Pre-operative physiotherapy for elderly patients undergoing abdominal surgery.

IF 1 Q4 REHABILITATION

South African Journal of Physiotherapy Pub Date : 2022-01-01 DOI:10.4102/sajp.v78i1.1782

Rozelle Labuschagne, Ronel Roos

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引用次数: 1

Abstract

Background: Elderly patients report a decrease in function and activities of daily living following abdominal surgery. The objectives of our pilot study were to determine the effects of a single pre-operative physiotherapy session consisting of education and exercise on clinical and physical function outcomes in elderly patients.

Methods/design: A single-blind pilot randomised controlled trial evaluated clinical and functional outcomes of elderly patients following surgery in a private hospital in Pretoria, South Africa. The outcomes included length of hospital stay (LOS), postoperative pulmonary complications (PPC), first mobilisation uptime, DeMorton Mobility Index (DEMMI), 6-minute walk test (6MWT), Lawton-Brody's instrumental activities of daily living (IADL) and the Functional Comorbidity Index (FCI). Descriptive and inferential statistics were undertaken, and statistical significance was set at p ≤ 0.05.

Discussion: Twelve participants (n = 11 female [91.67%] and n = 1 [8.33%] male) with a mean age of 65.75 (±4.47) years were included. Most participants (n = 10, 83.33%) underwent lower abdominal laparotomy (n = 10, 83.33%). The median hospital LOS was n = 4 (IQR 3.25-4) days; walking distance at first mobilisation was 130 m (IQR (85-225), with intervention participants walking further (intervention: 177 m, IQR 100-242.50; control: 90, IQR 60 m - 245 m; p = 0.59). Recruitment was low, with only 10.95% referrals and 47.82% nonconsents.

Conclusion: A single physiotherapy session prior to surgery demonstrated a potential favourable change in elderly patients' mobility postoperatively; however, further research is necessary.

Clinical implication: A once-off pre-operative physiotherapy session could enhance recovery in elderly patients.

Trial registration: Pan African Clinical Trial Registry, PACTR201809874713904, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3593.

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老年腹部手术患者术前物理治疗。

背景:老年患者报告腹部手术后功能和日常生活活动下降。本初步研究的目的是确定由教育和锻炼组成的单一术前物理治疗对老年患者临床和身体功能结局的影响。方法/设计:一项单盲试点随机对照试验评估了南非比勒陀利亚一家私立医院老年患者手术后的临床和功能结局。结果包括住院时间(LOS)、术后肺部并发症(PPC)、首次活动正常时间、德摩顿活动指数(DEMMI)、6分钟步行测试(6MWT)、劳顿-布罗迪日常生活工具活动(IADL)和功能合并症指数(FCI)。进行描述性和推断性统计，p≤0.05为统计学显著性。讨论:纳入12例受试者(n = 11名女性[91.67%]，n = 1名男性[8.33%])，平均年龄65.75(±4.47)岁。大多数参与者(n = 10, 83.33%)接受了下腹部剖腹手术(n = 10, 83.33%)。医院LOS中位数为n = 4 (IQR 3.25-4)天;首次动员时步行距离为130 m (IQR(85-225))，干预参与者步行距离更远(干预:177 m, IQR 100-242.50;控制:90,IQR 60米- 245米;P = 0.59)。招聘很低，只有10.95%的推荐和47.82%的不同意。结论:术前单次物理治疗对老年患者术后活动能力有潜在的有利改变;然而，进一步研究是必要的。临床意义:术前一次性物理治疗可促进老年患者的康复。试验注册:泛非临床试验注册中心，PACTR201809874713904, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3593。

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来源期刊

South African Journal of Physiotherapy REHABILITATION-

CiteScore

1.70

自引率

9.10%

发文量

审稿时长

30 weeks