摘要
目的 总结腰椎管狭窄术后患者康复锻炼的最佳证据.方法 根据PIPOST的原则确立循证问题,计算机检索万方数据库、中国知网、中国生物医学文献数据库、UpToDate、PubMed、Embase、Web of Science、美国医学会、中国医师协会骨科医师分会等数据库和网站,检索时限为建库至2022年10月31日.由2名研究者对纳入文献进行质量评价、证据提取与汇总.结果 共纳入10篇文献,其中专家共识6篇、系统评价3篇、Meta分析1篇.从康复锻炼的评估、原则、时机、方式、健康教育、心理治疗、镇痛管理、评价、出院后随访9个方面总结了 16条证据.结论 本研究总结了腰椎管狭窄术后患者康复锻炼的最佳证据,建议医护人员结合临床情境及患者意愿应用证据.
Abstract
Objective To summarize the best evidence of rehabilitation exercise in patients with lumbar spinal stenosis surgery.Methods The evidence-based questions were established based on PIPOST's principles,and Wanfang data,China National Knowledge Infrastructure,China Biology Medicine disc,UpToDate,PubMed,Embase,Web of Science,American Medical Association,Orthopedic Branch of Chinese Medical Doctor Association and other databases and websites were searched by computer.The search period was from the establishment of the databases to October 31,2022.Two researchers conducted quality evaluation,evidence extraction,and summarization of the included literature.Results A total of 10 articles were included,including six expert consensus articles,three systematic review articles,and one meta-analysis article.A total of 16 pieces of evidence were summarized from nine aspects of rehabilitation exercise evaluation,principles,timing,methods,health education,psychotherapy,pain management,evaluation and post discharge follow-up.Conclusions This study summarizes the best evidence for rehabilitation exercise in patients with lumbar spinal stenosis after surgery,and it suggests that healthcare professionals apply evidence based on clinical context and patient willingness.
基金项目
南京医科大学护理学院SPRING科研创新团队专项立项项目(2022-12)
南京大学医学院附属鼓楼医院护理科研课题(2022)(2022-B1162)
维普
万方数据