胃肠道肿瘤患者术后早期下床活动现状及影响因素分析  

Status quo and influencing factors of early mobilization of patients after gastrointestinal tumors surgery

作　　者：吴茜[1,2] 汪夏云 顾一帆 周杰 马晶晶[1,2] 汤爱洁 戴秀娟 陈静娟 周姝[1] Wu Qian;Wang Xiayun;Gu Yifan;Zhou Jie;Ma Jingjing;Tang Aijie;Dai Xiujuan;Chen Jingjuan;Zhou Shu(Department of Gastrointestinal Surgery,Tenth People′s Hospital of Tongji University,Shanghai 200040,China)

机构地区：[1]同济大学附属第十人民医院胃肠外科,上海200040 [2]同济大学医学院

出　　处：《护理学杂志》2021年第15期27-29,共3页Journal of Nursing Science

基　　金：国家自然科学基金资助项目(71704135)。

摘　　要：目的调查胃肠道肿瘤患者术后早期下床活动现状及其影响因素,为护理人员制订相应护理对策提供参考。方法对329例择期手术胃肠道肿瘤患者术后早期下床活动状况和影响因素进行调查分析。结果术后24 h内下床活动患者182例(55.32%),128例(38.91%)术后第1~2天活动总时长超过1 h。性别和术后导管总数是胃肠道肿瘤患者术后早期下床活动的影响因素(均P<0.05)。结论胃肠道肿瘤患者术后早期下床活动水平有待提高,临床护理人员需制订相应的护理对策,帮助其提高下床活动依从性,促进术后康复。Objective To describe current situation of early mobilization of patients after gastrointestinal surgery,to identify the inf-luencing factors,and to provide references for nurses to formulate corresponding nursing strategies.Methods A total of 329 patients who had undergone scheduled gastrointestinal surgery were enrolled.Post-surgery early mobilization of patients were investigated and the influencing factors were probed.Results Totally,182(55.32%)patients got out of bed within 24 hours after surgery,and 128(38.91%)patients had a total activity time of over 1 hour on the first and second day after surgery.Gender and the total number of postoperative catheters were independent factors influencing early mobilization of patients after gastrointestinal surgery(P<0.05 for both).Conclusion Early ambulation of patients after gastrointestinal surgery needs to be improved.Targeted nursing stra-tegies need to be formulated in bid to enhance patient adherence to early mobilization,and boost post-operative recovery.

关 键 词：胃肠道肿瘤 加速康复外科 早期下床活动 依从性 康复护理 

分 类 号：R473.6[医药卫生—护理学]