To say that we construct a mathematical object is to say that under some assumptions (axioms of some mathematical theory) we can define an object from another object whose existence was asserted earlier (either by assumption, or it may be provable from the theory we assumed before).
This is a somewhat an expansion of the idea of an algorithm. In the freshman year an algorithm is introduced as a "recipe" for cooking a certain result from starting parameters. A mathematical construction is similar, in a broader context. It is the method in which we define a new object from a parameter within a certain theory (which assert we may do some operations, e.g. take power sets, unions, etc.).
For example, we construct $\sqrt{2}$ from the rational numbers as the positive solution of $x^2-2=0$, of course one can argue that this is a number in $\mathbb R$ or in $\mathbb C$ and so on. However, without any knowledge of these objects I can prove that $\sqrt 2\notin\mathbb Q$ and I can also define $\sqrt 2$ as this number and show that we can have a new field, $\mathbb Q[\sqrt 2]$ which has $\mathbb Q$ and in which $x^2-2=0$ has a solution.
In the case of the real numbers, we can define them from $\mathbb Q$ (our parameter) in several ways. That is we define a mathematical object, using $\mathbb Q$ as a parameter, and this object will have the properties we want from $\mathbb R$.
The Dedekind cuts construction tells us that a real number $r$ can be defined as $\{q\in\mathbb Q\mid q<r\}$. Of course this is not a number per se, but rather a set, while rational numbers need not be sets for themselves (although they might be constructed as sets as well).
We can define addition and multiplication on these sets that work the way we hope them to work. Addition, for example, is defined as:
$$x+y=\{q+p\mid q\in x\land p\in y\}$$
Note that the left hand side is the addition over sets of rational numbers, while the set on the right hand side is a set defined using addition in the rationals which we already have.
The other properties of $\mathbb R$ soon follow as well. What sort of properties?
- This is a field, with a total order which respects the operations of the field, i.e. it is an ordered field.
- It has a copy of $\mathbb Q$ such that between two different real numbers there is a number which is from this copy. (Since we define the "numbers" as sets, we don't have the original field $\mathbb Q$ but rather an exact copy of it)
- Every bounded subset has a least upper bound.
One can go through the list of axioms required in these properties (axioms of a field, etc.) and see that the object we define using Dedekind cuts indeed satisfies all of those properties.