Authors: (including presenting author): :
Pong WHY(1), Mok YT(1), Kwok CF(1), Poon MC(2)
Affiliation: :
(1) Department of Surgery, Hong Kong Children's Hospital, (2) Integrated Rehabilitation Centre, Hong Kong Children's Hospital
Keyword 2: :
postoperative
Keyword 3: :
early mobilization
Introduction: :
Early postoperative mobilization and physical therapy are vital factors that can accelerate recovery and reduce hospital stay after surgery. However, patients with intravenous fluids or drains may not be suitable for exercises in the Integrated Rehabilitation Centre (IRC). Additionally, the busy ward environment—filled with staff and patients moving around—poses safety risks for post-operative patients attempting rehabilitation. To address these challenges, we utilize a less crowded corridor between the 6N and 6E surgical wards, creating a safer and more conducive space for postoperative training of paediatric patients.
Objectives: :
To create a safe, engaging, and child-friendly environment that encourages early mobilization and rehabilitation within the ward setting following surgery.
Methodology: :
Initially, we consulted physiotherapists to assess the suitability of the corridor for patient rehabilitation needs. To make the exercise experience more engaging, the corridor was transformed into a train-themed passage, featuring railway ropes and various station markers to captivate the children’s interest. The railway design also includes distance markers, allowing patients to track how far they have walked. Additionally, handprints were placed on the walls to facilitate upper limb exercises. A handrail along one side of the corridor provides added safety and support. Patients are encouraged to walk along this pathway, with or without the assistance of a physiotherapist, as part of their postoperative rehabilitation.
Result & Outcome: :
Feedback was collected through a survey administered to patients and their families regarding the train-themed corridor for postoperative exercises. The responses were overwhelmingly positive. Parents reported that walking in the train-themed passage felt safer than walking within the general ward area. Most also agreed that the engaging design made the environment more attractive for children and motivated them to walk more after surgery.
