Development and barriers of review indicators for exercise rehabilitation in kinesiophobia patients after degenerative lumbar spine disease surgery
10.3760/cma.j.cn115682-20240520-02842
- VernacularTitle:退变性腰椎疾病术后恐动症患者运动康复审查指标的制定及障碍因素分析
- Author:
Hongyan GUO
1
;
Yongxia CHEN
;
Jie MA
;
Tingting LEI
;
Ningning ZHU
;
Yangxibei ZHANG
;
Qian ZHAO
Author Information
1. 蚌埠医科大学护理学院，蚌埠 233000
- Publication Type:Journal Article
- Keywords:
Evidence-based medicine;
Rehabilitation nursing;
Lumbar fusion;
Kinesiophobia;
Review indicators;
Clinical practice
- From:
Chinese Journal of Modern Nursing
2025;31(13):1744-1753
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out evidence-based practice in the management of exercise rehabilitation for kinesiophobia patients after degenerative lumbar spine disease surgery, construct review indicators, analyze barriers and facilitators to evidence-based practice, and develop strategies for action change.Methods:Using the integrated-promoting action on research implementation in health services model (i-PARIHS model) as a theoretical framework, clinical nursing problems were identified, the evidence-based practice group was built, evidence was systematically retrieved, evaluated, and summarized, and review indicators were developed and review methodology was clarified. An evidence-based baseline review of 36 healthcare professionals in the Department of Orthopedics of the First Affiliated Hospital of Bengbu Medical University was conducted from October 2023 to January 2024 using the Evidence-based Readiness Scale. Barriers and facilitators to the evidence-based practice were analyzed based on the results of the baseline review, strategies for action were developed accordingly.Results:A total of 23 pieces of best evidence were included and 32 review indicators were developed. In the baseline review, 25 of the review indicators had an accurate implementation rate of < 60% and 14 had an implementation rate of 0. The main barriers of evidence-based practice were lack of effective feedback systems, lack of kinesiophobia mentoring programs, and lack of management processes and educational materials. The main facilitators were active support from organizational leadership and high motivation of patients and their families to participate. A total of 15 action strategies were eventually developed.Conclusions:This study constructed review indicators for the management of exercise rehabilitation in kinesiophobia patients after degenerative lumbar spine disease surgery based on the best evidence. There are several barriers in clinical practice. The action change strategy developed is scientifically sound and feasible.
