Objective To carry out evidence-based nursing for postoperative exercise rehabilitation of patients with vertebral fractures,develop review indicators,analyze obstacles and facilitators in evidence-based nursing practice,and formulate reform strategies.Methods Guided by the evidence-based nursing practice model of the Joanna Briggs Institute,this study incorporated evidence of postoperative exercise rehabilitation in patients with vertebral fractures and developed review items.Based on baseline review,the obstacles and facilitators in evidence-based nursing practice were analyzed,and reform strategies were formulated.Results A total of 29 evidence items were included,and 16 review indicators were formulated.Only seven indicators had a compliance rate of 100％,two indicators had a compliance rate of 0,and the compliance rate of the remaining indicators was between 11％and 95％.The obstacles in evidence-based nursing practice came from three levels:system,practitioner,and patient.The facilitators included strong leadership and organizational abilities,close cooperation between medical and nursing teams,and so on.Corresponding change strategies were developed based on obstacles and facilitators.Conclusions There is a certain gap between the evidence of exercise rehabilitation and evidence-based nursing practice in postoperative patients with vertebral fractures.We should make full use of facilitators to overcome obstacles and implement reform strategies.
维普
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