Observation on the effect of early out-of-bed activity quantification program on early rehabilitation after pancreaticoduodenectomy with P-loop gastrointestinal reconstruction
早期下床活动量化方案对胰十二指肠切除术行P袢重建消化道术后早期康复的效果观察

摘要

目的 探讨早期下床活动量化方案对胰十二指肠切除术行P袢重建消化道术后早期康复的效果。方法 在2021年7月到2023年12月，选取医院接受胰十二指肠切除术结合P袢消化道重建术的60例胰腺癌患者，随机分组，30例/组。对照组采取常规护理，研究组在常规护理的基础上应用早期下床活动量化方案。两组间比较术后疼痛评分、术后恢复时间、焦虑抑郁评分、自理能力评分。结果 在术后第1天到第3天，研究组对疼痛测评的分数比对照组低（P<0.05）。在手术后，两组间比较首次排气、首次排便、首次下床及住院的时间，研究组均更短（P<0.05）。护理后，研究组焦虑、抑郁分数比对照组低，其自理能力分数比对照组高，P<0.05。结论 在胰腺癌患者胰十二指肠切除术结合P袢消化道重建术护理中，应用早期下床活动量化方案能够减轻术后疼痛感，加快术后康复，有助于增强自理能力，减轻不良情绪。

Abstract

Objective To explore the effect of an early out-of-bed activity quantification program on early rehabilitation after pancreaticoduodenectomy with P-loop gastrointestinal reconstruction.
Methods From July 2021 to December 2023, 60 patients with pancreatic cancer who underwent pancreaticoduodenectomy combined with P-loop gastrointestinal reconstruction in the hospital were selected and randomly divided into two groups, with 30 cases in each group. The control group received routine care, while the study group received the early out-of-bed activity quantification program in addition to routine care. Postoperative pain scores, recovery time, anxiety and depression scores, and self-care ability scores were compared between the two groups.
Results From the first to the third day after surgery, the pain scores of the study group were lower than those of the control group (P < 0.05). After surgery, the time to first flatus, first defecation, first out-of-bed activity, and hospital stay were shorter in the study group than in the control group (P < 0.05). After nursing, the anxiety and depression scores of the study group were lower than those of the control group, and the self-care ability scores were higher (P<0.05).
Conclusion   In the nursing of pancreatic cancer patients undergoing pancreaticoduodenectomy combined with P-loop gastrointestinal reconstruction, the application of an early out-of-bed activity quantification program can reduce postoperative pain, accelerate postoperative recovery, enhance self-care ability, and alleviate negative emotions.