The Effect of Pre-Operative Prehabilitation Program on Postoperative Recovery in Women With Gynecological Cancer
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Gynecologic Cancer
- Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- the WHODASS proficiency scale
- Status
- Not Yet Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to determine the effect of the prehabilitation program applied to postmenopausal women diagnosed with gynecological cancer before surgery on postoperative recovery, planned as a randomized study with an experimental design with a pre-test post-test control group.
Detailed Description
The aim of prehabilitation programs is to eliminate intraoperative complications by increasing the functional capacity and metabolic reserves of patients before surgical treatment and to accelerate recovery in the postoperative period. In addition, it helps the patient to maximize the existing capacity of the patient before the surgery, to know what will happen at each stage of the treatment to be applied to the patient, to feel better physically and spiritually and to understand the roles and responsibilities of the individual care of the patient, as well as making a significant contribution to the positive results of the operation. It is to provide exercise, psychological support, nutritional counseling and optimization of the underlying conditions by stopping negative health behaviors. There are non-eliminable criteria such as age, gender, comorbid diseases before surgery, as well as modifiable factors such as the regulation of the patients nutrition, ensuring psychological well-being, quitting smoking. In particular, some factors directly affect the state of well-being during the perioperative period. Thus, surgeries become safer.As a practice, the prehabilitation program (according to the surgery program) is planned in the preoperative period between 2-4 weeks Dec. Participants who do not comply with the program will be excluded from the sample
Investigators
Hilal Evgin
Principal Investigator
Istanbul University - Cerrahpasa (IUC)
Eligibility Criteria
Inclusion Criteria
- •Patients who are not stage 4 in preoperative evaluation
- •Who volunteered to participate in the study
- •6 months have passed since the last treatment (Chemoretapy, Radiotherapy)
- •Women who do not have Turkish literacy problems
- •Women aged 50 and older who are in the postmenopausal period
- •Patients who are scheduled for abdominal surgery
Exclusion Criteria
- •High-risk comorbid diseases such as COPD, heart failure
- •Physical and mental conditions that will interfere with nutrition and exercise
- •Those with orthopedic and neuromuscular diseases
- •Those who are scheduled for surgery by laparoscopic/laparotomic method
- •Those who cannot adapt to the program during the preoperative period
- •Women who are too depressed during preoperative evaluation
Outcomes
Primary Outcomes
the WHODASS proficiency scale
Time Frame: 1 weeks
the WHODASS proficiency scale will be used. It is useful for a brief assessment of the overall functionality.
the Quality of Recovery QoR-15
Time Frame: 6 weeks
The scale is based on the assumption that the higher the score, the better the quality of improvement when measuring between 0 and 150 points. The scale is based on the assumption that the higher the score, the better the quality of Deceleration.
functional capacity 6MWT
Time Frame: 10 weeks
6MWT has also been used to determine the functional status of patients . During the test, a standardized protocol is followed by walking on a flat floor for 6 minutes. It is a self-paced test and is a repeatable, cheap and easy test (unlike the increasingly brisk walking tests that require intervention).
day of hospital stay
Time Frame: 1 weeks
the length of hospital stay