Gynecologic Malignant Tumor
Conditions
Interventions
Group with routine postoperative care combined with bicycle intervention for gynecological malignant tumors:Start supine recumbent bike exercise 6 hours after anesthesia awakening when vital signs are
2.Assist the patient in putting on non-slip socks
3.Place both lower limbs on the pedals and secure them
4.The patient actively pedals the bike, and the nurse gradually adjusts the resistance based on tolerance
5.Each session lasts 20 - 30 minutes, twice a day
6.Gradually increase the resistance and duration based on the adaptation.
Implement routine postoperative care for gynecological malignant tumors:1.Comprehensive preoperative assessment and health education
2.After regaining consciousness from postoperative anesthesia, assume a semi-recumbent position and turn over and pat the back every two hours
3.Limb movements on bed: Flexion and extension of the upper limbs for 10 sets each time, 3 to 4 times a day. Lower extremity ankle pump exercises (dorsiflexion of the foot, plantar flexion, and ankle
4.On the first day after the operation, assist in getting out of bed and moving around, and assess dizziness and gastrointestinal reactions
5.Provide a comfortable environment, dietary education and psychological care.
Sponsors
The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University
Eligibility
Sex/Gender
Female
Age
30 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 30 to 70 years old, with the consent and cooperation of the patient and their family members; 2. Diagnosed with cervical cancer, endometrial cancer, or ovarian cancer, and scheduled for surgery within a limited time frame. 3. Muscle strength of both lower limbs >= Grade 3, with no movement disorders; 4. Anesthesia method: General anesthesia.
Exclusion criteria
Exclusion criteria: 1. History of severe organic diseases, mental illness, or brain injury surgery; 2. Users of psychotropic drugs; 3. Those with impaired consciousness, non-cooperation, or language communication barriers; 4. Those with a history of fractures, joint diseases, or lower limb surgeries; 5. Patients in the bleeding stage, patients in the hypertensive stage, and those with abnormal cardiopulmonary function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first postoperative flatus;Time of first postoperative defecation;Postoperative recovery time of bowel sounds;Intake, Feeling nauseated, Emesis, physical Exam, and Duration of symptoms scoring system; | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Recovery Score (QOR-15);Postoperative nausea and vomiting incidence; | — |
Countries
China
Contacts
Public ContactXiao qing Jin
Department of gynaecology,The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University
Outcome results
None listed