Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Department of Rehabilitation, Seoul National University Bundang Hospital, Seongnam, South Korea.
J Obstet Gynaecol Res. 2021 Jul;47(7):2544-2550. doi: 10.1111/jog.14807. Epub 2021 Apr 25.
To investigate whether the use of an activity tracker with feedback increases physical activity and is safe in patients who underwent a midline laparotomy for gynecologic disorders.
Patients who were planned to undergo a midline laparotomy for gynecologic diseases wore an activity tracker at baseline and from postoperative days 1-6. Patients in the experimental arm could monitor their step counts and were encouraged to achieve the individualized step-count goal daily. In contrast, patients in the control arm did not monitor their step-counts and received the usual encouragement for ambulation. The primary endpoint was the percentage of the average step-count at postoperative days 4-5 divided by the baseline activity count.
Seventy-three patients were randomized; 63 patients underwent a surgery and wore an activity tracker; 53 patients were evaluable for primary endpoint. The activity recovery rate was significantly higher in the experimental arm compared to the control arm (71% vs 41%, p < 0.01). However, the study arm was not significantly associated with the activity recovery rate in multivariate analysis. The brief pain inventory score, brief fatigue inventory score, day of first flatus, day of soft blend diet initiation, ileus incidence, and length of postoperative hospital stay were similar between arms. The incidence of wound dehiscence and other adverse events were similar between arms. There were no grade 3 of 4 adverse events.
The use of an activity tracker with feedback is safe and may increase physical activity in patients who have undergone major gynecologic surgery.
研究在因妇科疾病行正中切口开腹手术的患者中，使用带反馈的活动追踪器是否能增加身体活动量并确保安全。
计划因妇科疾病行正中切口开腹手术的患者在基线和术后第 1-6 天佩戴活动追踪器。实验组的患者可以监测自己的步数，并被鼓励每天达到个性化的步数目标。相比之下，对照组的患者不监测自己的步数，但会接受常规的活动促进建议。主要终点是术后第 4-5 天的平均步数除以基线活动计数的百分比。
共有 73 名患者随机分组；63 名患者接受了手术并佩戴了活动追踪器；53 名患者可用于评估主要终点。实验组的活动恢复率明显高于对照组（71%比 41%，p<0.01）。然而，在多变量分析中，研究组与活动恢复率无显著相关性。两组的简明疼痛量表评分、简明疲劳量表评分、首次排气时间、软质饮食起始时间、肠麻痹发生率和术后住院时间均相似。两组的伤口裂开发生率和其他不良事件发生率相似。无 3 级或 4 级不良事件。
使用带反馈的活动追踪器是安全的，并可能增加行大型妇科手术后患者的身体活动量。
