Summary of best evidence for postoperative rehabilitation training in patients with lumbar disc herniation
10.3760/cma.j.cn115682-20210611-02585
- VernacularTitle:腰椎间盘突出症术后患者康复训练的最佳证据总结
- Author:
Xuefeng HOU
1
;
Ruihong NIU
;
Hongrui WANG
;
Ru WANG
;
Hongyu GUO
;
Qi TIAN
;
Feng CHANG
;
Gang GAO
Author Information
1. 山西省人民医院骨脊柱微创病区，太原 030012
- Keywords:
Rehabilitation;
Lumbar spine;
Postoperative period;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(6):763-769
- CountryChina
- Language:Chinese
-
Abstract:
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.
