| Summary: | 碩士 === 中國醫藥大學 === 護理學系碩士班 === 104 === Purpose：To explore the related factors of early ambulation after cesarean section, and understand the influence of early ambulation after cesarean section on fatigue, pain , abdominal distention and type of feeding.
Background：Previous research suggests that early ambulation after surgery can prevent many complications after surgery, and there are many benefits to patients. In Taiwan, nearly one-third of the pregnant women would choose cesarean section,but most of the women after cesarean section did not perform early ambulation. Although nurses will encourage patients to ambulate after cesarean section routinely, but due to concerns about traditional postnatal confinement taboos or incorrect concepts such as wound pain, early ambulation became a big challenge physically and psychologically to the women after cesarean section. These reasons to a certain extent will affect the patient''s willingness to ambulate early.For the basis of early ambulation after cesarean section in clinical practice ,further to explore the related factors of early ambulation after cesarean section, and understand the impact of early ambulation after cesarean section on recovery and type of feeding is needed. Methods：In this study, a prospective design is adopted, we using survey method to collect available related data during the first day to the fifth day of pain, fatigue, abdominal distention and type of feeding after postpartum respectively in hospital. 112 cases were collected in a medical center and local community hospitals in central Taiwan .Data analysis methods include: Chi-square test, independent t-test , ANOVA and logistic regression model.
Result：According to the definition of early ambulation after caesarean section,the cesarean women were divided into early ambulation group(N=51;45.5%) and non-early ambulation group(N=61;54.5%) in this study.The results showed that the fifth day of pain after surgery and pain control were two predictors of early ambulation after caesarean section. The frequency and time of ambulation increase daily during hospitals in early ambulation group. The results also showed that there were significant differences between the two groups in the fifth day of pain, fatigue, abdominal distention after postpartum(p<.05),but there was no statistical significance in the type of feeding(p>.05).
Conclusions：Our findings show that early ambulation after cesarean section can improves pain, fatigue and abdominal distention.Besides contributing to the construction of nursing scientific knowledge, the research results can also be used as reference to enhance the quality of maternal care.
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