关键词: 共享决策干预；颈椎病；前路颈椎减压融合术；预后；预康复

Abstract: Objective: To explore the influence of shared decision-making interventions on patients receiving Anterior Cervical Discectomy and Fusion (ACDF). Methods: Convenient sampling method was used to enroll 128 patients given ACDF in our hospital from August 2018 to July 2019 as the research objects, 64 patients as the experimental group, and 64 patients as the control group. The experimental group was offered shared decision-making interventions on the basis of routine nursing, while the control group received routine nursing. Neck Disability Index (NDI), cervical Axial Syndrom (AS) score, Japanese Orthopaedic Association (JOA) score and postoperative improvement rate, hospitalization satisfaction were compared between the two groups at admission, the day before discharge, 3 months, 6 months and 12 months after operation. Results: After the implementation of shared decision-making interventions, significant differences were observed in NDI score, AS score, JOA score and hospitalization satisfaction (P<0.05), while the difference in JOA improvement rate between the two groups was not statistically significant (P>0.05). Conclusion: The implementation of shared decision-making interventions can reduce the degree of cervical dysfunction, relieve the axial symptoms of patients, improve the cervical spine function in the long term to optimize their prognosis, thereby meeting the expectation of medical staff and increasing patients' satisfaction.

Key words: shared decision-making intervention; cervical spondylopathy; Anterior Cervical Discectomy and Fusion; prognosis; prehabilitation