Early mobilization intervention for patient rehabilitation after renal transplantation.

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.