Effects of best evidence-based practice for rehabilitation exercises in patients undergoing surgery for lumbar spinal stenosis
10.3760/cma.j.cn115682-20230919-01151
- VernacularTitle:腰椎管狭窄术后患者康复功能锻炼最佳循证实践方案的应用
- Author:
Dongyue GAO
1
;
Yaping DING
;
Xuemei ZENG
;
Yun YOU
;
Jing ZHUO
;
Jinfeng ZHENG
Author Information
1. 南京大学医学院附属鼓楼医院骨科脊柱外科，南京 210008
- Keywords:
Rehabilitation;
Exercise;
Lumbar spinal stenosis;
Best evidence;
Evidence-based practice
- From:
Chinese Journal of Modern Nursing
2024;30(23):3139-3146
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of the best evidence-based practice plan for rehabilitation exercises in patients undergoing surgery for lumbar spinal stenosis (LSS) .Methods:Guided by the evidence-based practice model of the Joanna Briggs Institute (JBI) Center for Evidence-Based Healthcare in Australia, the best evidence was combined with the clinical context to develop quality review indicators for clinical practice. In December 2022, a baseline review was conducted with 30 patients undergoing surgery for LSS (before evidence application). From December 2022 to February 2023, the baseline review results were analyzed to identify facilitating and obstructive factors between the current status and the review indicators, and improvement strategies were implemented based on available resources. In February 2023, another 30 patients (after evidence application) were selected to evaluate the post-application effects. The Japanese Orthopedic Association (JOA) score, Oswestry Disability Index (ODI), Tampa Scale for Kinesiophobia (TSK) score, General Self-Efficacy Scale (GSES) score, and quality of life scores were compared between the two groups at 24 hours, 1 month, 3 months, and 6 months postoperatively. The execution rate of clinical quality review indicators and the knowledge scores on rehabilitation exercises of 25 nurses before and after training were also compared.Results:There were no statistically significant differences in JOA scores, ODI, TSK scores, GSES scores, and quality of life scores between the two groups at 24 hours postoperatively ( P > 0.05). However, there were statistically significant differences in these scores at 1, 3, and 6 months postoperatively ( P< 0.01). After evidence application, the execution rate of seven clinical quality review indicators improved, and the knowledge scores on rehabilitation exercises of the 25 nurses increased significantly ( P< 0.05) . Conclusions:The evidence-based practice for rehabilitation exercises in patients undergoing surgery for LSS is safe and feasible. It standardizes evidence-based nursing practice behavior, enhances nurses' knowledge levels, effectively improves postoperative lumbar function, promotes physical rehabilitation, and enhances the quality of life.
