作者：黄紫岚1，黄小恬2

单位：1.中山大学附属第一医院胃肠外科中心，广东 广州 510080；2.深圳前海泰康医院护理部，广东 深圳 518000 

Authors: Huang Zilan1, Huang Xiaotian2

Unit：1. Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China；2. Nursing Department, Shenzhen Qianhai Taikang Hospital, Shenzhen 518000, Guangdong, China

摘要：

目的  本文旨在通过系统评价，对影响胃肠道肿瘤术后患者早期下床活动的因素进行分析。方法  检索中英文数据库，包括中国知网、中文科技期刊数据库、万方数据知识服务平台、PubMed、Scopus、EBSCO中关于胃肠道肿瘤术后患者早期下床活动影响因素的相关研究，检索时限为建库至2024年1月，按照纳入和排除标准筛选相关研究文献。使用美国卫生保健质量和研究机构推荐的横断面研究质量评价工具对纳入文献进行质量评价。采用RevMan 5.3 软件进行Meta分析。评价内容包括患者因素、术前因素、手术因素和术后因素对胃肠道肿瘤术后患者早期下床活动情况的影响。结果  最终纳入8篇文献，其质量评价为A级或B级。Meta分析结果显示，对早期下床活动有利的影响因素包括患者年龄＜70岁（OR=2.16，95%CI 1.11~4.21，P=0.02）、男性（OR=1.72，95%CI 1.30~2.28，P=0.0002）、留置导管数量＜4（OR=3.24，95%CI 1.19~8.85，P=0.02）。结论  胃肠道肿瘤术后患者早期下床活动的影响因素包括年龄、性别、术后留置导管数量等。关注这些影响因素有助于为患者制定个性化的围手术期护理方案，促进患者的快速康复。

关键词：胃癌；结直肠癌；术后患者；早期下床；影响因素；系统评价；Meta 分析 

Abstract：

Objective  This article aims to analyze the factors affecting early ambulation of patients after gastrointestinal tumor surgery through systematic review. Method  We conducted literature search in Chinese and English databases, including CNKI, Chinese Science and Technology Journal Database, Wanfang Data Knowledge Service Platform, PubMed, Scopus, and EBSCO for relevant studies on the factors affecting early ambulation of patients after gastrointestinal tumor surgery. The search period is from database establishment to January 2024. Screened relevant research literatures according to inclusion and exclusion criteria. The cross-sectional study quality evaluation tool recommended by the American Agency for Healthcare Research and Quality was used to evaluate the quality of the included literatures. RevMan 5.3 software was applied for Meta-analysis. The impact of patient factors, preoperative factors, surgical factors, and postoperative factors on the early ambulation of patients after gastrointestinal tumor surgery were evaluated. Result  8 studies were included, and their quality grading were grade A or B. The Meta-analysis results showed that the influencing factors conducive to early ambulation included patients' age＜70 years old (OR=2.16, 95%CI 1.11-4.21, P=0.02), male (OR=1.72, 95%CI 1.30-2.28, P=0.0002), and the number of indwelling catheters＜4 (OR=3.24, 95%CI 1.19-8.85, P=0.02). Conclusion  The influencing factors of early ambulation in patients after gastrointestinal tumor surgery included age, gender, and the number of indwelling catheters after surgery. Paying attention to these influencing factors can help formulate personalized perioperative nursing plans for patients and promote their rapid recovery.

Key Words:  Gastric cancer; Colorectal cancer; Postoperative patients; Early ambulation; Influencing factors; Systematic review; Meta-analysis

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