Qian Zhu1, Jiaodi Yang1, Yan Zhang1, Xiaojie Ni1, Pengfei Wang2. 1. Transplantation Center, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang Province, China. 2. Department of General Surgery, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang Province, China.
Abstract
OBJECTIVE: To explore the effectiveness of early mobilization intervention on the rehabilitation of patients after renal transplantation. METHODS:Seventy renal transplant patients treated in our hospital were designated as the control group (n=35, conventional perioperative management) and the intervention group ((n=35, earlymobilization intervention based on the concept of fast track surgery (FTS)). Clinical indicators (duration of indwelling drainage tube/urethral catheter, time to first ambulation and hospital stay), gastrointestinal function indicators (time to return of bowel sound, flatus and defecation postoperatively), complications (postoperative incision infection, bleeding, abdominal distension and lung infection) and activities of daily living (ADL) were compared between the two groups. RESULTS:Shorter duration of indwelling drainage tube/catheter, and earlier ambulation and shorter hospital stay were observed in the intervention group than in the control group. The times to return of bowel sound, flatus and defecation were all advanced, and patient satisfaction was increased in the intervention group as well (all P<0.05). Two months after discharge, the scores of ADL in both groups were lower than those before intervention, and those in the intervention group were lower than those in the control group (all P<0.05). CONCLUSION:FTS-based early mobilization intervention greatly promotes postoperative recovery of patients and improves their ADL. AJTR
RCT Entities:
OBJECTIVE: To explore the effectiveness of early mobilization intervention on the rehabilitation of patients after renal transplantation. METHODS: Seventy renal transplant patients treated in our hospital were designated as the control group (n=35, conventional perioperative management) and the intervention group ((n=35, early mobilization intervention based on the concept of fast track surgery (FTS)). Clinical indicators (duration of indwelling drainage tube/urethral catheter, time to first ambulation and hospital stay), gastrointestinal function indicators (time to return of bowel sound, flatus and defecation postoperatively), complications (postoperative incision infection, bleeding, abdominal distension and lung infection) and activities of daily living (ADL) were compared between the two groups. RESULTS: Shorter duration of indwelling drainage tube/catheter, and earlier ambulation and shorter hospital stay were observed in the intervention group than in the control group. The times to return of bowel sound, flatus and defecation were all advanced, and patient satisfaction was increased in the intervention group as well (all P<0.05). Two months after discharge, the scores of ADL in both groups were lower than those before intervention, and those in the intervention group were lower than those in the control group (all P<0.05). CONCLUSION:FTS-based early mobilization intervention greatly promotes postoperative recovery of patients and improves their ADL. AJTR