七走操训练在内镜下黏膜剥离术患者中的应用价值  

Application Value of Seven Walking Exercise Training in Patients Undergoing Endoscopic Mucosal Detachment Surgery

作　　者：贾锋[1] 聂磊 杨素 JIA Feng;NIE Lei;YANG Su(General Surgery,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院普通外科,河南南阳473000

出　　处：《河南医学研究》2025年第1期185-188,共4页Henan Medical Research

摘　　要：目的探讨七走操训练在接受内镜下黏膜剥离术(ESD)患者中的应用价值。方法选取2019年8月至2022年8月南阳市中心医院接受ESD术的患者90例,抽签随机分为观察组和对照组,各45例。两组均接受快速康复外科理念下的围手术期管理,对照组围手术期接受健康教育,观察组在以上基础上术前接受七走操训练。比较两组下床活动、首次肛门排气和排便及住院时间;比较两组患者入院及出院时焦虑自评量表(SAS)和抑郁自评量表(SDS)评分;比较两组患者出院准备度量表(RHDS)各项评分,包括身体状况、疾病知识、应对能力、预期社会支持等各项评分;比较两组入院时、出院后1个月的简明健康调查量表(SF-36)评分。结果观察组术后下床活动、首次肛门排气和排便及住院时间均短于对照组(P<0.05)。两组出院时SAS评分、SDS评分均低于同组入院时(P<0.05);观察组出院时SAS评分、SDS评分均低于对照组出院时(P<0.05)。观察组出院时身体状况、应对能力评分均高于对照组(P<0.05);两组出院后1个月健康状况、社会功能、情感职能、生理功能各项评分均高于同组入院时(P<0.05);观察组出院后1个月健康状况、社会功能、情感职能、生理功能各项评分均高于对照组出院后(P<0.05)。结论术前进行七走操训练,可有效促进ESD患者术后早期康复,减轻患者负性情绪,改善其生活质量。Objective To exploring the application value of seven walking exercise training in patients undergoing endoscopic mucosal dissection(ESD).Methods A total of 90 patients who underwent ESD in Nanyang Central Hospital from August 2019 to August 2022 were selected,and randomly divided them into the observation group and the control group,45 patients in each group.Both groups adopted the concept of rapid rehabilitation surgery for perioperative management.The control group received health education during the perioperative period.The observation group received preoperative seven walking exercise training on the basis of the above.The two groups with ambulation,first anal exhaust and defecation,and length of hospitalization were compared.The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)at admission and discharge were compared between the two groups.The scores of readiness for hospital discharge scale(RHDS),including physical condition,disease knowledge,coping ability and expected social support were compared between the two groups.The medical outcomes study short form-36(SF-36)scores were compared between the two groups at admission and 1 month after discharge.Results The observation group had shorter postoperative ambulation,first anal exhaust,defecation,and hospitalization time compared to the control group(P<0.05).The SAS score and SDS score of the two groups at discharge were lower than that of the same group at admission(P<0.05).The SAS score and SDS score of the observation group at discharge were lower than those of the control group(P<0.05).The scores of physical condition and coping ability in the observation group at discharge were higher than those in the control group(P<0.05).The scores of health status,social function,emotional function and physiological function in the two groups were higher than those in the same group at the time of admission one month after discharge(P<0.05).The scores of health status,social function,emotional function and physiological function in the

关 键 词：七走操训练 健康教育 内镜下黏膜剥离术 快速康复外科管理 

分 类 号：R473.6[医药卫生—护理学]