Developing nursing innovation to promoting early mobilization for cholangiocarcinoma patients who having critically ill after surgery
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Keywords:
cholangiocarcinoma post hepatectomy, critically ill patients, early mobilizationAbstract
Most post-operative cholangiocarcinoma (CCA) patients with critically ill were dependent on mechanical ventilators, retained surgery drains, had large post-operative abdominal wounds, and suffered pain symptom. These factors were barriers to early mobilization, which in turn, become risk of many complications, (such as flatulence, constipation, lung atelectasis, pneumonia, and deep vein thrombosis), leading to delayed post- operative recovery. This nursing innovation is developed to promote early mobilization for post-operative CCA patients with critically ill. The innovation consisted of three parts: 1) a tool to assess readiness and monitor patients during movement training, 2) promotion of mobility, and 3) outcome evaluation. After using the innovation in 10 CCA patients. The results indicated that post-operative CCA patients with critically ill, who received this innovation, had early mobilization, was safe while having body movement, and had no complication.
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