腹腔镜根治性膀胱切除术患者早期活动等级及影响因素研究

Early mobility levels in patients undergoing laparoscopic radical cystectomy:influencing factors

目的了解腹腔镜行根治性膀胱切除术患者术后早期活动现状及影响因素,为术后早期活动的开展提供参考。方法对92例膀胱癌腹腔镜下根治性膀胱切除术患者,评估术后24h内活动情况,分析早期活动等级的影响因素。结果71.7%的患者术后早期处于低活动等级水平,其中50.0%处于卧床休息状态;合并症、术前活动水平是根治性膀胱切除术患者术后早期活动等级的主要影响因素(P<0.05,P<0.01)。结论根治性膀胱切除术患者术后早期活动水平较低,需对患者进行个性化评估和干预,尤其关注术前活动水平和合并症情况。

Objective To investigate early mobility levels of patients undergoing laparoscopic radical cystectomy,and analyze the influencing factors.Methods A convenience sample of 92 patients receiving laparoscopic radical cystectomy were enrolled and their mobility within 24 hours after operation were assessed and,and the influencing factors of early mobility level were analyzed.Results Totally,71.7%patients had low level of mobility,of which 50.0%were confined to bed rest.Comorbidity and preoperative activity level were the influencing factors of early mobility level after operation(P<0.05,P<0.01).Conclusion Patients receiving radical cystectomy have low level of early mobility after operation.Medical staff need to conduct individualized assessment and intervention on patients,and special attention should be paid to their preoperative activity level and comorbidity.