摘要
目的 对脊柱术后患者早期下床活动管理的相关证据进行系统检索并总结,为制定科学有效的早期下床活动实践方案提供依据。方法 以PIPOST模式构建脊柱术后患者早期下床活动管理的循证问题,依据“6S”证据金字塔模型系统检索国内外关于脊柱术后早期下床活动管理的相关文献,并采用相应的文献质量评价工具对符合纳排标准的文献进行评价,提取高质量文献中的证据,经过整理、修订后形成最佳证据。结果 最终11篇文献被纳入,包括指南3篇、系统评价3篇、证据总结3篇、专家共识2篇,汇总形成了30条最佳证据,包括早期下床活动前期准备、活动时机、动态评估、活动方式、下床频率及强度、安全管理6个方面。结论 本研究汇总形成了脊柱术后患者早期下床活动管理的30条最佳证据,临床护理人员可参考现有证据并结合患者实际情况制定安全有效的早期下床活动方案,以期促进患者术后加速康复,改善护理质量。
Objective To systematically retrieve and summarize evidence on early mobilization management for patients after spinal surgery,and to provide reference for developing effective early mobilization plans for this group of patients.Methods Formulating evidence-based problems on early mobilization management of patients after spinal surgery using the PIPOST model.Literature on early mobilization management of patients after spinal surgery were searched from both domestic and international sources based on the“6S”pyramid.Eligible literature was evaluated using appropriate quality assessment tools.Evidence from high-quality studies was extracted,synthesized,and refined to develop best practice recommendations.Results Eleven articles were included,comprising three guidelines,three systematic reviews,three evidence summaries,and two expert consensuses.These sources yielded 30 best practice recommendations categorized into 6 domains:pre-mobilization preparation,timing of mobilization,methods of mobilization,dynamic assessment,frequency and intensity of mobilization,and safety management.Conclusion This study summarizes the best evidence for early mobilization management of patients after spinal surgery.Clinical nursing staff may refer to existing evidence and develop safe and effective early mobilization plans considering the characteristics of individual patient,ultimately to promote accelerated recovery and improve nursing quality.
作者
江婉怡
冯岚
苏萍
余丽丽
范洒洒
龙里
钟可琪
JIANG Wanyi;FENG Lan;SU Ping;YU Lili;FAN Sasa;LONG Li;ZHONG Keqi(Division of Spine Surgery,Dept.of Orthopedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《护理学报》
2025年第18期39-44,共6页
Journal of Nursing(China)
关键词
脊柱术后
早期下床活动
管理
循证护理
证据总结
post spinal surgery
early mobilization
administration
evidence-based nursing
evidence summary
作者简介
江婉怡(1998-),女,广东广州人,本科学历,护士;通信作者:冯岚(1971-),女,河北清河人,本科学历,护士长,主任护师。E-mail:lanf1971@126.com。
