Obstet Gynecol Sci.  2013 Jul;56(4):256-260.

Association of nursing-documented ambulation with length of stay following total laparoscopic hysterectomy for benign gynecologic disease

• Kim K
• Yoo S
• Yang EJ
• No JH
• Hwang H
• Kim YB

Abstract

OBJECTIVE
The objective was to examine the association of postoperative physical activity with length of stay in patients who received total laparoscopic hysterectomy for benign gynecologic disease.
METHODS
The case group was composed of 70 patients who entered a critical pathway for elective total laparoscopic hysterectomy from 2009 to 2012 and were discharged behind schedule. The control group was selected from patients who were discharged on schedule, and matched to cases using 1:3 ratio propensity score matching. We compared the number of nursing-documented ambulation of the case group with that of control group.
RESULTS
Year of surgery, age, body mass index, endometriosis, systemic disease, previous abdominal surgery and current medication were well balanced between case and control groups. The number of patients with nursing-documented ambulation in case group (19%) was not different from that in control group (11%).
CONCLUSION
Postoperative physical activity measured by nursing-documented ambulation was not associated with length of stay in patients who underwent an elective total laparoscopic hysterectomy for benign gynecologic diseases.

Keyword

Ambulation; Hysterectomy; Length of stay; Nursing records; Postoperative care

MeSH Terms

Appointments and Schedules
Body Mass Index
Critical Pathways
Endometriosis
Female
Genital Diseases, Female
Humans
Hysterectomy
Length of Stay
Motor Activity
Nursing Records
Postoperative Care
Propensity Score
Walking

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