republic of) Age range from 18 to 100 years Getting a score of 19 and below from the bleeding prediction questionnaire after open heart surgery (people who will have moderate and severe risk) Definitive diagnosis of the need for open heart surgery Undergoing CABG heart surgery The ability to move (not having a disability or restriction of specific movement after the operation) Extubation from 18 hours after the operation Elective and non-emergency open heart surgery 18 years 100 years Both Getting a score of 20 or higher from the postoperative bleeding questionnaire in open heart surgery patients Having an uncorrected coagulation disorder Having a specific restriction of movement after the operation Having uncontrollable heavy bleeding Having severe changes in hemodynamic status Unstable hemodynamic status after surgery Mechanical ventilation for more than 48 hours T82.0 Mechanical complication of heart valve prosthesis Other Other Intervention group: On the second day after open heart surgery, they will be taken out of bed to perform the movement protocol. Early movement will be done in such a way that first the patient will be placed in the bed in a semi-sitting position, he will be in this condition for 15 minutes, then he will return to the lying position. After one hour in bed, he will be in a sitting position, he will be in this position for 15 minutes, then he will return to the lying position. An hour later, he will be placed on the edge of the bed with his legs hanging for 15 minutes, then he will return to the lying position, after an hour he will sit on the side of the bed for 15 minutes and return to the bed again. An hour later, he will walk a few steps next to the bed and return to the bed again. All steps will be according to the patient's tolerance. Control group: On the third day, according to the department's routine, they will be taken out of bed to implement the movement protocol Bleeding volume measured in Bottle Chest. Timepoint: The first, Second and Third days after Open Heart Surgery. Method of measurement: Blood volume and drainage measured in Bottle Chest. Zahedan University of Medical Sciences Approved 2023-12-24 Ethics committee of Zahedan University of Medical Sciences Dr. Hasabi Square, Zahedan University of Medical Sciences Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)