Best evidence summary of postural and activity management for patients with cerebrospinal fluid leakage after spinal surgery
10.3760/cma.j.cn211501-20240923-02618
- VernacularTitle:脊柱术后脑脊液漏患者体位和活动管理的最佳证据总结
- Author:
Huipin ZHANG
1
;
Zhishui WU
;
Chaomei ZHANG
;
Yingfeng ZHOU
Author Information
1. 常州市第一人民医院（苏州大学附属第三医院）脊柱外科，常州 213000
- Publication Type:Journal Article
- Keywords:
Posture;
Nursing care;
Spinal surgery;
Cerebrospinal fluid leakage;
Early mobilization;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2025;41(30):2345-2352
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence of postural and activity management in patients with cerebrospinal fluid leakage after spinal surgery, so as to provide guidance for clinical nursing staff.Methods:We systematically searched databases including but not limited to BMJ Best Practice, UpToDate, Cochrane Library, North American Spine Society, PubMed, China national knowledge infrastructure and Wanfang for guidelines, systematic reviews, expert consensus, evidence summaries, and best practices related to posture and activity management in patients with cerebrospinal fluid leakage after spinal surgery. The search period was from database establishment to 31 March 2024. Clinical practice guidelines were evaluated using the guideline research and assessment system, the systematic review methodology quality evaluation tool 2, and the quality evaluation checklist of policy text evidence in the Joanna Briggs Institute Evidence-based Health Care Center text evidence (version 2023).Results:A total of 8 articles were included in this study, 4 expert consensuses, 3 systematic reviews, and 1 guideline. The evidence included 4 aspects: bed position, positional changes, early activity, and precautions for activity, with a total of 13 pieces of evidence, all of which were of moderate to low quality.Conclusions:This study summarizes the best evidence of postural and activity management of patients with cerebrospinal fluid leakage after spinal surgery, providing a reference for improving clinical management programs in this area in order to further optimize the connotation and process of nursing work and improve the prognosis and satisfaction of patients.
