消化器外科手術後患者の離床と歩行自立状況および歩行自立遅延例の特徴  [in Japanese] The Progress of Early Mobilization and Factors Related to Delay Early Mobilization in Patients Following Abdominal Surgery  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

【目的】消化器外科手術後において離床と歩行自立の進行状況および歩行自立が遅延する症例の特徴を検討した。【方法】対象は当院消化器外科にて開腹手術を施行した275例であった。理学療法は離床や排痰を行い,離床プログラムは手術後1日目に歩行開始,2日目に歩行自立を目標として行った。【結果】対象の歩行開始日は平均2.0日であり,歩行自立日は平均3.3日であった。手術後2日目までに歩行自立に至った者は40.7%,4日目には82.9%であった。手術後4日目までに歩行自立に至らなかった遅延群は,4日目までに歩行自立に至った順調群と比較して有意に高齢であり,緊急手術の割合が高く,手術中の出血量が多かった。歩行自立を遅延させた理由は創部痛などが挙げられた。【結論】当院の消化器外科手術後の離床プログラムでは,82.9%の患者が手術後4日目で歩行は自立した。4日目までに歩行を自立しない患者は,高齢者や緊急手術の割合が高く,遅延理由は創部痛が多いことが分かった。

<b>Purpose</b>: The purpose of this study was to investigate the progress of early mobilization and to clarify the characteristic of patients who delayed early mobilization following abdominal surgery. <br><b>Methods and Results</b>: Targets for mobilization were initiation of walking by postoperative day 1 and independent walking by postoperative day 2. For 275 patients who underwent abdominal surgery, mean time for initiation of walking and independently walking was 2.0 days and 3.3 days, respectively. Independent walking was achieved by 40.7% of patients by day 2 and 82.9% of patients by day 4. Characteristics of patients delayed independent walking compared with those who did not were advanced age, hemorrhage, and emergency surgery. The reason given for delay in independent walking was pain. <br><b>Conclusion</b>: We concluded that 82.9% of patients could walk independently by day 4 following abdominal surgery. Patients who delayed walking independence had advanced age, had undergone emergency surgery, and gave pain as the reason to delay.

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 37(5), 364-369, 2010

    Japanese Society of Physical Therapy

References:  17

Codes

Page Top