The Effect of Postoperative Early Mobilization on the Healing Process and Quality of Life Following Radical Cystectomy and Ileal Conduit: A Randomized Prospective Controlled Trial

Abstract

Objective:This study aimed to evaluate the effect of postoperative early mobilization in patients who underwent radical cystectomy (RC) and ileal conduit in terms of the healing process and quality of life (QoL).Materials and Methods:This multicenter prospective randomized controlled study included 40 patients who were randomly divided into two groups. The intervention group was mobilized within the first 16 h postoperatively following the mobilization procedure, which was determined according to the literature. Data were collected using the case report form, hospital anxiety and depression scale, and 36-Item Short Form Survey (SF-36) QoL scale.Results:Postoperative hospitalization, narcotic analgesic administration duration, first oral food intake, flatus, defecation, and nasogastric tube termination time were shorter in the intervention group. Additionally, blood glucose and pulse values were higher in the control group after mobilization. SF-36 physical function, physical role difficulty, and general perception of health subscales were higher in the intervention group at the postoperative first and third months (p<0.05).Conclusion:Early mobilization positively contributed to the healing process and improved the QoL in patients who underwent RC and ileal conduit surgery.

Keywords

• early mobilization
• radical cystectomy
• ileal conduit
• quality of life