The Factors Influencing Early Ambulation in Patients With Gastrointestinal Neoplasms: A Mixed Study

  • 0Author Affiliations: School of Nursing, Fujian Medical University, Fuzhou (Dr Liu and Mrs Z Wu); and Zhongshan Hospital Xiamen University, Xiamen, Fujian, China (Mrs Z Wu, Mrs Y Huang, Mrs Ye, Mrs Ma, Mrs J Huang, and Mrs L Wu).

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Summary

This summary is machine-generated.

Early ambulation is crucial for gastrointestinal neoplasm patients

Area Of Science

  • Oncology
  • Gastroenterology
  • Rehabilitation Medicine

Background

  • Early ambulation significantly enhances postoperative recovery for patients with gastrointestinal neoplasms.
  • Patient compliance with early ambulation protocols remains a significant challenge.

Purpose Of The Study

  • To investigate the factors influencing early ambulation in gastrointestinal neoplasm patients.
  • To explore patient experiences related to early ambulation.
  • To inform the development of targeted intervention strategies.

Main Methods

  • A convergent mixed-method design, guided by the Health Belief Model.
  • Quantitative analysis of demographic, awareness, self-efficacy, treatment, and psychosocial data from 405 patients.
  • Qualitative semi-structured interviews with 16 patients, followed by data integration.

Main Results

  • Key influencing factors identified: age, education, exercise habits, nutritional status, pulmonary disease, activity awareness, and social support (P < .05).
  • Qualitative themes: perceived threat, barriers/benefits, cues to action, self-efficacy, and patient needs.
  • Perceptions of early ambulation and social support significantly impacted mobility.

Conclusions

  • Patient perceptions, social support, perceived benefits and barriers, age, education level, and humanized nursing are critical for early postoperative movement.
  • Further research is needed on self-efficacy and behavioral cues (e.g., pulmonary disease, nutritional, and pain status).
  • Recommendations include reinforcing perceived severity/benefits, enhancing social support, addressing barriers, and tailoring health education.

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