The influence of quantified goal-based activities on the activity management of gynecological laparoscopic patients
基于量化式目标的活动对妇科腹腔镜术后患者活动管理的影响探究

摘要

目的 探究基于量化式目标的活动对子妇科腹腔镜术后患者活动管理的影响。方法 选取我院妇科166例进行妇科腹腔镜术后患者为研究对象，随机分为参照组和研究组。其中参照组83例患者实施常规术后活动管理，研究组83例患者实施量化式目标的术后活动管理，对比2组患者术后治疗的依从性、术后并发症发生情况、术后恢复相关时间（首次肛门排气时间、首次下床活动时间、住院时间）、患者满意度。结果 参照组术后恢复情况和治疗依从性均不如研究组，且患者手术结束后并发症发生率高于研究组，差异明显（P＜0.05）。研究组患者手术结束后1天和2天 的 QoR－40评分明显较高（P＜0.05）。研究组的患者满意度均高于参照组（P＜0.05）。结论 量化式目标的术后活动管理，能提高妇科腹腔镜术后患者的治疗依从性，提高术后恢复质量，缩短住院时间，提高患者满意度。

Abstract

Objective To explore the effect of quantified goal-based activities on the activity management of patients after laparoscopic surgery.
Methods A total of 166 patients who underwent laparoscopic surgery in our hospital were selected as the study objects and randomly divided into the reference group and the study group. Among them, 83 patients in the reference group received routine postoperative activity management, and 83 patients in the study group received quantified target postoperative activity management. The postoperative treatment compliance, postoperative complications, postoperative recovery time (time of first anal exhaust, time of first getting out of bed, length of hospital stay) and patient satisfaction of the two groups were compared.
Results The recovery and treatment compliance of the reference group were worse than that of the study group, and the incidence of complications after surgery was higher than that of the study group, the difference was significant (P < 0.05). The QoR-40 scores were significantly higher 1 and 2 days after surgery in the study group (P < 0.05). The satisfaction of patients in the study group was higher than that in the reference group (P < 0.05).
Conclusion   Quantitative target postoperative activity management can improve the treatment compliance, improve postoperative recovery quality, shorten hospital stay and improve patient satisfaction after gynecological laparoscopic surgery.