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Nursing Science 2025
颈椎手术患者术前预康复的最佳证据总结
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Abstract:
目的：总结颈椎手术术前预康复的最佳证据，为临床实践提供参考。方法：通过检索建库至2023年10月1日的相关指南、专家共识、随机对照试验、系统评价及证据总结，并由2名研究人员分别对纳入文献的质量进行评价后，根据主题进行证据提取与汇总。结果：共纳入21条与颈椎手术术前预康复相关的证据，涉及术前全面评估、术前宣教、行为干预、术前锻炼、风险管理、术前镇痛、营养支持和心理干预等方面。结论：颈椎手术术前预康复的最佳证据具有较高的可信度和适用性，可以为临床实践提供参考。但这些证据仍存在一些局限性，需要更多的临床研究来验证和完善。此外，预康复的措施应根据患者的个体情况和偏好进行选择和调整，以达到最佳的效果。
Objective: To summarize the best evidence of preoperative rehabilitation for cervical spine surgery, and to provide reference for clinical practice. Methods: Relevant guidelines, expert consensus, randomized controlled trials, systematic reviews, and evidence summaries were retrieved, with the search time limit from inception to October 1, 2023. Two researchers independently evaluated the quality of the included literature, and extracted and summarized the evidence according to the topics. Results: A total of 21 pieces of evidence related to preoperative rehabilitation for cervical spine surgery were included, involving preoperative comprehensive assessment, preoperative education, behavioral intervention, preoperative exercise, risk management, preoperative analgesia, nutritional support, and psychological intervention. Conclusion: The best evidence of preoperative rehabilitation for cervical spine surgery has high credibility and applicability, and can provide reference for clinical practice. However, there are some limitations in these evidence, and more clinical research is needed to verify and improve them. In addition, the measures of preoperative rehabilitation should be selected and adjusted according to the individual situation and preference of the patients, in order to achieve the best effect.
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