在增强的恢复途径中进行术后物理治疗:一般手术证据更新,主要由结直肠研究主导
Louise C Burgess1, Chloe Bascombe2, Thomas W Wainwright3
1Department of Rehabilitation and Sports Sciences, Bournemouth University, Bournemouth Gateway Building, St Pauls Lane, Bournemouth, UK.
概括
在增强的恢复方案中,早期的物理治疗干预可以改善术后步行距离,并减少一般手术患者的住院时间. 由教育和技术支持的结构化物理治疗显示出优化患者康复的潜力.
科学领域:
- 康复医学 康复医学 康复医学
- 手术恢复科学 - - 手术恢复科学
- 基于证据的实践.
背景情况:
- 物理治疗对于早期动员和功能独立在增强的恢复途径中至关重要.
- 最佳的动员后物理治疗策略缺乏明确的指导.
- 增强的恢复途径旨在改善手术结果和患者体验.
研究的目的:
- 系统地审查和批判性地评估近期关于在增强康复途径中对一般手术患者的术后物理治疗干预措施的证据.
- 为优化物理治疗实践在增强恢复提供指导.
- 推进对物理治疗在手术恢复中的作用的科学理解.
主要方法:
- 在2000年至2024年期间进行的系统文献审查.
- 包括的研究重点是针对接受增强康复方案的一般外科患者的物理治疗干预.
- 十项研究符合纳入标准,涵盖了各种手术子专业.
主要成果:
- 早期的物理治疗干预积极影响了术后的步行距离,日常生活活动和住院时间.
- 关于准备出院,康复质量和与健康有关的生活质量的证据是混合的.
- 对于住院患者的满意度或特定的功能结果,没有观察到一致的影响.
结论:
- 结构化物理治疗干预在增强的恢复协议中是可行的和有益的.
- 通过教育和技术增强的动员策略,有望改善手术恢复.
- 进一步的研究可能会完善最佳的物理治疗方案,以改善康复途径.
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