主管:国家卫生健康委员会
主办:国家卫生计生委医院管理研究所
中国科学引文数据库(CSCD)来源期刊
中国科技论文统计源期刊 中国科技核心期刊
《中文核心期刊要目总览》入选期刊

Chinese Nursing Management ›› 2024, Vol. 24 ›› Issue (9): 1383-1390.doi: 10.3969/j.issn.1672-1756.2024.09.019

• Evidence-based Nursing • Previous Articles     Next Articles

Evidence-based nursing practice of postoperative exercise rehabilitation for patients with vertebral compression fracture

TANG Chi, ZHOU Dan, ZHOU Xinyu, LI Jianwei, SHI Rumeng, ZHANG Yanan, XU Xiaobo, ZHU Kai   

  1. Spine Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong province, 266003, China
  • Online:2024-09-15 Published:2024-09-15
  • Contact: E-mail:ZKNL1210@163.com

Abstract: Objective: To retrieve and summarize the best evidence of postoperative exercise rehabilitation for patients with vertebral compression fracture, to formulate evaluation indicators, and to implement and evaluate its clinical application effects. Methods: Based on the evidence-based continuous quality improvement model, from December 2022 to March 2023, through evidence acquisition, current situation review and evidence introduction, an evidence-based scheme for postoperative exercise rehabilitation of patients with vertebral compression fracture was constructed. By means of convenient sampling, 59 patients diagnosed with vertebral compression fracture receiving surgery in the spinal surgery department of a tertiary A hospital in Qingdao from March to August, 2023 and 20 nurses as the research objects. Indicators relating to patients including the satisfaction, quality of life and dysfunction index scores of the two groups before and after the intervention of evidence-based practice program of sports rehabilitation. Meanwhile, the implementation rate of sports rehabilitation related review indicators and the changes of nurses' knowledge of sports rehabilitation before and after the evidence-based practice were also compared and analyzed. Results: After the application of evidence, the patients' satisfaction and quality of life in the evidence-based practice group were improved (P<0.001), while the dysfunction index was decreased (P<0.001). Besides, both the implementation rate of examination indexes related to sports rehabilitation and the scores of nurses' rehabilitation knowledge increased (t=-15.873, P<0.001), and the differences were statistically significant (P<0.05). Conclusion: The clinical application of evidence-based exercise rehabilitation program for patients with vertebral compression fracture is feasible, which can not only effectively boost the promotion of nurses' professional knowledge but also the implementation of clinical management behavior. Moreover, it is of great significance to improve patients' satisfaction, life quality after operation and reduce their degree of dysfunction.

Key words: vertebral compression fracture; sports rehabilitation; summary of evidence; evidence-based practice

CLC Number: R47;R197