Abstract | OBJECTIVES: INTRODUCTION: METHODS: Following the JBI Practical Application of Clinical Evidence System, this study used six audit criteria derived from the JBI Evidence Summary. A baseline audit of six patients and nine nurses was conducted, analyzed barriers, established a prehabilitation process and improved interventions, followed by the implementation of exercise prehabilitation and follow-up audit. RESULTS: In the baseline audit, the results of the six criteria [(1) multimodal prehabilitation that includes exercise and other interventions where appropriate is offered to patients scheduled for abdominal surgery; (2) prior to the commencement of an exercise program an assessment of exercise contraindications, health status, treatments, physical activity level, functional capacity and quality of life is completed; (3) exercise programs are designed by appropriately qualified personnel; (4) exercise is delivered and supervised by appropriately qualified personnel; (5) exercise prescription is tailored to each individual patient; and (6) patient response to exercise is monitored throughout prehabilitation] were 0-22%. After implementing the best-practice strategies, all six criteria were set to 100%. Patients were aware of and had high compliance with exercise prehabilitation, nurses' and patients' knowledge of exercise rehabilitation improved, and nurses' implementation rate was significantly higher than before implementation ( P < 0.05). The differences in the 6 min walking distance and Borg Fatigue Score between the preimplementation and postimplementation were statistically significant (all P < 0.05). CONCLUSIONS: This best-practice implementation project is feasible. These results indicate that exercise prehabilitation could improve the preoperative walking capacity and fatigue of patients with end-stage liver disease. Ongoing best practices will be expected to develop in the future.
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Authors | Bingxin Gao, Wenwen Zhao, Wei Su, Jie Qiu, Huan Xi, Na Li, Yuxia Zhang |
Journal | JBI evidence implementation
(JBI Evid Implement)
Vol. 21
Issue 2
Pg. 128-137
(Jun 01 2023)
ISSN: 2691-3321 [Electronic] United States |
PMID | 37158603
(Publication Type: Journal Article)
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Copyright | Copyright © 2023 JBI. Unauthorized reproduction of this article is prohibited. |
Topics |
- Humans
- Preoperative Exercise
- Quality of Life
- End Stage Liver Disease
- Exercise
(physiology)
- Exercise Therapy
(methods)
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