Quality of Life Measurement among Patients with Chest Trauma after Supported Early Mobilization and Exercises

Document Type : Original Article

Authors

1 Master in Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

2 Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

3 Professor of Cardiothoracic Surgery Faculty of Medicine, Assiut University, Egypt

4 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

Abstract

Background: Early mobilization and exercises following chest trauma have been associated with improved respiratory efficiency, which enhances patients’ ability to participate in daily activities and achieve better functional outcomes. Aim: To evaluate the quality-of-life among patients with chest trauma prior to and following implementation of supported early mobilization and exercises. Design: A pre–posttest quasi experimental research design. Setting: The study was conducted at Main Assiut University Hospital. Subjects:120 adult patients with chest trauma were divided equally into study and control groups. Tools: I: Patient assessment sheet, II: Brief pain inventory scale, and III: Euro Quality of Life 5-dimensions,5 levels. Results: revealed that demographic and clinical characteristics were similar between two groups. Both groups had similar mean age (45.67 ± 14.64 years) and majority were male (61.7% in the study group, 65.0% in the control group). Pain severity significantly decreased from 35.83 ± 4.76 at baseline to 24.25 ± 7.40 after one month and pain interference dropped from 66.83 ± 4.06 to 44.96 ± 12.81 (p= .001). Also, the study group showed significant improvement in their quality of life, with some participants got perfect (3.3%), very good (5.8%), and good health status category(9.2%). However, 32.5% of the control group remained in the "extremely impaired" category(p ≤ 0.05). Conclusion: Supported early mobilization and exercises improved quality of life in patients with chest trauma. Recommendation: Implementing supported early mobilization and exercises is strongly recommended  as part of standard care for patients with chest trauma.

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