CAJ | 학술논문

目的：探讨早期下床活动对后腹腔镜下肾上腺肿瘤切除术患者舒适度的影响。方法选择2013年7月—2014年9月在我院行后腹腔镜下肾上腺肿瘤切除术患者153例,随机分为干预组( n=75)和对照组(n=78),干预组实施早期下床活动护理计划,术前对患者进行早期下床活动的健康指导,术后6 h对患者进行评估,符合早期下床活动条件者,8~24 h内按临床护理路径执行下床活动方案；对照组术后由患者自行决定下床活动时间。比较两组患者术后首次下床时间,采用舒适状况量表( GCQ)进行舒适度评价。结果干预组患者术后下床时间为(12.8±5.0) h,对照组为(27.9±11.8) h,两组比较差异有统计学意义(t=10.233,P<0.01)。干预组术后整体舒适度评分(89.2±12.4)分,对照组(73.5±10.4)分,两组比较差异有统计学意义(t=8.498,P<0.01)。结论术后早期下床活动能有效改善后腹腔镜下肾上腺肿瘤切除术患者的舒适状况,有利于患者康复。
목적：탐토조기하상활동대후복강경하신상선종류절제술환자서괄도적영향。방법선택2013년7월—2014년9월재아원행후복강경하신상선종류절제술환자153례,수궤분위간예조( n=75)화대조조(n=78),간예조실시조기하상활동호리계화,술전대환자진행조기하상활동적건강지도,술후6 h대환자진행평고,부합조기하상활동조건자,8~24 h내안림상호리로경집행하상활동방안；대조조술후유환자자행결정하상활동시간。비교량조환자술후수차하상시간,채용서괄상황량표( GCQ)진행서괄도평개。결과간예조환자술후하상시간위(12.8±5.0) h,대조조위(27.9±11.8) h,량조비교차이유통계학의의(t=10.233,P<0.01)。간예조술후정체서괄도평분(89.2±12.4)분,대조조(73.5±10.4)분,량조비교차이유통계학의의(t=8.498,P<0.01)。결론술후조기하상활동능유효개선후복강경하신상선종류절제술환자적서괄상황,유리우환자강복。
Objective To investigate the effects of early ambulation on general comfort of patients undergoing retroperitoneal laparoscopic adrenalectomy. Methods From July 2013 to September 2014, 153 patients in our hospital, who underwent retroperitoneal laparoscopic adrenalectomy were randomly divided into control (n=78) and experimental groups (n=75). Early ambulation intervention was taken in the experimental group. Concretely, the patients were educated with early ambulation knowledge before operation, then they were evaluated for early ambulation 6 hours post operation. Finally, the qualified patients received early ambulation intervention and executed the corresponding ambulation program 8-24 hours after operation. Whereas, patients in the control group could decide their ambulation time all by themselves. Simultaneously, the time of first ambulation was compared between two groups and general comfort questionnaires ( GCQ ) were applied to evaluate the comfort status of the patients. Results The time of first ambulation was ( 12. 8 ± 5. 0 ) h in experimental group while it was (27. 9 ± 11. 8)h in the control group (t=10. 233,P<0. 01). The GCQ score post surgery in the experimental group was (89. 2 ± 12. 4), which was significantly higher than (73. 5 ± 10. 4) in the control group ( t = 8. 498, P < 0. 01 ). Conclusions Early ambulation of patients undergoing retroperitoneal laparoscopic adrenalectomy can effectively improve their general comfort status and promote their rapid recovery.