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Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial

We aimed to investigate whether psychological intervention (single mental simulation) among women after cesarean surgery (CC) can affect their willingness to verticalize, actual verticalization, and the duration of the first mobilization. In this prospective randomised, controlled study, 150 women a...

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Autores principales: Prokopowicz, Anna, Byrka, Katarzyna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608872/
https://www.ncbi.nlm.nih.gov/pubmed/34811410
http://dx.doi.org/10.1038/s41598-021-02036-1
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author Prokopowicz, Anna
Byrka, Katarzyna
author_facet Prokopowicz, Anna
Byrka, Katarzyna
author_sort Prokopowicz, Anna
collection PubMed
description We aimed to investigate whether psychological intervention (single mental simulation) among women after cesarean surgery (CC) can affect their willingness to verticalize, actual verticalization, and the duration of the first mobilization. In this prospective randomised, controlled study, 150 women after CC were divided into 3 groups: experimental group with process-simulation with elements of relaxation, experimental group with outcome-simulation with elements of relaxation and control group with elements of relaxation only. After a 5-h stay in the post-operative room, women listened to a recording with a stimulation. Pain and anxiety of verticalization were measured before and after listening to the recording and after verticalization. Almost 12% more patients verticalized in the process-simulation group than in the control group. Percentages of mobilized patients were: 39.4% the process-simulation group; 32.8% in the outcome-simulation group; 27.7% controls (p = 0.073). Mobilization was 5 min longer in the process-simulation group then in control (p < 0.01). Anxiety after the simulation was a significant covariate of the willingness to verticalize, actual verticalization and time spent in mobilization. We conclude that a single mental simulation can effectively motivate patients for their first verticalization after CC. Perceived anxiety before verticalization may affect the effectiveness of interventions, so we recommend to check it at the postoperative care. ClinicalTrials.gov Identifier: NCT04829266.
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spelling pubmed-86088722021-11-24 Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial Prokopowicz, Anna Byrka, Katarzyna Sci Rep Article We aimed to investigate whether psychological intervention (single mental simulation) among women after cesarean surgery (CC) can affect their willingness to verticalize, actual verticalization, and the duration of the first mobilization. In this prospective randomised, controlled study, 150 women after CC were divided into 3 groups: experimental group with process-simulation with elements of relaxation, experimental group with outcome-simulation with elements of relaxation and control group with elements of relaxation only. After a 5-h stay in the post-operative room, women listened to a recording with a stimulation. Pain and anxiety of verticalization were measured before and after listening to the recording and after verticalization. Almost 12% more patients verticalized in the process-simulation group than in the control group. Percentages of mobilized patients were: 39.4% the process-simulation group; 32.8% in the outcome-simulation group; 27.7% controls (p = 0.073). Mobilization was 5 min longer in the process-simulation group then in control (p < 0.01). Anxiety after the simulation was a significant covariate of the willingness to verticalize, actual verticalization and time spent in mobilization. We conclude that a single mental simulation can effectively motivate patients for their first verticalization after CC. Perceived anxiety before verticalization may affect the effectiveness of interventions, so we recommend to check it at the postoperative care. ClinicalTrials.gov Identifier: NCT04829266. Nature Publishing Group UK 2021-11-22 /pmc/articles/PMC8608872/ /pubmed/34811410 http://dx.doi.org/10.1038/s41598-021-02036-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Prokopowicz, Anna
Byrka, Katarzyna
Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
title Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
title_full Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
title_fullStr Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
title_full_unstemmed Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
title_short Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
title_sort effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608872/
https://www.ncbi.nlm.nih.gov/pubmed/34811410
http://dx.doi.org/10.1038/s41598-021-02036-1
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