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Objective To explore the application effect of nutritional pre-rehabilitation in perioperative period of patients with gynecological malignant tumor surgery. Methods A total of 100 patients with gynecological malignant tumors who underwent open surgery in the hospital from January 2022 to July 2023 were selected and divided into control group and experimental group by random number table method, with 50 cases in each group. The patients in the control group were treated with stepwise rapid rehabilitation diet management and nursing. The patients in the experimental group were treated with nutritional pre-rehabilitation nursing on the basis of the control group. The serum total protein and albumin were compared between the two groups at the time of admission, the second day after operation and the fifth day after operation. The incidence of poor wound healing, postoperative malnutrition, postoperative hypoproteinemia, intestinal obstruction, urinary tract infection, deep venous thrombosis of lower extremity, pneumonia and pressure injury, the first anal exhaust time, the first time to get out of bed and the hospitalization time were compared between the two groups. Results The serum total albumin and albumin values of the two groups of patients on admission, on the 2nd and 5th day after operation decreased first and then increased. The serum total protein and albumin on the 2nd and 5th day after operation were significantly different from those on admission (P<0.001). There was no significant difference in serum total protein value between the two groups on the 2nd day after operation and the 5th day after operation (P > 0.05) . The albumin values of the two groups on the second day after operation were significantly different from those on the fifth day after operation (P < 0.05) The serum total albumin and albumin values of the experimental group were higher than those of the control group on the 2nd and 5th day after operation, and the differences were statistically significant (P < 0.05) . The incidence of poor wound healing, postoperative malnutrition and postoperative hypoproteinemia in the experimental group were lower than those in the control group, the differences were statistically significant (P < 0.05) . There were no significant differences in postoperative urinary tract infection, lower extremity deep venous thrombosis, pneumonia and pressure injury between the two groups (P > 0.05) The first anal exhaust time, first ambulation time and hospitalization time in the experimental group were shorter than those in the control group, and the differences were statistically significant (P < 0.05) . Conclusion Nutritional pre-rehabilitation can improve perioperative nutrition, improve prognosis, reduce postoperative complications, shorten postoperative gastrointestinal function recovery time and hospitalization time, and accelerate patient recovery in patients with gynecological malignant tumors. [ABSTRACT FROM AUTHOR]

Objective The purpose of this study is to explore the promotion and obstacle factors of virtual reality technology in the pre-rehabilitation application of degenerative lumbar spine diseases. Methods The method is based on the Comprehensive Framework for Implementation Research (CFIR) and adopts a qualitative research method. Through purposive sampling, semi-structured interviews were conducted with 10 patients and 5 nurses using virtual reality devices in The Second Hospital of Tangshan, and the interview content was analyzed. Results The promoting factors for the implementation of pre-rehabilitation projects based on virtual reality technology in patients with degenerative lumbar spine diseases include relative advantages in innovation and communication in internal feature areas, urgency for change, and compatibility with existing workflows; Obstacle factors include innovation costs, design quality, and packaging in the field of innovation, collaborative relationships in external feature factors, incentive systems, and accessibility of knowledge and information in internal feature areas; Neutral factors include locations in the internal feature domain, implementation facilitators in the individual feature domain, and feedback and evaluation in the implementation process domain. Conclusion Virtual reality technology can promote better implementation of pre-rehabilitation for degenerative lumbar spine diseases, thereby reducing perioperative kinesiophobia, alleviating pain, and promoting rapid recovery; But it is important to choose appropriate and comfortable equipment to provide personalized, diversified, and gamified rehabilitation programs to overcome its obstacles. (目的 探讨虚拟现实技术在退行性腰椎疾病预康复中应用的促进和障碍因素。方法 以实施性研究综合框架(CFIR)为理论基础, 采用质性研究方法, 通过目的抽样, 对唐山市第二医院脊柱科10名应用虚拟现实设备的患者和5名护士进行半结构式访谈, 并对访谈内容进行分析。结果 基于虚拟现实技术预康复项目在退行性腰椎疾病患者中实施的促进因素包括创新领域中的创新相对优势及内部特征领域中的沟通、变革的迫切性和与现有工作流程相符的兼容性; 障碍因素包括创新领域中的创新成本及设计质量和包装, 外部特征因素领域的协作关系, 内部特征领域中的激励制度及知识和信息的可及性; 中性因素包括内部特征领域中的场所, 个体特征领域中的实施促进者, 实施过程领域中的反馈与评价。结论 虚拟现实技术可以促进退性腰椎疾病预康复更好的实施, 从而降低患者围手术期恐动程度, 减轻疼痛, 促进快速康复; 但要选择合适舒适的设备提供个性化、多元化、游戏化的康复项目以克服其障碍因素。)

Objective: To explore the effectiveness and feasibility of strengthening inspiratory muscle training program matching the preoperative waiting time for patients with valvular heart disease in China with limited resources in preventing postoperative pulmonary complications(PPCs). Method: Patients undergoing elective heart valve surgery were randomly divided into control group and intervention group, with 65 patients in each group. All the enrolled patients received a routine physical therapy program before surgery, and the intervention group received an additional 3 days of enhanced inspiratory muscle training program before surgery. The incidence of postoperative complications was recorded for all patients within 14 days after surgery, respiratory function and motor capacity (6-minute walking test) were tested for all patients on the day of admission and discharge, and the length of postoperative hospital stay was counted. Result: Compared with the control group, the incidence of PPCs was lower in the intervention group (OR 2.18, 95% CI 1.07—4.47, P=0.03), and the walking distance was longer (P=0.01). There was no statistical difference in lung function and length of hospital stay (P>0.05), and no adverse events occurred during training. There was no significant difference in general demographic characteristics between the two groups before treatment. The incidence of PPCs in the intervention group was lower than that in the control group (P< 0.05), and the 6minute walking distance at discharge was higher than that in the control group (P<0.05). There were no statistically significant differences in lung function and postoperative hospital stay between the intervention group and the control group (P>0.05), and no adverse events occurred during training. Conclusion: Enhanced inspiratory muscle training 3 days before surgery is safe and feasible in patients with elective heart valves and can reduce postoperative pulmonary complications and improve the level of motor function at discharge. [ABSTRACT FROM AUTHOR]

Objective To investigate the effects of preoperative pre-rehabilitation on postoperative gastrointestinal function, nutritional indicators, quality of life and adverse reactions in patients with gastric cancer. Methods A total of 66 patients who underwent radical gastrectomy for gastric cancer in the 901st Hospital of Joint Logistics Support Force of the CPLA from November 2019 to March 2022 were selected as the research subjects. The patients were divided into control group (n=35) and study group (n=31) by random number table method. The control group received routine preoperative preparation, and the study group received preoperative pre-rehabilitation. Postoperative gastrointestinal function recovery (first postoperative exhaust time, defecation time and the time to first oral feeding), serum nutritional indicators ［total protein (TP), albumin (Alb), prealbumin (PA) and hemoglobin (Hb)］, postoperative gastrointestinal adverse reactions during enteral nutrition, and the generic quality of life inventory-74 (GQOL-74) scores were compared between two groups. Results The time to first oral feeding, defecation recovery time and exhaust time in the study group after operation were significantly shorter than those in the control group (P