A Quasi Experimental Study to Assess the Knowledge and Effectiveness of Bed Exercises on Level of Pain, Early Ambulation Among Abdominal Surgery Patients at Selected Hospital of Dehradun, Uttarakhand

Postoperative Pain and delayed ambulation are a prevalent and distressing challenges experienced by the patients undergoing abdominal surgery which can lead to prolonged hospital stays . Bed exercises are simple and cost effective intervention to reduce the level of pain and promote the early ambulation after abdominal surgery. Aim To assess the knowledge regarding bed exercise and to evaluate the effectiveness of bed exercise on the level of pain and early ambulation among abdominal surgery patients admitted in Shri Mahant Indresh Hospital, Dehradun. Methodology RESEARCH DESIGN AND METHODS A quasi experimental study was conducted among 60 abdominal surgery patients in Shri Mahant Indresh hospital, Dehradun with 30 patients in the experimental group and 30 in the control group. A structured knowledge questionnaire, visual analogue pain scale and a early ambulation Likert 5 point scale were used to assess knowledge and outcomes related to pain and ambulation. The experimental group received a structured bed exercise intervention postoperatively, while the control group received routine care. Data were analyzed using ANNOVA, descriptive and inferential statistics. Results The findings of the study revealed a significant reduction in the mean level of pain and improvement in ambulation in the experimental group following the administration of structured bed exercises. In the experimental group, the pre test pain score Day 0, before intervention was 6 ± 2.66, which progressively decreased with each post operative assessment. On Post test I Day 3 , the score reduced to 4.63 ± 2.68, further declined to 3.26 ± 2.76 on Post test II Day 6 , and reached 1.83 ± 2.50 by Post test III Day 9 . The consistent decrease in pain levels was statistically significant. In contrast, the control group, which received only routine care, showed minimal changes. The pre test score was 6.06 ±1.01, and post intervention scores showed only slight variations 5.83 ± 1.26 on Post test I, 5.73 ± 1.28 on Post test II, and 5.66± 1.93 on Post test III, with no significant difference p 0.05 . Similarly, the mean level of early ambulation in the experimental group showed significant improvement over time. On Day 0 pre test , the ambulation score was 19.3 ± 7.06, which increased to 23.8 ± 7.23 on Day 3, 30.9 ± 8.62 on Day 6, and peaked at 36.2 ± 9.25 on Day 9, demonstrating a statistically significant improvement in early mobilization after bed exercise intervention. However, in the control group, the ambulation score showed only mild improvement from 19.96 ± 6.50 pre test to 21.73 ± 6.81 on Post test I, 23.33 ± 6.21 on Post test II, and 25.23 ± 6.36 on Post test III, which was not statistically significant p 0.05 . Conclusion Bed exercises are effective in reducing postoperative pain and promoting early ambulation in abdominal surgery patients. Incorporating structured bed exercises into postoperative care protocols can enhance recovery and improve patient outcomes. Shivani Kumayan | Dr. Rosaline Lily Mary "A Quasi-Experimental Study to Assess the Knowledge and Effectiveness of Bed Exercises on Level of Pain, Early Ambulation Among Abdominal Surgery Patients at Selected Hospital of Dehradun, Uttarakhand" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-9 | Issue-5 , October 2025, URL: https://www.ijtsrd.com/papers/ijtsrd97525.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/97525/a-quasiexperimental-study-to-assess-the-knowledge-and-effectiveness-of-bed-exercises-on-level-of-pain-early-ambulation-among-abdominal-surgery-patients-at-selected-hospital-of-dehradun-uttarakhand/shivani-kumayan