|
|
Nursing Science 2024
腰椎植骨融合术后康复护理现状及展望
|
Abstract:
目的：回顾腰椎植骨融合术后康复护理的研究现状，探讨其优势、不足和发展趋势。方法：采用文献综述法，检索国内外相关文献，并进行归纳、分析和评价。结果：目前，该领域的研究主要集中在康复方案、康复模式、康复方法、康复效果和新技术等方面。这些研究都取得了一定的效果，但也存在一些问题和不足，如缺乏统一标准、有效工具、充分证据、长期评估等。结论：为提高腰椎植骨融合术后康复护理的质量和效果，应建立科学合理的康复护理模式，制定个体化的康复措施，完善对康复效果的评价体系。未来，基于循证的个体化康复护理优势日渐突出，康复医疗器械的创新和智能化也将为该领域带来新的机遇和挑战。
Objective: To review the current status of research on rehabilitation nursing after lumbar spine fusion surgery, and to explore its advantages, shortcomings, and development trends. Methods: A literature review method was used to retrieve relevant literature from domestic and foreign sources, and to conduct induction, analysis, and evaluation. Results: At present, the research in this field mainly focuses on rehabilitation programs, rehabilitation models, rehabilitation methods, rehabilitation outcomes, and new technologies. These studies have achieved some effects, but there are also some problems and deficiencies, such as a lack of unified standards, effective tools, sufficient evidence, long-term evaluation, etc. Conclusion: In order to improve the quality and effect of rehabilitation nursing after lumbar spine fusion surgery, a scientific and reasonable rehabilitation nursing model should be established, individualized rehabilitation measures should be formulated, and the evaluation system for rehabilitation outcomes should be improved. In the future, the advantages of evidence-based individualized rehabilitation nursing will become increasingly prominent, and the innovation and intelligence of rehabilitation medical devices will also bring new opportunities and challenges to this field.
| [1] | Foster, K.S., Greenlee, T.A., Fraser, J.J., et al. (2023) The Influence of Therapeutic Exercise after Ankle Sprain on the Incidence of Subsequent Knee, Hip, and Lumbar Spine Injury. Medicine & Science in Sports & Exercise, 55, 177-185.
https://doi.org/10.1249/MSS.0000000000003035 |
| [2] | Wong, C.K. (2022) Prevalence, Incidence, and Factors As-sociated with Non-Specific Chronic Low Back Pain in Community-Dwelling Older Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis. The Journal of Pain, 23, 509-534. |
| [3] | Kaiser, M.G., Groff, M.W., Watters, W.C., et al. (2014) Guideline Update for the Performance of Fusion Procedures for Degenerative Disease of the Lumbar Spine. Part 16: Bone Graft Extenders and Substitutes as an Adjunct for Lumbar Fusion. Journal of Neurosurgery Spine, 21, 106-132. https://doi.org/10.3171/2014.4.SPINE14325 |
| [4] | Dencker, E.E., Bonde, A., Troelsen, A., et al. (2021) Postoperative Complications: An Observational Study of Trends in the United States from 2012 to 2018. BMC Surgery, 21, Article No. 393.
https://doi.org/10.1186/s12893-021-01392-z |
| [5] | Wang, Y., Kahaer, A., Maimaiti, A., et al. (2023) Complication, Fusion, and Revision Rate in the Lumbar Cortical Bone Trajectory and Pedicle Screw Fixation Techniques: A Systematic Review and Meta-Analysis. Journal of Orthopaedic Surgery and Research, 18, Article No. 382. https://doi.org/10.1186/s13018-023-03820-7 |
| [6] | Amiri, M., Alavinia, S.M., Omidvar, M., et al. (2021) Systemat-ic Reviews in Spinal Cord Injury: A Step-by-Step Guide for Rehabilitation Science Learners and Clinicians. The Journal of Spinal Cord Medicine, 44, S40-S51.
