腰椎间盘突出症术后患者康复训练的最佳证据总结  

Summary of best evidence for postoperative rehabilitation training in patients with lumbar disc herniation

作　　者：侯学峰[1] 牛瑞红 王红瑞 王茹 郭虹宇 田琦 常峰[1] 高刚[1] Hou Xuefeng;Niu Ruihong;Wang Hongrui;Wang Ru;Guo Hongyu;Tian Qi;Chang Feng;Gao Gang(Bone and Spine Minimally Invasive Ward,Shanxi Provincial People's Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院骨脊柱微创病区,太原030012

出　　处：《中华现代护理杂志》2022年第6期763-769,共7页Chinese Journal of Modern Nursing

基　　金：山西省卫生健康委科研课题 (2019019)。

摘　　要：目的检索并获取腰椎间盘突出症术后患者康复训练的相关证据,并对最佳证据进行总结。方法使用计算机检索国内外指南网、循证数据库、原始研究数据库、骨科专业相关网站中关于腰椎间盘突出症术后患者康复训练的相关证据,包括证据总结、指南、专家共识、系统评价、Meta分析等,检索时限为建库至2021年4月30日。由2名研究者独立进行文献质量评价、证据提取、分类和整合,有异议时经过讨论或由第三方裁决。结果纳入14篇文献,包括3篇证据总结、1篇指南、6篇专家共识、4篇系统评价,围绕康复评定、康复原则、康复时间、康复强度、康复方式、患者教育、康复心理治疗、随访监测8类共汇总了腰椎间盘突出症术后患者康复训练的13条最佳证据。结论本研究能够为护理人员开展术后康复指导提供循证依据,但在临床实践中应全面评估患者的生理、心理及文化背景状况,结合当地医疗水平和条件,为患者制订个性化的康复方案。Objective To retrieve and obtain evidence related to postoperative rehabilitation training of patients with lumbar disc herniation and to summarize the best evidence.Methods The computer was used to search domestic and foreign guideline networks,evidence-based databases,original research databases and orthopedic related websites for relevant evidence on rehabilitation training for patients with lumbar disc herniation after surgery,including evidence summary,guidelines,expert consensus,systematic review and Meta-analysis.The retrieval time limit was from the establishment of the database to April 30,2021.The literature quality evaluation,evidence extraction,classification and integration were conducted independently by two researchers,and disagreements were discussed or adjudicated by a third party.Results A total of 14 articles were included,including 3 evidence summaries,1 guideline,6 expert consensuses,and 4 systematic reviews.A total of 13 best evidences of rehabilitation training for patients with lumbar disc herniation after surgery were summarized in 8 categories,including rehabilitation assessment,rehabilitation principle,rehabilitation time,rehabilitation intensity,rehabilitation mode,patient education,rehabilitation psychotherapy and follow-up monitoring.Conclusions This study can provide evidence-based basis for nursing staff to carry out postoperative rehabilitation guidance,but in clinical practice,physical,psychological and cultural background conditions of patients should be comprehensively assessed,and individualized rehabilitation programs should be formulated for patients based on local medical level and conditions.

关 键 词：康复 腰椎 手术后期间 循证护理 

分 类 号：R473.6[医药卫生—护理学]