HIỆU QUẢ SỬ DỤNG NỊT BỤNG SỚM TRONG HỖ TRỢ NGƯỜI BỆNH SAU PHẪU THUẬT VÙNG BỤNG

Abstract

Introduction: Major abdominal surgery carries significant risks of complications such as atelectasis, pneumonia, ileus, surgical site infection, and pain, which prolong hospitalization and reduce patients' quality of life. Abdominal binders are considered a useful tool to support movement, alleviate pain post-surgery, and provide comfort to patients. However, no studies have evaluated the effectiveness of abdominal binders in pain reduction and early mobility improvement after abdominal surgery in Vietnam. This study aims to assess the efficacy and comfort of using abdominal binders after major abdominal surgery. Methods: A pilot randomized controlled clinical trial. Results: The study included 61 patients, with 31 using abdominal binders and 30 not using them. Results showed that pain levels assessed by SF-MPQ S, SF-MPQ A, VAS, and PPI on postoperative days 2 and 4 were significantly lower in the binder group compared to the control group (p<0.05). There was no statistically significant difference in the 6-minute walk distance before and after surgery between the two groups. Patient comfort levels when wearing the binder on postoperative days 2 and 4 were 4.2 and 4.3, respectively (between comfortable and very comfortable). No complications such as skin irritation, drain obstruction, or surgical site infection were reported in the binder group. Conclusion: This study indicates that using abdominal binders after major abdominal surgery effectively reduces pain without causing discomfort to patients. Abdominal binders are a safe and effective pain management tool during the postoperative recovery process, without causing serious complications.