Cerrahi girişimlerden sonra erken ve hedefe yönelik mobilizasyon: Derleme

İnci Kirtil, Nevin Kanan
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Abstract

Early mobilization, which still has no standard definition, is an important component of enhanced recovery after all surgical interventions. By providing early and targeted mobilization, many postsurgical complications can be prevented, and the recovery period and hospital stay can be shortened. However, there are many obstacles reported by both healthcare team members and patients in the achievement of early and targeted mobilization. In addition, there is currently no strong evidence to guide clinical practice in this context. The establishment of mobilization programs specific to surgical patients in healthcare institutions, informing patients about the mobilization process in the preoperative period, determining step goals, promoting motivation, monitoring the number of steps, and encouraging patients to keep a mobilization diary are among the practices that can be implemented to ensure early and targeted mobilization. It is also underlined that early mobilization involves multidisciplinary teamwork. As healthcare professionals, nurses are an important member of the multidisciplinary team in the implementation of early and targeted mobilization programs to maintain the quality of care after surgery. This review aimed to highlight the roles and responsibilities of surgical nurses in early and targeted mobilization practices after surgery and the importance of early and targeted mobilization and discuss the barriers encountered in achieving early and targeted mobilization and the recommendations of current guidelines on this subject.
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外科手术后早期和有针对性的康复训练:综述
早期动员仍然没有标准定义,但它是所有外科手术后促进康复的重要组成部分。通过提供早期和有针对性的动员,可以预防许多术后并发症,缩短康复期和住院时间。然而,据医疗团队成员和患者报告,在实现早期和有针对性的动员方面存在许多障碍。此外,目前也没有强有力的证据来指导这方面的临床实践。在医疗机构中建立专门针对手术患者的动员计划,在术前告知患者动员过程,确定步数目标,提高患者的积极性,监测步数,鼓励患者记录动员日记,这些都是确保早期和有针对性动员的可行方法。此外,还需要强调的是,早期动员涉及到多学科的团队合作。作为医护人员,护士是多学科团队中实施早期和有针对性的动员计划以保持术后护理质量的重要成员。本综述旨在强调外科护士在术后早期和目标性动员实践中的角色和责任,以及早期和目标性动员的重要性,并讨论在实现早期和目标性动员过程中遇到的障碍以及当前指南对此主题的建议。
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