Clinical effect of early ambulation program in patients after pancreaticoduodenectomy
10.3760/cma.j.cn115682-20220425-02032
- VernacularTitle:胰十二指肠切除术后患者早期下床活动方案的临床应用研究
- Author:
Haixin WANG
1
;
Bo SHEN
;
Xiaoyuan WANG
Author Information
1. 解放军总医院第一医学中心干部诊疗科，北京 100853
- Keywords:
Pancreaticoduodenectomy;
Early ambulation;
Clinical application
- From:
Chinese Journal of Modern Nursing
2022;28(24):3278-3283
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and effectiveness of early ambulation program for patients after pancreaticoduodenectomy.Methods:From December 2020 to July 2021, convenience sampling was used to select 134 patients after pancreaticoduodenectomy in the First Medical Center of People's Liberation Army General Hospital as the research object. The patients in Ward A were set as the experimental group, and the patients in Ward B were set as the control group, with 67 cases in each group. The patients in the control group were given routine perioperative nursing, and the patients in the experimental group were given an early ambulation program after pancreaticoduodenectomy on the basis of routine perioperative nursing. The completion of the activity goals of the patients in the experimental group was observed. The completion rate of ambulation on the first day after operation, activity distance one to three days after operation, pain and dizziness during activity, time of first exhaust and defecation after operation, abdominal distention and activity-associated adverse events three days after operation were observed in the two groups of patients.Results:The compliance rates of ambulation on the first to third days in the experimental group were 100.00%, 88.06%, and 92.54%, respectively, and there was no statistical difference in the daily ambulation compliance rate between laparoscopic surgery patients and laparotomy patients ( P>0.05) . In the experimental group, the completion rate of ambulation of the patients on the first day after operation was higher than that in the control group. On the second, third and first to third days after operation, the activity distances were more than those of the control group. The time of first exhaust and defecation after operation were lower than those of the control group, and the abdominal distension score three days after operation was lower than that of the control group, the above differences were statistically significant ( P<0.05) . The pain and dizziness scores of the experimental group when ambulation for the first time were lower than those of the control group, but the difference was not statistical ( P>0.05) . There were no adverse events in the two groups of patients during the early postoperative ambulation. Conclusions:The early ambulation program for patients after pancreaticoduodenectomy is feasible and effective, which provides a basis and method for medical and nursing staff to evaluate and guide patients with early ambulation after pancreaticoduodenectomy.
