Cognitive behavior intervention-mediated rehabilitation in patients with degenerative lumbar surgery: a systematic evaluation
10.3760/cma.j.issn.1672-7088.2019.21.015
- VernacularTitle: 认知行为干预介导退变性腰椎手术患者康复效果的系统评价
- Author:
Zihe GUO
1
;
Jingjing LIU
2
;
Zhengxiang CHEN
2
;
Wei LU
1
Author Information
1. Nursing Department of Gulou Hospital Affiliated to Medical College of Nanjing University, Nanjing 210000, China
2. Department of Spinal Surgery, Gulou Hospital Affiliated to Medical College of Nanjing University, Nanjing 210000, China
- Publication Type:Review
- Keywords:
Cognition;
Rehabilitation;
Degenerative lumbar surgery;
System evaluation
- From:
Chinese Journal of Practical Nursing
2019;35(21):1672-1678
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the effects of the implementation of the cognitive behavior intervention program on the rehabilitation of patients with degenerative lumbar spine surgery.
Methods:6 Chinese-English databases, The Cochrane library, PubMed, EMBASE, Medline, CNKI, Wanfang, were used for the randomized controlled trial of cognitive behavioral intervention in patients undergoing degenerative lumbar surgery. Two researchers independently retrieved and extracted data and conducted meta-analysis using RevMan5.3 software.
Results:The meta analysis results of 7 literatures showed that the Oswestry dysfunction index questionnaire [MD=-9.55, 95%CI(-11.09,-8.02)] in the experimental group, pain VAS score [MD=-1.06, 95%CI(-1.70,-0.41)], fear of sport belief (TSK) [MD=-0.84, 95%CI(-1.41,-0.28)] were significantly superior to the control group (Z=12.21, 3.23, 2.93, P<0.01). The difference was statistically significant.
Conclusion:Perioperative cognitive behavior intervention can alleviate preoperative anxiety, effectively improve postoperative self-pain management level and the enthusiasm to participate in rehabilitation exercise, reduce the degree of functional disability, and improve the long-term quality of life after surgery.
