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Evaluation of an integrated stepwise rehabilitation model following Nuss procedure in pediatric patients
Wen-Jing Li1, Li-Li Cao1, Chan Li1
1Department of Anesthesia Surgery, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Insights
An integrated stepwise rehabilitation model significantly improves recovery for pediatric pectus excavatum patients after the Nuss procedure. This approach enhances pulmonary function, self-care, and satisfaction earlier than standard care.
Area of Science:
- Pediatric Surgery
- Rehabilitation Medicine
- Thoracic Surgery
Background:
- Pectus excavatum is a congenital chest wall deformity.
- The Nuss procedure is a minimally invasive surgical repair for pectus excavatum.
- Postoperative rehabilitation is crucial for optimal outcomes in pediatric patients.
Purpose of the Study:
- To evaluate the effectiveness of an integrated stepwise rehabilitation training model.
- To assess rehabilitation outcomes in pediatric patients undergoing the Nuss procedure.
- To compare outcomes between a group receiving the model and a control group receiving standard care.
Main Methods:
- A cohort of 97 children undergoing the Nuss procedure were divided into an observation group (n=52) and a control group (n=45).
- The observation group received a stepwise rehabilitation model alongside standard care.
- Rehabilitation outcomes including physical development, pulmonary function, self-care ability, and treatment satisfaction were assessed over 12 months.
Main Results:
- No significant differences in baseline characteristics or complications between groups.
- The observation group showed significant pulmonary function improvements at 6 and 12 months (p<0.001).
- The observation group achieved significant improvements in self-care and satisfaction by 6 months, compared to 12 months for the control group.
Conclusions:
- An integrated stepwise rehabilitation model enhances recovery post-Nuss procedure in pediatric patients.
- This model leads to earlier improvements in pulmonary function, self-care, and satisfaction.
- The approach is effective, economically feasible, and provides a practical post-surgical framework.
Objective:
This study aimed to evaluate the application and rehabilitation outcomes of an integrated stepwise rehabilitation training model in pediatric patients undergoing minimally invasive repair of pectus excavatum (Nuss procedure).
Methods:
A cohort of 97 children who underwent the Nuss procedure between July 2019 and August 2021 were included in the study. Participants were divided into an observation group (n = 52) and a control group (n = 45). The observation group received a stepwise rehabilitation training model in addition to standard perioperative care, while the control group received only routine care. Rehabilitation outcomes, including physical development, pulmonary function, self-care ability, and treatment satisfaction, were assessed over a 12-month period.
Results:
There were no statistically significant differences in baseline characteristics or postoperative complications between the two groups. In the observation group, all pulmonary function parameters demonstrated significant improvements at both 6- and 12-months post-surgery (p < 0.001). The control group did not indicate significant changes at 6 months, with improvements noted only at 12 months (p < 0.001). Postoperative satisfaction and self-care ability in the control group improved significantly at the 12-month follow-up. In contrast, the observation group exhibited significant improvements in these parameters as early as 6 months postoperatively.
Conclusion:
Early implementation of an integrated stepwise rehabilitation training model enhances the recovery process in pediatric patients following the Nuss procedure. This approach is both effective and economically feasible, providing a practical framework for post-surgical rehabilitation.
