上海护理2025，Vol.25Issue(3)：17-23,7.DOI:10.3969/j.issn.1009-8399.2025.03.004
基于证据的结直肠癌患者围手术期早期活动方案构建及效果评价
Construction and Effect Evaluation of an Evidence-based Early Perioperative Ambulation Plan for Colorectal Cancer Patients
摘要
Abstract
Objective To construct an evidence-based early perioperative ambulation plan for colorectal cancer patients and evaluate its effects.Methods Based on evidence-based practice,the best evidence of early perioperative ambulation for colorectal cancer was applied to observe whether the set indicators were achieved after the application.A total of 84 patients who underwent colorectal tumor resection from April to September 2023 in a tertiary hospital in Shanghai were selected by convenience sampling.They were divided into the control group(n=42)and the observation group(n=42)according to the time of admission.For those patients undergoing colorectal tumor surgery,the control group was given routine postoperative ambulation care whereas the observation group was intervened with an evidence-based early ambulation plan.The early postoperative ambulation compliance,recovery,mobility and incidence of complications were compared between the two groups.Results In the observation group,the early postoperative ambulation compliance was 73.8%,the time to first ambulation was(43.14±4.06)h,the time to first anal exhaust was(55.21±6.77)h,the length of hospital stay was(9.79±1.72)d,the score of ambulation was(43.14±4.06)points,the score of exercise self-efficacy was(26.86±3.02)points and the incidence of complications was 4.76%;these results were all superior to those in the control group(P＜0.05).Conclusion This evidence-based early perioperative ambulation plan is worthy of promotion as it can promote postoperative rehabilitation and improve clinical outcomes in patients with colorectal cancer.关键词
结直肠肿瘤/围手术期/早期活动/循证方法/效果评价Key words
Colorectal Cancer/Perioperative period/Evidence-based Method/Early Activity/Impact As-sessment分类
临床医学引用本文复制引用
岳莺,顾艳荭,雷卫爱,胡德雪,汪莉莉..基于证据的结直肠癌患者围手术期早期活动方案构建及效果评价[J].上海护理,2025,25(3):17-23,7.基金项目
上海市闵行区自然科学研究课题(2021MHZ038) （2021MHZ038）
复旦大学-复星护理科研基金项目(FNF202161). （FNF202161）
