The Effect of Gradual Departure accompanied by Activity in Bed on Hemodynamic Parameters of Patients Underwent Sleeve Gastrectomy

Introduction: Several therapeutic methods with different efficacy for dealing with obesity are presented. Different methods for treating obesity have been more successful in the treatment of gastrectomy. Despite the positive effect of this surgery in treating obesity, sleeve gastrectomy causes imbalance of hemodynamic parameters similar to other invasive interventions. Therefore, the aim of this study was to evaluate the effect of gradual withdrawal with flatulent activity on hemodynamic parameters of gastrochemical surgery.   Materials and Methods: In this randomized clinical trial, 88 volunteers undergoing gastro-intestinal surgery who were eligible for inclusion in the study were selected by available sampling method. They were randomly assigned to block and control groups. Hemodynamic parameters including systolic blood pressure, diastolic blood pressure and arterial oxygen saturation were recorded for all patients at the time of admission to the department immediately, six hours, twelve hours, and twenty four hours after leaving the bed. Data were analyzed using descriptive and inferential statistics and research hypotheses were analyzed according to the distribution of variables using Kruskal-Wallis test and Mann-Whitney test. Results: In this study, the results of inferential statistics tests revealed that the changes in hemodynamic parameters in the early exodus of the bed in each of the measurement periods after the end of the research interventions were statistically significant compared to those in the control group (P <0.05).   Conclusion: The effect of gradual withdrawal coupled with activity on the bed is more than the conventional procedure for leaving the patient from the bed following the gastrectomy of the sleeve surgery in the balance of systolic blood pressure, diastolic blood pressure and arterial oxygen saturation.