在腹壁手术前实施预康复计划:试点和可行性研究
Gaëtan-Romain Joliat1,2, Sonia Krouk3, Eddy Cotte3
1Department of General Surgery and Surgical Oncology, Centre Hospitalier Universitaire Lyon Sud, 165, chemin du Grand Revoyet, Pierre-Bénite, 69495, France. gaetan.joliat@gmail.com.
腹壁外科手术 (AWS) 的预康复计划显示,对低压力运动的坚持很高. 肥胖患者可能需要有针对性的支持,以改善他们对这种手术准备的参与.
科学领域:
- 手术方面的创新.
- 优化患者康复,优化患者康复.
- 康复科学是康复的科学.
背景情况:
- 预康复可能会提高腹壁手术 (AWS) 的术后结果,但数据有限.
- 在临床环境中实施了一项多式预康复计划,包括低压腹部炼.
- 评估计划可行性和遵守性对于优化患者护理至关重要.
研究的目的:
- 描述AWS的新型预康复计划的特点.
- 为了评估这个程序中的低压腹部运动的坚持率.
- 确定影响守的因素,特别是在肥胖患者中.
主要方法:
- 对从2021年10月到2024年10月连续接受AWS治疗的103名患者的回顾性分析.
- 预康复计划包括营养,身体 (包括低压运动) 和心理支持.
- 坚持被定义为执行规定的压力下降炼的患者比例.
主要成果:
- 在93%的患者中 (96/103) 观察到高坚持低压腹部运动.
- 中线和回肌网修复是常见的手术指示.
- 与非肥胖患者 (97%,p=0.025) 相比,肥胖患者的坚持率显著降低 (85%).
结论:
- 为AWS实施预康复计划是可行的,并证明了患者的高度坚持.
- 低压腹部炼被大多数患者容忍得很好,并且高度遵守.
- 可能需要有针对性的策略来提高接受AWS的肥胖患者的坚持.
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