Journal of Shanghai Jiao Tong University (Medical Science) >

2023 , Vol. 43 >Issue 9: 1201 - 1210

DOI: https://doi.org/10.3969/j.issn.1674-8115.2023.09.015

Clinical nursing

Current status and influencing factors of early mobilization of patients undergoing laparoscopic radical resection of colorectal cancer

  • Chen LUO ,
  • Ling SHEN ,
  • Chuanwei WANG ,
  • Jiani GU ,
  • Jin WANG ,
  • Li ZHAO ,
  • Shuai HUANG
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  • 1.Department of General Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
    2.Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
    3.School of Energy and Power Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China
    4.Department of Nursing, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
    5.Department of Colorectal Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
SHEN Ling, E-mail: shenling@xinhuamed.com.cn.

Received date: 2023-01-29

  Accepted date: 2023-05-23

  Online published: 2023-09-28

Supported by

Key Nursing Talents Project of Xinhua Hospital, Shanghai Jiao Tong University School of Medicine(xhlgg009)

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Abstract

Objective ·To investigate the status of early mobilization and influencing factors of the patients undergoing laparoscopic radical resection of colorectal cancer (CRC). Methods ·The convenience sampling method was used to select patients undergoing laparoscopic radical resection of CRC in the Department of Colorectal Surgery and Department of General Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine from January to December, 2022. The patients′ general information, disease-, surgery- and postoperation-related information, and the situation of postoperative early mobilization were collected by bedside interview and electronic medical record system at 24 h, 48 h and 72 h after surgery. The influencing factors were analyzed by univariate analyses and binary Logistic regression. Results ·A total of 277 patients were included. Within 24 h after surgery, 47 patients got out of bed with the early mobilization rate of 16.97%. The walking distance of these patients was 55.46 (18.28, 145.60) m within 24 h after surgery, with a minimum of 2.60 m and a maximum of 803.68 m. The average scores of Brown rating of mobility within 24 h, >24－48 h, and >48－72 h after surgery were 2 (0, 4) points, 8 (0, 10) points, and 8 (8, 10) points, which respectively belonged to the low level, moderate level, and moderate level. There were statistical differences in age, preoperative hemoglobin level, anesthesia duration, and the number of indwelling catheters between the early mobilization group and the non-early mobilization group (all P<0.05). Initial exhaust time, initial defecation time and postoperative length of stay of the early mobilization group were significantly shorter than those of the non-early mobilization group (all P<0.05). There were no postoperative complications in the early mobilization group, while the postoperative complications occurred in 11 patients in the non-early mobilization group with the incidence of complications of 4.78%. Binary Logistic regression analysis showed that age≥70 years old, low preoperative hemoglobin level and long anesthesia duration had significant influence on postoperative early mobilization (all P<0.05). Conclusion ·Early mobilization of patients after laparoscopic radical resection of CRC can significantly accelerate postoperative rehabilitation, but the current status of early mobilization needs to be improved. Age, preoperative hemoglobin level and anesthesia duration are influencing factors of early mobilization.

Key words： early mobilization; colorectal cancer (CRC); laparoscopic surgery; enhanced recovery after surgery (ERAS); influencing factor

Cite this article

Chen LUO , Ling SHEN , Chuanwei WANG , Jiani GU , Jin WANG , Li ZHAO , Shuai HUANG . Current status and influencing factors of early mobilization of patients undergoing laparoscopic radical resection of colorectal cancer[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2023 , 43(9) : 1201 -1210 . DOI: 10.3969/j.issn.1674-8115.2023.09.015

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