Backgroud Early mobilization after surgery can promte recovery, however, in clinical practice, early mobility level of patients after upper abdominal surgery is low, which is affected by a variety of factors and is detrimental to the recovery of patients.
Objective To evaluate the early mobility level among patients after upper abdominal surgery and investigate the releated factors, and provide evidence for making early mobilization program.
Methods A total of 195 patients undergoing upper abdominal surgery in the First Medical Center of Chinese PLA General Hospital from October 2019 to May 2020 were investigated on the mobility level on the first day after surgery with general and disease information questionnaire, JH-HLM mobility level questionnaire, and the 18 influencing factors including gender, age, diagnosis, concomitant disease, BMI, ECOG score, operation time, operation site, blood loss, whether gastric tube was indwailed, the number of abdominal drainage tubes, hemoglobin, albumin, white blood cells, resting pain, activity pain, early fatigue, nausea and vomiting were analyzed.
Results The median JH-HLM score of patients on the first day after upper abdominal surgery was 3, 52.3% patients were confined to bed activity, which was defined as low level. Age (
B=-0.025
S \bar x 
=0.008;
P=0.002), whether to indwelling gastric tube (
B=0.746
S \bar x =0.209;
P＜0.001), activity pain level (
B=-0.590
S \bar x =0.067;
P＜0.001), early fatigue level (
B=-0.211
S \bar x =0.052;
P＜0.001), nausea and vomiting level (
B=-0.735
S \bar x =0.147;
P＜0.001) were significantly associated with early mobilization.
Conclusion Patients receiving upper abdominal surgery have low level of early mobility. Medical staff need to conduct individualized assessment and intervention on patients when making postoperative activity programmes, and attention should be paid to relieving discomforts of pain, fatigue, nausea and vomiting in order to accelerate recovery of patients.
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