Analysis of the status and influencing factors of early ambulation in patients with pelvic floor dysfunction after surgery
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By
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Chen Qin
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Luo Dongmei
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Huang Longxian
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Xu Min
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July 15, 2026
Clinical Scorecard: Evaluation of Early Mobilization Practices and Contributing Factors in Post-Surgical Patients with Pelvic Floor Dysfunction
At a Glance
| Category | Detail |
|---|
| Condition | Pelvic Floor Dysfunction (PFD) |
| Key Mechanisms | Early ambulation post-surgery influences recovery and reduces complications. |
| Target Population | Patients undergoing pelvic floor reconstructive surgery. |
| Care Setting | Tertiary hospitals |
Key Highlights
- 39% of patients ambulated within 24 hours post-surgery.
- Significant barriers to early ambulation include vaginal packing, low willingness to be active, and lack of guidance.
- Postoperative kinesiophobia was present in 84% of patients.
Guideline-Based Recommendations
Diagnosis
- Identify pelvic floor disorders including pelvic organ prolapse, urinary incontinence, and fecal incontinence.
Management
- Implement ERAS protocols to promote early ambulation within 24 hours post-surgery.
Monitoring & Follow-up
- Assess patient willingness to ambulate and provide necessary guidance.
Risks
- Postoperative complications such as atelectasis and venous thrombosis due to delayed ambulation.
Patient & Prescribing Data
Adult women diagnosed with pelvic floor disorders undergoing surgery.
Enhanced Recovery After Surgery (ERAS) strategies are essential for improving ambulation rates.
Clinical Best Practices
- Strengthen health education for patients and caregivers during the perioperative period.
- Implement individualized early ambulation programs.
- Manage psychological barriers such as kinesiophobia.
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