Investigation and analysis of influencing factors of early activity compliance of patients after minimally invasive esophagectomy

Abstract

Background: Unclear assessment content is the main reason for poor early postoperative ambulation compliance of patients. this study aimed to accelerate patients’ recovery by investigating the influencing factors of the early activity compliance of patients with esophageal cancer (EC) undergoing minimally invasive esophagectomy (MIE). Methods: A total of 228 patients were investigated with a self-designed general information questionnaire, disease-specific questionnaire, early postoperative activity record, Social Support Rating Scale (SSRS), and the health belief model questionnaire from January 2019 to June 2020. The Mann-Whitney U test was used to analyze the influencing factors of patients with different degrees of compliance. Correlation analysis was used to analyze the relationship between social support and postoperative patient compliance. Results: Among the 228 cases, 48 patients’ compliance was good, 120 patients’ compliance was moderate, and 60 patients’ compliance was poor. The average score of compliance was 67.89±23.26. The analysis of influencing factors indicated educational level, intensity of postoperative activity pain, fatigue, dizziness, and social support could greatly predict the early activity compliance. Conclusions: Attention should be paid to alleviating the patients’ pain, improving their nutrition, and increasing social support, which can promote patients to do the early postoperative activity and accelerate recovery.