在关节骨折后改善早期动员和身体功能的术后干预:系统性审查和元分析
Mitchell N Sarkies1, Luke Testa2, Ann Carrigan2
1School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney NSW 2006, Australia.
Age and ageing
|August 19, 2023
概括
外科手术期间的干预措施显示出在关节骨折患者中改善早期动员和身体功能的潜力. 需要进一步的研究,以了解这些干预措施对患者康复的因果机制.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 康复科学 康复科学 康复科学
背景情况:
- 部骨折显著影响老年人的运动能力和身体功能.
- 早期动员和功能恢复对于术后的结果至关重要.
- 正在探索外科手术期间的干预措施,以优化关节骨折手术后的恢复.
研究的目的:
- 评估术后干预措施对关节骨折手术后患者早期动员和身体功能的有效性.
主要方法:
- 2000年1月至2022年3月期间发表的实验和准实验研究的系统审查和元分析.
- 在主要数据库 (Ovid MEDLINE,CINAHL,Embase,Scopus,Web of Science) 中进行了搜索.
- 包括专注于65岁或以上的部骨折患者的研究,报告急性住院期间的早期动员和身体功能.
主要成果:
- 分析了28项涉及8192名参与者的研究.
- 路径和护理模型显示,早期动员 (SMD:0.20) 和身体功能 (SMD:0.07) 略有增加.
- 通过皮肤电神经刺激 (TENS) 缓解疼痛显示功能中度改善 (SMD:0.65),而其他干预措施,如手术前动员和多学科康复,具有不确定的益处. 一些干预措施没有显示任何效果.
结论:
- 外科手术期间的干预可以为早期动员和关节骨折后手术后的身体功能提供好处.
- 具体干预措施,如护理途径和TENS止痛疗法,显示出有希望的结果.
- 建议进行进一步的研究,以阐明连接外科手术期间干预措施与改善患者动员和功能之间的因果关系.
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