To investigate the status of early ambulation among patients undergoing surgery for pelvic floor disorders and to identify its independent influencing factors.
Approach:
Study Design: A cross-sectional study was conducted with 161 patients who underwent pelvic floor reconstructive surgery at multiple tertiary hospitals.
Data Collection: Data were collected through questionnaire surveys assessing general patient information, surgical details, self-efficacy, and kinesiophobia scores.
Analysis: Univariate and multivariate logistic regression analyses were employed to identify factors influencing early ambulation.
Key Findings:
39% of patients (n = 63) successfully completed early ambulation within 24 hours post-surgery.
Significant risk factors for failure to ambulate early included postoperative vaginal packing (OR = 3.8, 95% CI: 1.6–9.0, P = 0.003), low patient willingness to be active (OR = 12.3, 95% CI: 3.6–41.7, P < 0.001), and lack of guidance on early ambulation (OR = 4.9, 95% CI: 1.1–21.5, P = 0.036).
84% of patients exhibited postoperative kinesiophobia, indicating it may be a psychological barrier to early ambulation.
Interpretation:
The completion rate of ambulation within 24 hours after surgery for pelvic floor dysfunction patients is low, with several identified barriers affecting early mobilization.
Limitations:
The study was limited to a specific geographic area (Chongqing, China) and may not be generalizable to other regions.
The reliance on self-reported data may introduce bias.
Conclusion:
Barriers to early ambulation include postoperative vaginal packing, insufficient willingness to be active, and lack of guidance.
