EARLY MOBILIZATION IN POSTOPERATIVE GASTROINTESTINAL PATIENTS AT THE GENERAL SURGERY DEPARTMENT – HA NOI MEDICAL UNIVERSITY HOSPITAL

Nguyen Dang Hung 1,2, Tran Minh Anh 3,, Pham Phuong Anh 1, Nguyen Thi Thu Trang 4, Pham Van An 3
1 Department of General Surgery, Hanoi Medical University Hospital, Ha Noi, Viet Nam
2 Hanoi Medical University, Ha Noi, Viet Nam
3 Phenikaa University Hospital, Ha Noi, Viet Nam
4 Department of Coloproctology And Pelvic Floor Surgery, Hanoi Medical University Hospital, Ha Noi, Viet Nam

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Tóm tắt

Early mobilization is a key element of an enhanced recovery after surgery (ERAS) program. To describe the current status of early mobilization in postoperative gastrointestinal patients at the General Surgery Department, Hanoi Medical University Hospital. The cross-sectional study was conducted on 258 patients who underwent scheduled gastrointestinal surgery from May to August 2024, tracking their mobilization process. The rate of patients starting to mobilize within 24 hours was 99.2%, with an average of mobilization duration of 41.3 ± 12.4 minutes. The most regular exercise was in-bed limb exercise, presenting for 98.1% with an average duration of 12.7 ± 5.4 minutes. At day 6 postoperatively, 1.2% of patients had still not practiced walking in the corridor; the average mobilization duration in the group with postoperative wound drainage was less than in the non-drainage group, which was 73.6 ± 17.5 minutes and 79.9 ± 22.3 minutes, respectively (p<0.05). The cause for refusal of early mobilization was fear of pain (77.5%); followed by fear of the incision podium (72.1%). Although the initiation rate of early mobilization was high, duration remained far below ERAS targets. Some supportive strategies should be implemented to close the gap and translate initiation into clinically meaningful exposure.

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Tài liệu tham khảo

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