ผลของโปรแกรมการเคลื่อนไหวร่างกายโดยเร็วต่อการฟื้นตัวด้านการทำหน้าที่ของลำไส้หลังผ่าตัด 72 ชั่วโมงแรกในผู้ป่วยที่ได้รับการผ่าตัดช่องท้องแบบเปิด

Sunisa  Koesanthia; Kessiri  Wongkongkam; Suporn  Danaidutsadeekul; Thammasak  Thawitsri

Authors

Sunisa Koesanthia Faculty of Nursing, Mahidol University
Kessiri Wongkongkam
Suporn Danaidutsadeekul
Thammasak Thawitsri

Keywords:

open abdominal surgery, early mobiliity, bowel function recovery, postoperative patients

Abstract

Objective: To study the impact that an early mobility programme had on the post-operative bowel function recovery in open abdominal surgery patients during the frst 72 hours
Design: Quasi-experimental research
Methodology: The sample consisted of 50 major abdominal surgery patients treated at a tertiary hospital. Twenty-fve subjects were assigned into the control group, and the remainder into the experimental group. Whilst the control group received only standard nursing care, the experimental group participated in the early mobility programme, which was divided into 3 levels: 1) lying on the bed; 2) sitting; and 3) walking. Data collection tools comprised a demographic questionnaire, a disease and treatment record form, and a bowel function recovery assessment form. The data were analysed by using Chi-square test, Mann-Whitney U Test, Friedman Test, and Wilcoxon Signed Ranks Test.
Results: The experimental group showed a signifcantly higher increase in their average score on postoperative bowel function recovery on day 2 and day 3 than did the patients who received only standard nursing care (p < .001).
Recommendations: The early mobility programme could improve postoperative bowel function. Therefore, it is recommended that application of his programme start from the preoperative period and be exercised twice daily, for 20-30 minutes per session, to stimulate the patient’s postoperative mobility.

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