https://doi.org/10.1080/10790268.2021.1923261 |
| [7] | 朱玉红, 林冬梅. 认知行为疗法主导的早期综合康复护理方案在腰椎退行性病变手术患者中的应用[J]. 当代护士(上旬刊), 2023, 30(6): 118-122. |
| [8] | 何桂平, 肖捷. 腰椎骨折术后不同康复方案临床效果分析[J]. 浙江创伤外科, 2022, 27(5): 877-878. |
| [9] | 闫长红, 时莉芳. 快速康复外科护理方案在腰椎后路椎间植骨融合内固定术病人中的应用[J]. 护理研究, 2021, 35(8): 1484-1487. |
| [10] | 徐薇, 蔡亚萍, 邢娟, 等. 腰椎术后以护士为主导的骨科康复一体化模式的康复效果[J]. 实用临床医药杂志, 2020, 24(3): 118-120. |
| [11] | 孙连中, 尹会, 李云, 等. 腰椎后路内固定术医护一体化快速康复的早期结果[J]. 中国矫形外科杂志, 2022, 30(9): 846-849. |
| [12] | 高海芳. 快速康复外科护理在腰椎椎管狭窄症和腰椎间盘突出症围手术期的应用效果[J]. 河南医学研究, 2023, 32(5): 953-956. |
| [13] | 殷保仓, 王婷婷, 张悦, 等. 临床护理路径对腰椎滑脱椎弓根螺钉内固定术后康复的疗效分析[J]. 新疆医学, 2022, 52(7): 831-834. |
| [14] | 陈秀红, 李嘉妹. 中西医结合个体化护理对后路腰椎椎间融合术后康复的影响[J]. 中外医学研究, 2020, 18(31): 86-88. |
| [15] | Kahn, L.C., Evans, A.G., Hill, E.J.R., et al. (2022) Donor Activation Focused Rehabilitation Approach to Hand Closing Nerve Transfer Surgery in Individuals with Cervical Level Spinal Cord Injury. Spinal Cord Series and Cases, 8, Article No. 47. https://doi.org/10.1038/s41394-022-00512-y |
| [16] | 刘娟霞. 基于聚焦解决模式的护理在腰椎间盘突出症患者术后康复中的应用研究[D]: [硕士学位论文]. 银川: 宁夏医科大学, 2022. |
| [17] | Bagga, R.S., Shetty, A.P., Sharma, V., et al. (2020) Does Preventive Care Bundle Have an Impact on Surgical Site Infections Following Spine Surgery? An Analysis of 9607 Patients. Spine Deformity, 8, 677-684.
https://doi.org/10.1007/s43390-020-00099-0 |
| [18] | Sun, S., Zhang, Y., Xiao, J., et al. (2022) Application Effect of Foreseeable Nursing Concept on Patients Postoperative Acute Pressure Injury after Spinal Posterior Approach Surgery. Panminerva Medica, 64, 402-403.
https://doi.org/10.23736/S0031-0808.21.04375-5 |
| [19] | Bredow, J., Eysel, P. and Oikonomidis, S. (2020) Postoper-ative Management of Weight Bearing and Rehabilitation after Lumbar Spinal Surgery. Der Orthopade, 49, 201-210. https://doi.org/10.1007/s00132-019-03799-2 |
| [20] | Zadro, J.R., Lewin, A.M., Kharel, P., et al. (2021) Physiotherapy Utilisation and Costs before Lumbar Spine Surgery: A Retrospective Analysis of Workers Compensation Claims in Aus-tralia. BMC Musculoskeletal Disorders, 22, Article No. 248. https://doi.org/10.1186/s12891-021-04129-4 |
| [21] | Barbosa, T.P., Raposo, A.R., Cunha, P.D., et al. (2023) Rehabil-itation after Cervical and Lumbar Spine Surgery. EFORT Open Reviews, 8, 626-638. https://doi.org/10.1530/EOR-23-0015 |
| [22] | Parrish, J.M., Jenkins, N.W., Parrish, M.S., et al. (2021) The Influence of Cognitive Behavioral Therapy on Lumbar Spine Surgery Outcomes: A Systematic Review and Meta-Analysis. Euro-pean Spine Journal, 30, 1365-1379.
https://doi.org/10.1007/s00586-021-06747-x |
| [23] | 向吕娜, 苟悦, 王睆琳, 等. 加速康复下退行性腰椎疾病患者术前预康复的最佳证据总结[J]. 中国康复医学杂志, 2023, 38(7): 980-986. |
| [24] | 谢欣倩, 陈圆, 覃小娟, 等. 新型助行器联合核心肌群训练在腰椎退行性疾病患者术后早期康复中的应用效果[J]. 中外医学研究, 2023, 21(22): 167-171. |
| [25] | 罗珊珊, 金子雁, 慕倩倩. 探讨深层肌肉刺激康复训练对腰椎管狭窄症术后患者的效果[J]. 中国疗养医学, 2023, 32(8): 833-836. |
| [26] | 曹成安, 张鑫, 万趸, 等. 电针联合运动疗法治疗胸腰椎爆裂性骨折术后康复效果观察[J]. 辽宁中医杂志, 2023, 50(6): 201-204. |
| [27] | 田春燕, 郭玲. 中医定向透药治疗仪联合康复护理对胸腰椎术后患者疼痛及康复的影响[J]. 吉林医学, 2022, 43(12): 3359-3361. |
| [28] | 张博华. 厚朴排气合剂预防腰椎融合术后不同证型胃肠功能障碍的效果分析[D]: [硕士学位论文]. 沈阳: 辽宁中医药大学, 2022. |
| [29] | 陈千吉, 陈红, 张英, 等. 基于中国腰痛患者Oswestry功能障碍指数测量性能证据的COSMIN系统评价[J]. 中国康复医学杂志, 2022, 37(1): 79-83. |
| [30] | 范祚然, 吴晓淋, 郭柱, 等. 单侧双通道脊柱内镜腰椎融合术与单通道脊柱内镜下经椎间孔腰椎融合术治疗合并椎间盘突出的腰椎管狭窄症疗效比较研究[J]. 中国修复重建外科杂志, 2023, 37(9): 1098-1105. |
| [31] | 刘名名, 康晓霞, 张金庆, 等. 腰椎融合术后腰背肌锻炼效果评价的研究进展[J]. 中国医刊, 2022, 57(5): 495-498. |
| [32] | 马宗军, 刘晓印, 张建群, 等. 三种腰椎固定融合术式治疗腰椎术后邻椎病的疗效对比分析[J]. 中国脊柱脊髓杂志, 2022, 32(12): 1102-1111. |
| [33] | 梁婷, 曹代桂, 孙顺霞, 等. 互联网+延续性康复护理对腰椎融合术后老年患者的效果[J]. 中国康复理论与实践, 2022, 28(7): 863-868. |
| [34] | 腰椎间盘突出症术后康复[EB/OL].
