一种带有座椅垫的行走辅助架的设计与应用  

Design and application of a walking auxiliary frame with seat cushion

作　　者：金宗兰[1] 陈萍萍[1] 陈梅霞[1] 刘玲莉[1] 任海迪 李磊[1] 李慎 邹志辉 JIN Zonglan;CHEN Pingping;CHEN Meixia;LIU Lingli;REN Haidi;LI Lei;LI Shen;ZOU Zhihui(Department of Urology,the First Affiliated Hospital of Anhui Medical University,Institute of Urology,Anhui MedicalUniversity,Anhui Province Key Laboratory of Genitourinary Diseases,Anhui Medical University,Hefei 230022)

机构地区：[1]安徽医科大学第一附属医院泌尿外科,安徽医科大学泌尿外科研究所,泌尿生殖系统疾病安徽省重点实验室,合肥230022

出　　处：《临床护理杂志》2022年第3期75-79,共5页Journal of Clinical Nursing

基　　金：安徽省第六批卫生健康适宜技术推广项目(SYJS202110);安徽医科大学第一附属医院急危重症护理专科建设项目(2020JWZZHL-14)。

摘　　要：目的使用我科自行设计并制作的一种带有座椅垫的行走辅助架,评价其在泌尿外科老年患者术后早期下床活动中的应用效果。方法采用便利抽样法,选取2020年1月-2021年12月我科行手术治疗的老年前列腺增生、肾囊肿、膀胱肿瘤患者160例,按随机数字表法分为干预组和对照组,各80例。对照组采用泌尿外科常规术后护理措施,干预组在对照组的基础上,采用一种带有座椅垫的行走辅助架辅助患者早期下床活动。比较两组早期下床活动情况及术后康复相关指标。结果干预组平均下床活动时间(15.44±6.05)h早于对照组(21.91±10.27)h,早期下床活动执行率高于对照组,活动意愿及感受明显高于对照组,术后12~24h以及24h后疼痛评分显著低于对照组,通气时间、首次进食时间等康复指标均优于对照组,差异均有统计学意义(P<0.05)。结论带有座椅垫的行走辅助架能够保障老年患者安全,提高患者早期下床活动的依从性,促进康复。Objective A walking auxiliary frame with seat cushion designed and made by our department was used to evaluate its effect in early postoperative ambulation of elderly patients in urology.Methods 160 elderly patients with benign prostatic hyperplasia,renal cyst and bladder tumor who underwent surgical treatment in our department from January 2020 to December 2021 were randomly selected by convenient sampling method.They were randomly divided into intervention group and control group,with 80 cases in each group.The control group received routine postoperative nursing measures of urology,while the intervention group,on the basis of the control group,used a walking auxiliary frame with seat cushion to assist the patients to get out of bed early.The early ambulation and postoperative rehabilitation of the two groups were compared.Results The average time of getting out of bed activity in the intervention group was(15.44±6.05)hours earlier than that in the control group(21.91±10.27)hours,the rate of early getting out of bed activity was higher than that in the control group,the activity intention and feeling were significantly higher,and the pain score was significantly lower than that in the control group 12-24h and>24h after surgery.In addition,the ventilation time,first feeding time and other rehabilitation indicators were better than the control group,the differences were statistically significant(P<0.05).Conclusion The walking auxiliary frame with seat cushion can ensure the safety of elderly patients,improve the compliance of patients with early out of bed activities,and promote rehabilitation.

关 键 词：行走辅助架 老年患者 早期下床活动 

分 类 号：R197.39[医药卫生—卫生事业管理]