肩袖损伤术后康复护理的最佳证据总结
Summary on best evidence on postoperative rehabilitation for patients with rotator cuff injury
陈秋华 1尹小兵 2张璐 2王娟 2董丽军 2钱会娟3
作者信息
- 1. 同济大学医学院(上海,200092);上海市第六人民医院护理部
- 2. 同济大学医学院(上海,200092)
- 3. 上海市第六人民医院护理部
- 折叠
摘要
目的 总结肩袖损伤术后康复护理的最佳证据,为临床实施相关干预提供参考.方法 检索肩袖损伤术后康复护理相关文献,采用JBI循证卫生保健中心的文献评价标准和证据分级系统进行质量评价和证据级别评定.检索时限为2013年1月至2023年12月.结果 最终纳入10篇文献,包括4篇指南、3篇专家共识、3篇系统评价.提取归纳肩袖损伤术后康复护理相关证据共34条,汇总9个主题,分别为康复目的、制定康复计划、康复原则、支具固定、运动时间及内容、运动频率,运动监督、疼痛控制、健康教育.结论 总结的最佳证据可为临床医护人员实施肩袖损伤术后康复护理提供指引,在证据转化和应用过程中应结合临床情境,充分评估每条证据的适宜性和可行性.
Abstract
Objective To summarize the best evidence on postoperative rehabilitation for patients with rotator cuff injury,and to pro-vide references for clinical implementation of relevant interventions.Methods We retrieved literature related to postoperative reha-bilitation nursing for patients with rotator cuff injury and used JBI's literature quality appraisal standards and evidence grading sys-tem for quality evaluation and evidence level assessment of the included literature.The search time frame was from January 2013 to December 2023.Results A total of 10 articles(4 guidelines,3 expert consensus reports,and 3 systematic reviews)were finally in-cluded.Totally 34 pieces of best evidence were extracted and factored into 9 themes:rehabilitation objectives,development of reha-bilitation plans,rehabilitation principles,fixation of prostheses,exercise duration and contents,exercise frequency,exercise su-pervision,pain control,and health education.Conclusion The summarized best evidence can provide guidance of for clinical medical staff to implement postoperative rehabilitation nursing for patients with rotator cuff injuries.During the process of evidence trans-lation and application,the suitability and feasibility of each piece of evidence should be fully evaluated in combination with the clini-cal context.
关键词
肩袖损伤/关节镜/肩袖修复术/康复训练/疼痛控制/功能恢复/运动康复/循证护理Key words
rotator cuff injury/arthroscopy/rotator cuff repair/rehabilitation training/pain relief/functional rehabilita-tion/exercise rehabilitation/evidence-based nursing引用本文复制引用
基金项目
中华护理学会科研课题(ZHKY202104)
出版年
2024
NETL
NSTL
万方数据