https://www.cochrane.org/zh-hans/CD003007/BACK_yao-zhui-jian-pan-tu-chu-zheng-zhu-hou-kang-fu, 2023-10-11. |
| [35] | 安燕, 王慧, 赵晓勇, 等. 腰椎术后手术部位感染的危险因素分析及列线图模型建立[J]. 临床麻醉学杂志, 2023, 39(5): 461-466. |
| [36] | 朱红艳, 徐维昉. 脊髓损伤型胸腰椎骨折病人术后早期发生低氧血症预测模型的建立[J]. 护理研究, 2023, 37(8): 1338-1343. |
| [37] | He, Y., Tang, H., Wang, D., et al. (2023) Will ChatGPT/GPT-4 Be a Lighthouse to Guide Spinal Surgeons? Annals of Biomedical Engineering, 51, 1362-1365. https://doi.org/10.1007/s10439-023-03206-0 |
| [38] | Fiani, B., Quadri, S.A., Farooqui, M., et al. (2020) Impact of Robot-Assisted Spine Surgery on Health Care Quality and Neurosurgical Economics: A Systemic Review. Neurosurgi-cal Review, 43, 17-25.
https://doi.org/10.1007/s10143-018-0971-z |
| [39] | Browd, S.R., Park, C. and Donoho, D.A. (2023) Potential Appli-cations of Artificial Intelligence and Machine Learning in Spine Surgery across the Continuum of Care. International Journal of Spine Surgery, 17, S26-S33.
https://doi.org/10.14444/8507 |
| [40] | Master, H., Coronado, R.A., Whitaker, S., et al. (2023) Combining Wearable Technology and Telehealth Counseling for Rehabilitation after Lumbar Spine Surgery: Feasibility and Acceptability of a Physical Activity Intervention. Physical Therapy, 2023, pzad096. https://doi.org/10.1093/ptj/pzad096 |
| [41] | Hensley, J. and Wang, H. (2019) Assessment of Volume Status during Prone Spine Surgery via a Novel Point-of-Care Ultrasound Technique. Cureus Journal of Medical science, 11, e4601. https://doi.org/10.7759/cureus.4601 |
| [42] | Yagi, M., Michikawa, T., Yamamoto, T., et al. (2022) Development and Validation of Machine Learning-Based Predictive Model for Clinical Outcome of Decompression Surgery for Lumbar Spinal Canal Stenosis. The Spine Journal: Official Journal of the North American Spine Society, 22, 1768-1777. https://doi.org/10.1016/j.spinee.2022.06.008 |
| [43] | 郭晓宇, 史冬立, 张振美, 等. 全麻腰椎术后男性患者早期拔除尿管的最佳证据总结[J]. 护理学报, 2020, 27(11): 46-52. |
| [44] | 苏亚晴, 张萍. 循证医学证据下康复护理对脊柱手术患者遵医行为、腰椎功能的影响[J]. 中国医药指南, 2023, 21(14): 173-176. |
| [45] | 陶静怡. 基于循证实践的椎间盘源性腰痛患者疼痛管理方案构建与应用研究[D]: [硕士学位论文]. 南昌: 南昌大学, 2023. |
| [46] | 张燕, 徐玉菊, 郭桥圆. 循证理念指导下流程化护理干预对全麻下行TLIF患者的影响[J]. 齐鲁护理杂志, 2023, 29(4): 123-126. |
| [47] | Lian, J., Zhou, Y., Han, L., et al. (2022) Virtual Reality and Internet of Things-Based Music Online Learning via the Graph Neural Network. Computational Intelligence and Neuroscience, 2022, Article ID: 3316886.
https://doi.org/10.1155/2022/3316886 |
| [48] | Wu, J., Zhang, D., Liu, T., et al. (2022) Usability Evaluation of Aug-mented Reality: A Neuro-Information-Systems Study. Journal of Visualized Experiments: JoVE, No. 189, e64667. https://doi.org/10.3791/64667 |
| [49] | Bhugaonkar, K., Bhugaonkar, R. and Masne, N. (2022) The Trend of Metaverse and Augmented & Virtual Reality Extending to the Healthcare System. Cureus, 14, e29071. https://doi.org/10.7759/cureus.29071 |
| [50] | Ayers, J.W., Poliak, A., Dredze, M., et al. (2023) Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum. JAMA Internal Medicine, 183, 589-596.
https://doi.org/10.1001/jamainternmed.2023.1838 |
