Analysis of the status and influencing factors of early ambulation in patients with pelvic floor dysfunction after surgery

Objective: To investigate the status of early ambulation (within24 h) among patients undergoing surgery for pelvic floor disorders (PFDs) and to identify its independent influencing factors aims to provide evidence-based support for establishing an enhanced recovery (ERAS) nursing pathway for gynecological pelvic floor surgery, and Promote postoperative recovery of PFDs patients and improve their quality of life. Methods: A cross-sectional study was conducted, enrolling 161 patients with PFDs who underwent pelvic floor reconstructive surgery at multiple tertiary hospitals in Chongqing from December 2024 to April 2025. According to the International ERAS Society guidelines for gynecological surgery, early ambulation was defined as "patients independently or with assistance from medical staff and auxiliary devices performing out-of-bed activities within 24 h postoperatively, including: sitting in a chair for ≥20 min after bed-to-chair transfer, and/or standing beside the bed for ≥3 min, and/or walking distance ≥5 meters". Data were collected through questionnaire surveys, including general patient information, surgical information, self-efficacy, and kinesiophobia scores. Univariate and multivariate Logistic regression analyses were employed to identify factors influencing early ambulation. Results: = 0.036) were significant risk factors for the failure to ambulate early. Additionally, the incidence of postoperative kinesiophobia among PFDs patients was 84% (135/161), with a TSK-11 score of (29.9 ± 3.1) points, suggesting that kinesiophobia may be a psychological barrier to early ambulation. Conclusion: The completion rate of ambulation within 24 h after surgery for PFD patients is relatively low postoperative vaginal packing gauze; insufficient willingness to be active; lack of early ambulation guidance, and postoperative kinesiophobia are the main barriers. Clinical medical staff should seek the best evidence, optimize the ERAS strategy, scientifically manage the vaginal packing strategy, strengthen health education for patients and caregivers during the perioperative period, promptly guide patients' phobia, implement individualized early ambulation programs, improve the compliance of early ambulation activities, and thereby accelerate the postoperative recovery of patients.