Summary of the best evidence for early ambulation in patients after anterior cervical surgery
10.3760/cma.j.cn115682-20220309-01089
- VernacularTitle:颈椎前路术后患者早期下床活动的最佳证据总结
- Author:
Lei LEI
1
;
Jiali CHEN
;
Ning NING
;
Hao LIU
;
Chen DING
;
Yang MENG
;
Xiurong YUAN
;
Rong HU
Author Information
1. 四川大学华西医院骨科/四川大学华西护理学院，成都 610041
- Keywords:
Cervical spondylopathy;
Anterior cervical surgery;
Enhanced recovery after surgery;
Early ambulation
- From:
Chinese Journal of Modern Nursing
2023;29(9):1238-1244
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To extract and summarize the best evidence of early ambulation after anterior cervical surgery, so as to provide practical basis for early ambulation of clinical patients.Methods:The research questions were proposed based on the population, intervention, professional, outcome, setting and type of evidence (PIPOST) model. According to the "6S" model, the clinical guidelines, expert consensus, clinical decision-making, evidence summary, systematic reviews and randomized controlled trials related to "early postoperative activities of patients undergoing anterior cervical surgery" in databases such as UpToDate, British Medical Journal (BMJ) Best Practice website, Cochrane Library, China National Knowledge Infrastructure and WanFang Data were systematically retrieved. The retrieval time was from the establishment of the database to February 1, 2022. Two researchers independently evaluated the quality of the articles, and extracted and integrated the evidence of the articles meeting the quality standards.Results:A total of 10 articles were included, including two guidelines, three expert consensus, three systematic reviews, and two randomized controlled trials. It is summarized into 28 pieces of evidence and 7 dimensions, including multidisciplinary team cooperation, optimization of preoperative health education, preparation before ambulation, content of ambulation, multimodal analgesia management, nausea and vomiting management, and safety management of ambulation.Conclusions:The evidence included in this study provides a series of information for early ambulation after anterior cervical surgery. The medical and nursing staff should combine the evidence with the actual clinical situation, consider the value and expectation of the patient, comprehensively and individually evaluate the patient, and then make an early ambulation plan.
