ASSESSMENT OF EARLY MOBILITY PROTOCOLS ON PRESSURE ULCER INCIDENCE IN POST-SURGICAL PATIENTS

Abstract

Background: Pressure ulcers represent a frequent and serious complication among post-surgical patients, primarily driven by prolonged immobility. While early mobility protocols are recognized as a key preventive strategy, their consistent implementation and definitive impact in clinical settings require further evaluation.

Aim: This study aimed to determine the impact of early mobility protocols on the incidence of pressure ulcers in post-surgical patients.

Methods: A quantitative, cross-sectional study was conducted at a tertiary care hospital with a sample of 108 post-surgical patients. Data were collected using an observation checklist and chart reviews to assess mobility adherence and pressure ulcer incidence. Statistical analysis was performed using SPSS version 27, employing descriptive statistics and chi-square tests.

Results: The study found a statistically significant association (*p* = 0.001) between high adherence to early mobility protocols (≥3 activities) and a reduced incidence of pressure ulcers. Only 3% of patients in the high-adherence group developed ulcers, compared to 33% in the low-adherence group. While 77.8% of patients were assisted to sit within 24 hours, ambulation within 72 hours was achieved by only 64.8%. Key barriers to mobility included postoperative pain (62.0%) and fear of wound disruption (38.9%).

Conclusion: Early mobility protocols are a highly effective intervention for preventing pressure ulcers in post-surgical patients. However, full compliance is hindered by patient-related and systemic barriers. A multidisciplinary approach addressing pain management, patient education, and staffing resources is essential for successful implementation.