Summary of best evidence for early ambulation in patients undergoing open lumbar surgery
10.3760/cma.j.cn115682-20230907-00941
- VernacularTitle:腰椎开放性手术患者术后早期下床活动的最佳证据总结
- Author:
Miao YU
1
;
Xiaoshu ZHOU
;
Jiyan JIN
;
Baohua LI
;
Ruifeng XU
Author Information
1. 北京大学第三医院护理部，北京 100191
- Keywords:
Evidence-based nursing;
Lumbar surgery;
Early ambulation;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2024;30(20):2701-2708
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate the best evidence for early ambulation in patients undergoing open lumbar surgery.Methods:A systematic search was conducted in databases including UpToDate, British Medical Journal (BMJ) Best Practice, Guidelines International Network (GIN), The National Institute for Health and Care Excellence (NICE), The Agency for Healthcare Research and Quality (AHRQ), Scottish Intercollegiate Guidelines Network (SIGN), Registered Nurses' Association of Ontario (RNAO), Medlive, North American Spine Society (NASS), Best Practice in General Surgery Group from the University of Toronto, ERAS? Society, PubMed, Embase, Web of Science, Medline, CNKI, and Wanfang. The search included literature on early ambulation post-open lumbar surgery, such as guidelines, expert consensus, evidence summaries, recommended practices, systematic reviews, and high-quality original research. The search period was from January 1, 2014, to June 20, 2023. Two researchers independently evaluated the quality of the literature and extracted relevant data.Results:A total of 23 articles were included, comprising three guidelines, two systematic reviews, six expert consensus statements, seven randomized controlled trials, one quasi-experimental study, and four cohort studies. The evidence was categorized into six themes: multidisciplinary team collaboration, health education, facilitation measures, pre-activity assessment, activity content, and safety assurance, resulting in 25 evidence-based recommendations.Conclusions:This study summarizes 25 best evidence-based recommendations for early ambulation in patients undergoing open lumbar surgery. Healthcare providers are advised to apply these recommendations in clinical practice while considering the specific clinical context and individual patient differences. Multidisciplinary collaboration is essential to develop personalized early ambulation plans.
