Summary of the best evidence for perioperative enhanced rehabilitation in adolescent idiopathic scoliosis patients
10.3760/cma.j.cn115682-20230411-01418
- VernacularTitle:青少年特发性脊柱侧凸患者围手术期加速康复管理的最佳证据总结
- Author:
Zunxiao TAO
1
;
Chunshuang ZHU
;
Cuicui YIN
;
Yanyan FAN
Author Information
1. 滨州医学院烟台附属医院眼科，烟台 264100
- Keywords:
Rehabilitation;
Adolescent idiopathic scoliosis;
Enhanced recovery after surgery;
Early ambulation;
Spinal deformity
- From:
Chinese Journal of Modern Nursing
2024;30(2):183-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and summarize the best evidence for perioperative enhanced rehabilitation in adolescent idiopathic scoliosis patients, with the aim of providing evidence-based basis for relevant medical and nursing staff.Methods:Based on the "6S" evidence model, guideline, expert consensus, evidence summary, and systematic review of perioperative enhanced rehabilitation for adolescent idiopathic scoliosis patients were searched in British Medical Journal (BMJ) Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Health Care Center Database, Cochrane Library, Guidelines International Network, National Institute for Health and Clinical Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, Registered Nurses ' Association of Ontario, CINAHL, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Medlive, WanFang Data, VIP, China Biomedical Medline Disc, and other Chinese and English databases. The search period was from database establishment to March 1, 2023. Two trained researchers independently evaluated literature quality and extracted evidence. Results:A total of 18 articles were included, including two guidelines, four expert consensus, two systematic reviews, two evidence summaries, three randomized controlled trials, and five quasi experimental studies. A total of 35 best evidence were formed from four aspects, namely preoperative management, intraoperative management, postoperative complication management, and functional exercise.Conclusions:The best evidence for enhanced rehabilitation of adolescent idiopathic scoliosis patients during the perioperative period summarized has guiding significance for clinical medical and nursing staff to carry out enhanced rehabilitation. Medical and nursing staff should develop rehabilitation nursing measures based on the concept of enhanced rehabilitation. However, it is still necessary to carefully consider the feasibility of the evidence and selectively apply it based on clinical scenarios and patient wishes.
