Effectiveness Of Early Ambulation In Post-Operative Recovery Among Post

Caesarean Mothers Admitted In Selected Areas Of Nehru Hospital,

PGIMER, Chandigarh

P: The current study was undertaken with the objective to assess the
effect of early ambulation on post operative recovery among post
caesarean mothers. The study design was quasi experimental. Total 80
subjects were enrolled by total enumerative sampling technique, 40 in
each experiment and control group.

I: The study was carried out in three steps: Development of

procedure and tools, intervention (early ambulation), and assessment of
postoperative recovery. Firstly, protocol was developed for providing early
ambulation i.e. walking a distance of 40 meters at 6 hours of caesarean
section. The tools for data collection were: Interview schedule which
included identification date, Numerical pain rating scale, structured
nursing assessment sheet for assessing post-operative recovery in terms of
use of analgesia after ambulation, duration of catheterization, self-void
after removal of catheter, passage of first flatus, initiation of oral intake
and breast-feeding and holding the baby independently.

C: In experiment group after explaining, the subjects were ambulation

early i.e. after 6 hours of caesarean section. Pain score was assessed before
and immediately after ambulating the mothers. Whereas subjects of
control group were assessed without intervention with normal routine care
i.e. ambulation at 13-14 hours after caesarean section as usually practical
in labour room. The subjects (experimental & control group) were kept
under observation throughout the procedure and monitored for any
discomfort. Interview schedule was used to collect the information related
to caesarean section details and baby details.
 Subjects were assessed after the ambulation of caesarean section
with the help of structured assessment sheet for intensity of post-operative
pain, use of analgesics after ambulation, duration of catheterization,
selfvoid after removal of catheter, passage of first flatus, initiation of oral
intake and breastfeeding and holding baby independently soon after
ambulation

In experiment group after explaining the subjects were ambulation

early i.e after 6 hours of caesarean setion. Post operative pain score was
assessed before and immediately after ambulating the mothers. Whereas
subjects of control group were assessed without intervention with normal
routine.

O: Results showed that there was significant difference between the

mean post operative pain score after ambulation among experimental and
control group as shown by independent t-test (p<0,05). Other aspects of
post operative recovery were compared between experiment and control
group by independent t-test. This difference was statistically significant in
all the variables except duaration of catheterization as per the independent
t-test (p<0,05). So it was concluded that early ambulation was effective in
post operative among post caesarean.

T: The study was conducted during the month of July and August 2013.

Sumber :

Kaur, Harmanjyot, Sukhjit Kaur, dan Pooja Sikka. Effectiveness Of Early

Ambulation In Post-Operative Recovery Among Post Caesarean Mothers
Admitted In Selected Areas Of Nehru Hospital, PGIMER. Chandigarh . Nursing
and Midwifery Research Journal, Vol-11, No. 1. 2015.