Table 1 The clinical practices incorporated into the evidence-based intervention for promoting early postoperative off-bed activities
Clinical practices | Evidence | Evaluation indicators | Methods |
|---|---|---|---|
Preoperative education | The health notice of early postoperative activities should be provided to patients; the postoperative activity plan with daily activity goals should be formulated and communicated to patients (Grade V) | Patients’ awareness of postoperative activity plan before the operation | Questionnaire Survey |
Patients’ awareness of daily activity goals before the operation | |||
Catheter management | The abdominal drainage tube should be avoided, and should be removed as soon as possible if it is used (Grade I) | Decreased use of indwelling abdominal drainage tube | Field observation |
Removal of the abdominal drainage tube within 24 h after the operation | Medical record viewing | ||
The urinary catheter should be removed within 24 h after the operation (except for patients with bladder repair) (Grade I) | Removal of the urinary catheter within 24 h after the operation | Field observation, Medical record viewing | |
Pain management | The best pain management plan for promoting early postoperative activities should be provided to patients (Grade I) | Regular pain assessment by medical staff | Questionnaire Survey |
The pain score kept below 3 points | Medical record viewing | ||
The use of opioids should be avoided if possible to allow early postoperative activities (Grade I) | Reduced use of opioid analgesics | Medical record viewing | |
Postoperative guidance | Off-bed within 24 h after the operation should be guided (Grade I) | Off-bed activities guided by nurses within 24 h after the operation | Field observation |