腹部外科手术早期下床活动护理干预探讨

目的 探讨早期下床活动护理干预,对腹部外科患者术后并发症的影响.方法 选取腹部外科手术患者84例,随机分为对照组与观察组,各42例;对照组行常规基础护理,给予患者早期床下活动健康指导,发放宣传手册等,引导其进行床下活动;观察组行早期床下活动护理干预,分别于手术当日、术后第ld与术后第2d实施相应的床下活动指导;观测两组离床时间、住院天数及术后并发症的情况.结果 观察组离床时间、住院天数均较对照组更短(P＜0.05);对照组并发症发病率为21.43％,观察组并发症发生率为7.14％,两组比较,差异有统计学意义(P＜0.05).结论 早期下床活动护理干预可有效降低腹部外科手术患者术后并发症.

Nursing intervention of early off-bed activity after abdominal surgery

Objective To explore the effect of nursing intervention of early off-bed activity on the complications after abdominal surgery.Methods 84 patients taking abdominal surgery were selected and randomly divided into a control group and an observation group,42 cases for each group.The control group were routinely cared:receiving health guidance about early off-bed activity,issuing brochures,guiding off-bed activities.The observation group got the nursing intervention of early off-bed activity:on the day taking surgery and day 1 and 2 after surgery off-bed activity guidance was implemented.The off-bed time,hospital stay,and postoperative complications were observed in both groups.Results The off-bed time and hospital stay were shorter in the observation group than in the control group (P ＜ 0.05).The incidence of complications was 21.43％ in the control group and was 7.14％ in the observation group (P ＜ 0.05).Conclusion Nursing intervention of early off-bed activity can effectively decrease the incidence of postoperative complications in patients undergoing abdominal surgery.