出院后的护理干预措施,以支持选择性退行性脊柱手术后的患者康复:系统性审查
Marianne Dyrby Lorenzen1,2, Line Adsbøll Wickstrøm3,4, Mikkel Østerheden Andersen3,4
1Spine Surgery & Research, Spine Centre of Southern Denmark, Lillebaelt Hospital, - University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark. marianne.dyrby.lorenzen@rsyd.dk.
概括
远程监控干预措施有望改善脊柱手术后的恢复,与早期积极康复不同. 需要进一步的研究,以了解患者对更好的护理干预设计的需求.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对脊柱手术患者来说,有效的出院后护理至关重要.
- 目前的干预措施差异很大,患者的需求和偏好不清楚.
- 优化康复途径需要了解各种护理策略.
研究的目的:
- 系统地审查和描述脊柱手术患者的退院后护理干预措施.
- 分析这些干预的类型,内容和结果.
- 识别差距,并为未来的脊柱手术恢复研究提供信息.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,PsycINFO,Scopus) 中进行文献搜索.
- 由于干预的异质性,主题分析;元分析是不可行的.
主要成果:
- 包括14项研究 (2008-2022年) 涉及1399名患者.
- 干预措施分为"早期积极康复"和"远程监控".
- 远程监测显示,与通常护理相比,疼痛,功能,生活质量和活动都有好处;早期积极康复没有.
结论:
- 在脊椎外科手术的出院后干预中存在显著的异质性.
- 患者对康复护理的需求和偏好仍然不清楚.
- 在设计干预措施之前,高质量的研究对于确定患者需求至关重要.
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