Evidence-based Nursing Practice for Postoperative Rehabilitation of a Patient with Osteogenes Isimperfecta after External Fixation
10.3969/j.issn.1006-9771.2016.04.024
- VernacularTitle:1例成骨不全患儿外固定架固定术后护理的循证康复实践
- Author:
Junxiang LIU
;
Xia LIU
- Publication Type:Journal Article
- Keywords:
osteogenesis imperfecta;
external fixation;
nursing;
rehabilitation;
evidence-based medicine
- From:
Chinese Journal of Rehabilitation Theory and Practice
2016;22(4):488-492
- CountryChina
- Language:Chinese
-
Abstract:
Objective To make an evidence-based rehabilitation plan for a patient with osteogenesis imperfecta after external fixation. Methods Based on a comprehensive assessment for the patient's condition, the clinical problems were listed. Related articles were searched from National Guideline Clearinghouse (NGC), The Cochrane Library, PubMed, CBM, CNKI and Wanfang databases. And the reference list of each eligible article was also included. Finally the optimum rehabilitation program was designed with optimal clinical evidence, patient's conditions and relatives' willingness. Results 1 randomized controlled trial and 4 case reports were included. A progressive exercise program was developed and implemented. No new fractures occurred during the intervention. Muscle strength, gait, activities of daily living had been greatly improved. 20 weeks later, the Berg score was 43 and the Barthel index was 80. Conclusion The progressive rehabilitation exercise program developed from evidence-based practice is safe, effective and feasible.
