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一种辅助干预措施对腹部手术患者术后护理的疗效。

Efficacy of an assistive intervention for abdominal surgery patients in postoperative care.

作者信息

Babski-Reeves Kari L, Tran Grace M

机构信息

Grado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, Virginia 24061, USA.

出版信息

Disabil Rehabil Assist Technol. 2006 Jun;1(3):191-7. doi: 10.1080/17483100612331392844.

Abstract

PURPOSE

The objective of this study was to assess efficacy of a bed-assistive device during at-home recovery through self-reports of self-perceived recovery status and oral pain medication usage.

METHODS

A case-control design was used to determine differences in self-perceived recovery measures and pain medication according to surgical procedure, device/no device, and age strata. Fifteen female patients undergoing abdominal hysterectomy (n = 6) or Cesarean-section (n = 9) procedures were recruited. Stratified sampling techniques were used to assign patients to the control (n = 8; age, 34.0 [6.3] years) and devices groups (n = 7; 40.7 [12.4] years). Both groups completed 12 questionnaires on perceived recovery status, activities of daily living, and pain medication usage over a five-week recovery period. Device group patients received training on device usage prior to surgery. Repeated measures ANOVA were used to analyse data and compare data across experimental groups.

RESULTS

In general, device users reported higher levels of energy, less pain interference, lower perceived pain, less reliance on pain medication and returned to activities of daily living faster than the control group.

CONCLUSION

Self-assistive device usage provides significant subjective and objective improvements during at-home recovery and promotes patient independence.

摘要

目的

本研究的目的是通过自我感知恢复状态的自我报告和口服止痛药的使用情况,评估一种辅助卧床设备在家庭康复期间的效果。

方法

采用病例对照设计,根据手术程序、使用/未使用设备以及年龄分层,确定自我感知恢复指标和止痛药使用情况的差异。招募了15名接受腹部子宫切除术(n = 6)或剖宫产术(n = 9)的女性患者。采用分层抽样技术将患者分为对照组(n = 8;年龄,34.0 [6.3]岁)和设备组(n = 7;40.7 [12.4]岁)。两组在为期五周的康复期内完成了12份关于感知恢复状态、日常生活活动和止痛药使用情况的问卷。设备组患者在手术前接受了设备使用培训。采用重复测量方差分析来分析数据并比较各实验组的数据。

结果

总体而言,使用设备的患者比对照组报告了更高的能量水平、更少的疼痛干扰、更低的感知疼痛、更少依赖止痛药,并且更快地恢复了日常生活活动。

结论

使用自助设备在家庭康复期间能带来显著的主观和客观改善,并促进患者的独立性。

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