Effects of preoperative walking on bowel function recovery for patients undergoing gynecological malignancy laparoscopy. Issue 3 (19th July 2022)

• Record Type: Journal Article
• Authors: Xia, Xiaoli; Ding, Guirong; Shi, Lingyun; Wang, Meixiang; Tian, Jing
• Is Part Of: Precision medical sciences. Volume 11:Issue 3(2022)
• Page Start: 122
• Page End: 129
• Publication Date: 2022-07-19
• Subjects: adverse reactions -- gastrointestinal function -- gynecologic malignancy -- laparoscopic surgery -- preoperative walking; Personalized medicine -- Periodicals; Cancer -- Treatment -- Periodicals; Oncology -- Periodicals; 616.994
• DOI: 10.1002/prm2.12071
• Languages: English
• ISSNs: 2642-2514

Abstract

Abstract: To investigate effects of preoperative walking on bowel function recovery for patients after gynecological malignancy laparoscopy. The 156 patients with gynecoligical cancers after laparoscopy in Jiangsu from June 2020 to September 2021 were selected as research subjects, who were randomized into an experimental group ( n = 78) and a control group ( n = 78). Both of the groups received routine nursing care during the study. In addition, the experimental group underwent low‐moderate intensity walking exercise 1 week before surgery. The bowel function (including the time of first defecation, the time of first passage of flatus/"gas‐out time" and the recovery time of bowel sound), adverse events (nausea, vomiting abdominal distension and abdominal pain), as well as postoperative complications (ileus symptoms, deep venous thrombosis, infections and etc.), were measured daily. The time of first defecation, the time of first passage of flatus and the recovery time of bowel sound in experimental group were less than the control group after treatment ( p < .05). Repeated measures analysis of variance showed that the adverse reactions (nausea, vomiting, abdominal distension, abdominal pain, and ileus symptoms) of the experimental group were weaker than those of the control group at different time points after the intervention ( p < .05). Walking before surgery can effectively promote the recovery of bowel function and reduce the adverse reactions, as well as the risk of ileus related to gynecological malignancy laparoscopy. Abstract : After intervention, the first postoperative exhaust time, first defecation time and bowel sound recovery time of the experimental group were shorter than those of the control group, with statistically significant differences ( p < .01). The scores of nausea, vomiting, abdominal distension, and abdominal pain at different time points of the two groups were analyzed by repeated measurement ANOVA. The data met the results of Mauchly's sphericity test ( p > .05). The results of the analysis showed that the three symptom scores were statistically significant between the two groups ( p < .001), and the three symptom scores were statistically significant within the different time groups ( p < .001). The interaction between group and time was also statistically significant ( p < .001). After the intervention, the incidence of postoperative intestinal obstruction in the experimental group was significantly lower than that in the control group ( p < .001). There was no significant difference in the incidence of deep venous thrombosis, incision infection, and abdominal infection between the two groups ( p < .001).