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

Abstract 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, 15...

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Autores principales:	Anna Prokopowicz, Katarzyna Byrka
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fc78e3a80efa42568b0e7ca286291bb9
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spelling	oai:doaj.org-article:fc78e3a80efa42568b0e7ca286291bb92021-11-28T12:17:50ZEffectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial10.1038/s41598-021-02036-12045-2322https://doaj.org/article/fc78e3a80efa42568b0e7ca286291bb92021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02036-1https://doaj.org/toc/2045-2322Abstract 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.Anna ProkopowiczKatarzyna ByrkaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anna Prokopowicz Katarzyna Byrka Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
description	Abstract 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.
format	article
author	Anna Prokopowicz Katarzyna Byrka
author_facet	Anna Prokopowicz Katarzyna Byrka
author_sort	Anna Prokopowicz
title	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_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_sort	effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/fc78e3a80efa42568b0e7ca286291bb9
work_keys_str_mv	AT annaprokopowicz effectivenessofmentalsimulationsontheearlymobilizationofpatientsaftercesareansectionarandomizedcontrolledtrial AT katarzynabyrka effectivenessofmentalsimulationsontheearlymobilizationofpatientsaftercesareansectionarandomizedcontrolledtrial
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Effectiveness of mental simulations on the early mobilization of patients after cesarean section: a randomized controlled trial

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