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Influence of the Culture Care Program on Patient Mobility After Thoracic or Abdominal Surgery: a Mixed-methods Study

RecruitingNAAges 18 Years - anyAllHaute Ecole ARC Sante
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In plain words

What the trial is, and whether it could suit you

A sedentary behavior in the postoperative phase has a negative impact on recovery from various types of surgery (e.g. abdominal, pulmonary, cardiac or esophageal). In fact, sedentary behavior in the days following surgery is associated with an increased risk of postoperative complications, longer hospital stays and, consequently, higher healthcare costs. Stimulating early mobilization and increasing the level of physical activity after surgery therefore remains a relevant current challenge. The Culture Care program will propose a new experience of the hospital towards an attractive and stimulating intrahospital environment, including art and culture. The hypothesis is that the innovative, positive hospital experience offered by the Culture Care program could contribute to increasing patients' mobility in the postoperative phase and thus reduce the sedentary behaviour compared with a cont

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📋 Eligibility rules (as published)
Inclusion Criteria: * Admission to Surgical Units in the Surgical Department of the Hôpital de Neuchâtel implementing the Culture Care program. * Elective thoracic or abdominal surgery with an expected hospital stay of at least 2 days (i.e. discharge on postoperative day 3). * Neurocognitive and physical ability to complete questionnaires and individual participation in the Culture Care program. * Full capacity of discernment and signed informed consent to participate in the study. Exclusion Criteria: * Outpatient surgery. * Emergency surgery. * Mobility severely impaired prior to surgery: patients with 1 or 2 lower-limb amputations, patients with wheelchair mobility only, neurodegenerative diseases. * Bed restiction between POD 1 and POD 5 for medical reasons, i.e. surgery, post-operative complications or other pre-existing cardiorespiratory, neurological or orthopedic reasons. * Transfer to ICU * Only during the Culture Care phase, an unplanned transfer to another unit that does not have the Culture Care program (e.g. Medicine units). * Technical problem with the accelerometer (e.g. disfunctioning battery). * Allergic reaction to any dressing used to attach the accelerometer. * End-of-life patients.
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What it tests

  • Culture Care program
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Where

1 site
Hôpital de Neuchâtel
Neuchâtel, Switzerland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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