术后早期下床活动在神经外科手术患者中的应用  

Effects of early postoperative activities on patients undergoing neurosurgery

作　　者：王军[1] 张娜芹 魏丽丽[1] 赵迎[1] 袁可佳 张晓蕾[1] 纪媛媛 时逢夏 Wang Jun;Zhang Naqin;Wei Lili;Zhao Ying;Yuan Kejia;Zhang Xiaolei;Ji Yuanyuan;Shi Fengxia(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中华现代护理杂志》2019年第35期4631-4634,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨术后早期下床活动在神经外科手术患者中的应用方法及效果.方法 采用便利抽样,选取北京市某三级甲等医院神经外科2018年6-8月的101例术后患者作为对照组,选取2018年9-11月的110例术后患者作为观察组.对照组给予常规术后护理,观察组给予术后早期下床活动.比较两组术后的首次下床活动时间、每日下床活动频率和每日下床活动总时间等早期下床活动效果以及首次下床到出院时间、出院ADL和住院费用等术后结局指标.结果在早期下床活动效果中,观察组的术后首次下床活动时间(Z=-3.300)和每日下床活动总时间(t=2.148)优于对照组,差异有统计学意义(P<0.05).经过术后早期下床活动护理,患者早期下床活动时间的中位数由27.0 h降至24.0 h,患者每日下床活动时间由(1.06±0.72)h增加到(1.27±0.70)h.在患者术后结局中,观察组的首次下床到出院时间(Z=-3.356)、出院ADL(t=4.428)和住院费用(Z=-3.316)与对照组比较,差异有统计学意义(P<0.05).患者首次下床到出院时间的中位数由55.0 h降至39.3 h.结论术后早期下床活动可提高神经外科患者的活动能力,缩短住院时间,减少住院费用,从而帮助患者术后更快恢复.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 h

关 键 词：手术后 神经外科 早期下床活动 加速康复外科 日常活动能力 

分 类 号：R47[医药卫生—护理学]