Effects of early postoperative activities on patients undergoing neurosurgery
10.3760/cma.j.issn.1674-2907.2019.35.017
- VernacularTitle:术后早期下床活动在神经外科手术患者中的应用
- Author:
Jun WANG
1
;
Naqin ZHANG
;
Lili WEI
;
Ying ZHAO
;
Kejia YUAN
;
Xiaolei ZHANG
;
Yuanyuan JI
;
Fengxia SHI
Author Information
1. 首都医科大学宣武医院神经外科
- Keywords:
Postoperative;
Neurosurgery;
Early postoperative activity;
Enhanced recovery after surgery;
Ability of daily living
- From:
Chinese Journal of Modern Nursing
2019;25(35):4631-4634
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application methods and effects of early postoperative activities on patients undergoing neurosurgery. Methods? Totally 101 postoperative patients from the Department of Neurosurgery of a Class Ⅲ Grade A hospital in Beijing between June and August 2018 were selected as a control group, while 110 postoperative patients between September and November 2018 were selected as an observation group by convenient sampling. Patients in the control group received routine postoperative care, while patients in the observation group did early post-operative activities. The effects of early off-bed activities such as the time of first early off-bed activity, the frequency of daily off-bed activities and the total time of off-bed activities every day as well as postoperative outcome indicators such as the interval from first off-bed activity to discharge, ability of daily living (ADL) at discharge and hospitalization expenses were compared between the two groups postoperatively. Results? For the effects of early off-bed activities, the time of first off-bed activity and the total time of off-bed activities every day in the observation group were better than those in the control group, and there were statistically significant differences between the two groups (Z/t=-3.300,2.418;P＜0.05). After care for early postoperative activities, the median of patients' time of early off-bed activities were reduced from 27.0 h to 24.0 h, and total time of off-bed activities every day were increased from (1.06±0.72) h to (1.27±0.70) h. In terms of patients' postoperative outcomes, the interval from first off-bed activity to discharge, ADL at discharge and hospitalization expenses, there were statistically significant differences between the two groups (Z/t=-3.356,4.428,-3.316;P＜0.05). The median of patients' interval from first off-bed activity to discharge were decreased from 55.0 h to 39.3 h. Conclusions? Early postoperative activities can improve the motor ability of neurosurgical patients, shorten their length of hospital stay, and reduce their hospitalization expenses,thus enabling the patients' quicker recovery.
