Development of a prehabilitation program for patients undergoing cervical spondylosis surgery
10.3760/cma.j.cn115682-20240524-02926
- VernacularTitle:颈椎病手术患者术前预康复方案的构建
- Author:
Xu DENG
1
;
Xiaoling ZHOU
1
;
Qianqian SUN
1
Author Information
1. 西安交通大学第一附属医院骨科，西安 710061
- Publication Type:Journal Article
- Keywords:
Cervical spondylosis;
Enhanced recovery after surgery;
Prehabilitation;
Preoperativemanagement;
Delphi method;
Program development
- From:
Chinese Journal of Modern Nursing
2025;31(11):1457-1463
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a prehabilitation program for patients undergoing cervical spondylosis surgery, optimize preoperative management, and provide guidance for specialized clinical nursing.Methods:In March 2024, a prehabilitation team was established to extract the best available evidence on preoperative rehabilitation for cervical spondylosis through a literature review. After group discussions, an initial draft of the prehabilitation program was developed. Between April and May 2024, 20 experts were selected for a two-round Delphi consultation to finalize the program content. Expert engagement was measured by questionnaire response rates, while expert authority was evaluated using an authority coefficient. The degree of consensus among experts was assessed using Kendall's coefficient of concordance and the coefficient of variation.Results:The response rate for both rounds of expert consultation was 100.00% (20/20), with an authority coefficient of 0.93. In the first round, the coefficient of variation ranged from 0.06 to 0.20, and Kendall's coefficient of concordance was 0.121 ( P<0.01). In the second round, the coefficient of variation ranged from 0 to 0.16, and Kendall's coefficient of concordance was 0.108 ( P<0.01). The final prehabilitation program consisted of five primary categories (exercise intervention, nutrition support, psychological intervention, pain management, and thrombosis prevention), 15 secondary categories, and 31 tertiary categories. Conclusions:The prehabilitation program developed in this study demonstrates strong scientific validity and feasibility. It provides a theoretical framework and practical guidance for implementing preoperative prehabilitation for patients undergoing cervical spondylosis surgery.
