腰椎融合术患者首次离床活动现况及影响因素调查  

Status quo and influencing factors of first-time out-of-bed mobilization in patients with lumbar spinal fusion surgery

作　　者：吴梦雯 鲁建丽[1] 周珂珍 樊凯艳 饶依晴 Wu Mengwen;Lu Jianli;Zhou Kezhen;Fan Kaiyan;Rao Yiqing(Orthopedics Department,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院护理部,浙江杭州310003

出　　处：《护理学杂志》2024年第16期17-20,共4页Journal of Nursing Science

基　　金：2022年浙江大学医学院附属第一医院护理科研青年孵化基金资助项目(2022QF017)。

摘　　要：目的调查腰椎融合术患者术后首次离床活动现况,为后续制定针对性干预提供参考。方法采取便利抽样法,选取202例腰椎融合术患者,采用自行设计的问卷调查患者一般资料、手术相关情况及首次离床活动情况等。结果腰椎融合术后患者中32例(15.8%)进行了早期离床活动,首次离床活动时间为术后(44.0±4.2)h;术后24 h内伤口引流量、血红蛋白改变量、白蛋白改变量、引流管放置时间及恐动症评分是腰椎融合术患者首次离床活动时间的影响因素(均P<0.05)。结论腰椎融合术后患者首次离床活动比例较低,医护人员须重点关注其影响因素,制定和实施腰椎融合术患者离床活动方案,改善患者活动现况,促进术后康复。Objective To investigate the first-time out-of-bed mobilization in patients after lumbar spinal fusion surgery,and to provide a reference for targeted interventions.Methods A convenient sample of 202 patients after lumbar spinal fusion surgery were surveyed with a self-designed first-time out-of-bed mobilization questionnaire.Results Among the 202 patients,32(15.8%)were out of bed within 48 hours after the operation.The time to first getting out-of-bed was(44.0±4.2)hours post-operation.Factors influencing the timing of the first out-of-bed mobilization for patients undergoing lumbar fusion surgery included wound drainage volume within 24 hours post-surgery,changes in hemoglobin levels,changes in serum albumin levels,duration of drain tube placement,and levels of kinesiophobia(all P<0.05).Conclusion The proportion of patients engaging in their first-time out-of-bed mobilization after lumbar fusion surgery is low.Thus,medical staff must pay close attention to the influencing factors,formulate,and implement mobilization programs for these to improve their activity status and promote postoperative recovery.

关 键 词：腰椎融合术 术后活动 早期离床活动 运动恐惧 疼痛 引流管 活动方案 外科护理 

分 类 号：R473.6[医药卫生—护理学]