The Development of Nursing Program of Early Ambulation for Postoperative Elderly Patient
The Development of Nursing Program of Early Ambulation for Postoperative Elderly Patient
复制标题
老年患者术后早期下床活动护理方案的制定
DOI：
10.5630/jans1981.3.1_31
复制
发表时间：
1983
期刊：
影响因子：
--
通讯作者：
Y. Ishiguro
中科院分区：
文献类型：
--
作者：
C. Onishi;M. Kojima;K. Kazuma;Y. Ishiguro
This study is to be done prior to developping the nursing program which promote postoperative early ambulation safely and effectively for elderly patients, and to examine whether changes of respiration, circulation and muscle strength in the postoperative first ambulation are influenced by ages, postoperative days and benign or malignant diseases. 29 surgical patients with gastro-intestinal diseases aged 40years old to 80years old were investigated. Findings were as followings. Circulation; The changes of pulse rates, blood pressure and the pattern of ECG, and the complaints of general fatigue and floating feeling of body were appeared most in patients of seventies and eighties of ages , and of ambulation on from 5th to 7th postoperative day. Muscle strength; The longer the period to reach to the ambulation, the lesser the circumference of femoral muscles. The circumference of femoral muscles of patients with malignant diseases decreased more than that of patients with benign' diseases. Unsteadiness of feet was much complained by the patients above 60 years old, and the patients who ambulated late. Iは じめに め ざましい医学の進歩と老人の増加に伴なっ て高齢者に も手術適応範囲が拡大 されてきた。 加齢に伴ない臓器の萎縮や線維化,動 脈硬化な どの変化1)2)に よ り,予 備力の低下 した老人に とって手術侵襲は大きく,合 併症 を起こしやす