摘要
目的:总结脊柱外科患者术后早期活动方案相关证据,为临床实践提供参考。方法:计算机检索Cochrane Library、PubMed、Ovid平台生物医学数据库检索、EBSCO数据库、医脉通临床指南网站、中国知网、维普数据库、中国生物医学文献数据库和万方数据库中有关脊柱外科患者术后早期活动方案的相关指南、系统评价、专家共识、证据总结,检索时限为建库至2021年4月30日。由2名研究者独立筛选文献、提取证据、评价质量及汇总。结果:共纳入17篇文献,包括3篇系统评价、1篇指南、13篇专家共识,并总结出13条脊柱外科患者术后早期活动方案最佳证据,包括全面评估、健康宣教、术后康复3个方面的内容。结论:脊柱外科患者术后早期活动方案最佳证据可为临床实践提供循证医学依据,帮助护理管理者、护理人员更科学地做出临床决策。
Objective To summarize the evidence of early mobilization after spinal surgery,in order to provide reference for clinical practice.Methods From the establishment of the databases until April 30,2021.Relevant guidelines,systematic evaluation,expert consensus and evidence summary were collected for the early mobilization after spinal surgery in Cochrane Library,PubMed,Ovid,EBSCO,Yimaitong clinical guidelines website,CNKI,VIP,CBM and Wanfang Data.Two researchers independently screened the literature,extracted evidence,evaluated the quality and summarized the results.Results A total of 17 studies were included,including 3 systematic reviews,1 guideline,and 13 expert consensus,summing up 13 best evidences for early postoperative activities of spinal surgery patients,including comprehensive evaluation,health education,and postoperative rehabilitation.Conclusions The best evidence of early postoperative activities for patients with spinal surgery can provide evidence-based medicine for clinical practice and help nursing managers and nurses make more scientific clinical decisions.
作者
陈树军
丁雪梅
张艳
解妍琪
王巧英
CHEN Shujun;DING Xuemei;ZHANG Yan;XIE Yanqi;WANG Qiaoying(Department of Spine Surgery,Yantai Affiliated Hospital of Binzhou Medical University,Yantai,Shandong 264100,China;Department of Maternal,Infant and Child Nursing,School of Nursing,Binzhou Medical University,Yantai,Shandong 264003,China;Department of Gastrointestinal Surgery,Affiliated Hospital of Binzhou Medical University,Binzhou,Shandong 256600,China)
出处
《医药前沿》
2024年第3期10-15,共6页
Journal of Frontiers of Medicine
基金
2019年烟台市重点研发计划(2019YD062)
2021年烟台市社会科学规划研究项目(YTSK-2021-073)。
关键词
脊柱外科
早期活动
加速康复外科
术后护理
证据总结
循证护理
Spinal surgery
Early mobilization
Enhanced recovery after surgery
Postoperative care
Evidence summary
Evidence-based nursing
