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dc.contributor.advisorWipke-Tevis, Deidre D.eng
dc.contributor.advisorSherwin, LeeAnne B.eng
dc.contributor.authorKrisanabud, Poungkamoneng
dc.date.issued2019eng
dc.date.submitted2019 Falleng
dc.description.abstractColorectal cancer (CRC) remains in the top two causes of cancer related death in Thailand. CRC surgery impacts functional capacity, gastrointestinal recovery, and postoperative symptoms. Given that early mobilization improves gastrointestinal recovery, it also may improve postoperative symptoms and mobility. This study examined feasibility data, postoperative symptoms, walking behaviors, and mobility in Thai adults undergoing CRC surgery (n=17). Participants typically were a 59[plus or minus]10.5 year old, cognitively intact, male with a 4th grade education, good mobility and independent activities of daily living before surgery. Pain (7.94[plus or minus]1.70), wellbeing (6.18[plus or minus]3.47), fatigue (4.82[plus or minus]3.97), drowsiness (4.76[plus or minus]3.72), and anxiety (1.18[plus or minus]3.32) had the highest severity on POD 1 and decreased over time. Most participants delayed walking until POD 2 or 3. Average steps walked/day increased between POD 0 (0.0[plus or minus] 0.0 steps) and POD 4 (1428.94[plus or minus]1425.69 steps), then plateaued. Seventy percent of participants had impaired mobility on POD 5, which did not return to baseline by discharge. These data suggest nurses need to better manage psychophysiologic symptoms in the early recovery period. These findings also provide a foundation for developing an early mobilization protocol for Thai CRC surgery patients, which may help improve postoperative recovery.eng
dc.identifier.merlinb136496076eng
dc.identifier.oclcn/aeng
dc.identifier.urihttps://hdl.handle.net/10355/79566
dc.languageEnglisheng
dc.publisherUniversity of Missouri--Columbiaeng
dc.relation.ispartofcommunityUniversity of Missouri--Columbia. Graduate School. Theses and Dissertations.eng
dc.rightsOpenAccesseng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
dc.subject.otherNursingeng
dc.titleSymptoms, walking behaviors, and mobility of Thai patients after colorectal cancer surgeryeng
dc.typeThesiseng
thesis.degree.disciplineNursing (MU)eng
thesis.degree.grantorUniversity of Missouri--Columbiaeng
thesis.degree.levelDoctoraleng
thesis.degree.namePh. D.eng


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