Contemporary Nursing

Objective To explore the effect of an early out-of-bed activity quantification program on early rehabilitation after pancreaticoduodenectomy with P-loop gastrointestinal reconstruction. Methods From July 2021 to December 2023, 60 patients with pancreatic cancer who underwent pancreaticoduodenectomy combined with P-loop gastrointestinal reconstruction in the hospital were selected and randomly divided into two groups, with 30 cases in each group. The control group received routine care, while the study group received the early out-of-bed activity quantification program in addition to routine care. Postoperative pain scores, recovery time, anxiety and depression scores, and self-care ability scores were compared between the two groups. Results From the first to the third day after surgery, the pain scores of the study group were lower than those of the control group (P < 0.05). After surgery, the time to first flatus, first defecation, first out-of-bed activity, and hospital stay were shorter in the study group than in the control group (P < 0.05). After nursing, the anxiety and depression scores of the study group were lower than those of the control group, and the self-care ability scores were higher (P<0.05). Conclusion In the nursing of pancreatic cancer patients undergoing pancreaticoduodenectomy combined with P-loop gastrointestinal reconstruction, the application of an early out-of-bed activity quantification program can reduce postoperative pain, accelerate postoperative recovery, enhance self-care ability, and alleviate negative emotions.

Pancreatic cancer; Pancreaticoduodenectomy; P-loop gastrointestinal reconstruction; Nursing; Early out-of-bed activity quantification program