Evidence-Based Nursing Care for Spinal Nursing Immobilization: A Systematic Review

Geldenhuys, Megan J.; Downing, Charlené

doi:10.1016/j.jen.2020.02.007

Cited by 6 publications

(16 citation statements)

References 32 publications

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“…Evidence-based nursing can start from the actual condition of the patient through methods such as analyzing problems and finding evidence, to formulate a targeted evidence-based nursing plan for the patient, which can bring nursing intervention to the entire perioperative period and improve clinical efficacy. It has played an important role in relieving patients' negative emotions and improving clinical satisfaction [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

Implementation of Evidence in Preventing Postoperative Sore Throat of Patients Undergoing General Anesthesia Intubation Using the i-PARIHS Framework

Liu

Wang

Zhuang

et al. 2022

Computational Intelligence and Neuroscience

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Objective. The aim of the study was to assess the effectiveness of the implementation of the best evidence in preventing postoperative sore throat in patients undergoing general anesthesia intubation. Methods. The related topics of the postoperative sore throat of patients undergoing general anesthesia intubation were systematically searched in the database and evaluated using the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. Combined with clinical needs and evidence-based professional judgment, 20 pieces of evidence and 6 examination standards on the management process and evidence implementation plan for the prevention of postoperative sore throat in patients with general anesthesia intubation are summarized, implementing the best evidence into clinical practice in anesthesiology, general surgery, orthopedics, thoracic surgery, and gynecology. Results. Nurses’ knowledge scores and evidence compliance significantly improved after the implementation of the best evidence ( P < 0.05 ); the incidence of the postoperative sore throat in patients undergoing general anesthesia intubation decreased from 41.7% to 28.1%. Conclusion. The i-PARIHS framework effectively prevents postoperative sore throat in patients, providing an effective case for translating evidence into practice based on the i-PARIHS framework.

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Section: Discussionmentioning

confidence: 99%

Implementation of Evidence in Preventing Postoperative Sore Throat of Patients Undergoing General Anesthesia Intubation Using the i-PARIHS Framework

Liu

Wang

Zhuang

et al. 2022

Computational Intelligence and Neuroscience

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“…To make it understand the importance of coordination, nursing staff can provide targeted psychological counseling by observing the psychological changes of the patient, which can effectively relieve the psychological pressure of the patient, reduce negative emotions, and maintain a good attitude [16]. At the same time, instruct patients to exercise methods of abdominal muscles and pelvic floor muscles, and implement active, gradual, and regular anal retraction training, which has a significant promotion effect on their postoperative recovery [17]. Among them, pelvic floor muscle exercise can increase the tension of the urethral sphincter and fascia; increase the synergy between the sphincter and detrusor; strengthen the contractility of the urethra, vagina, and anus; help patients urinate; and greatly reduce the incidence of urinary retention [18].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Pilates Exercise Nursing Combined with Communication Standard-Reaching Theory Nursing and Pelvic Floor Muscle Training on Bladder Function and Family Function of Patients after Cervical Cancer Surgery

Guo

Che

2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effect of Pilates exercise nursing combined with nursing based on the theory of communication compliance and pelvic floor muscle training on bladder function and family function of patients after cervical cancer surgery. Methods. The medical records of 96 postoperative cervical cancer patients treated in our hospital from November 2019 to May 2021 were selected as retrospective research objects and were divided into observation group and control group with 48 cases each according to the digital table method. The control group received nursing care based on the theory of communication compliance and pelvic floor muscle training, and the observation group received Pilates exercise therapy nursing on the basis of the control group. The differences in urinary retention, family intimacy and adaptability, bladder function, and family function evaluation scores were compared between the two groups. Results. After nursing, the residual urine volume, urination time, and urination interval of the observation group were lower than those of the control group, while the self-resolving urination rate and urination volume of the observation group were higher than those of the control group, which was statistically significant ( P < 0.05 ). Before nursing, the family intimacy and adaptability scores of the two groups of patients were not statistically significant ( P > 0.05 ). After nursing, the family intimacy score, family adaptability score, and sexual function score of the observation group were significantly higher than the control group; the comparison was statistically significant ( P < 0.05 ). After nursing, the bladder function recovery of the observation group was significantly better than that of the control group, which was statistically significant ( P < 0.05 ). Before nursing, the comparison of family function evaluation between the two groups of patients was not statistically significant ( P > 0.05 ). After nursing, the observation group’s problem solving, communication, role, emotional response, emotional intervention, behavior control, and total functional scores were lower than those of the control group, which were statistically significant ( P < 0.05 ). Conclusion. Carrying out nursing care based on the theory of communication compliance with Pilates exercise therapy for patients after cervical cancer surgery has a good nursing effect improves the patient’s family intimacy and adaptability and patient’s urinary retention and bladder function. Moreover, Pilates exercise nursing is a postoperative treatment for cervical cancer which provides a certain reference for clinical care of patients.

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“…Este estudo afirmava que a imobilização pré-hospitalar poderia prevenir a deterioração neurológica secundária ao trauma por meio da aplicação de plano rígido e colar cervical. Contudo, a este procedimento tem sido apontada a falta de estudos de alta qualidade que o suportem, assim como a sua contestada a sua eficácia (Geldenhuys & Downing, 2020). Considera-se, assim, para esta revisão, que o procedimento de imobilização é a aplicação de plano duro com apoios laterais de cabeça, cintos-aranha e colar cervical, conforme descrito no Manual de Trauma do Departamento de Formação em Emergência Médica do Instituto Nacional de Emergência Médica (INEM), que é o organismo que tutela a formação em emergência préhospitalar a nível nacional (INEM, 2023).…”

Section: Introductionunclassified

“…This study stated that prehospital immobilization could prevent secondary neurological deterioration due to trauma, through the application of rigid splints and cervical collars. However, this procedure has been criticized for lacking high-quality studies supporting it, as well for its effectiveness (Geldenhuys & Downing, 2020). Thus, for this review, immobilization procedure is considered the application of rigid splints with lateral head supports, spider belts, and cervical collars, as described in the trauma manual of the emergency medical training department of the National Institute of Medical Emergency (INEM), which oversees prehospital Emergency training nationwide (INEM, 2023).…”

Section: Introductionmentioning

confidence: 99%

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Spinal immobilization in trauma victims in an out-of-hospital setting: scoping review protocol

Silva,

Mota,

Gomes

et al. 2024

RevSALUS

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Introduction: Trauma is one of the main causes of morbidity and mortality worldwide. Although there is no evidence to support the safety and efficacy of spinal immobilization and its several adverse effects associated to spinal immobilization of trauma victims, it remains a common practice. Objective: To map the evidence regarding the spinal immobilization criteria and its adverse effects associated in trauma patients. Methods: The methodological guidelines of the Joanna Briggs Institute for scoping reviews will be followed for this literature review. The databases used will be the Nursing & Allied Health Collection, Cochrane Plus Collection: Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects, MedicLatina, MEDLINE COMPLETE, SPORTDiscus (via EBSCOHost), Scielo, LILACS and Sciencedirect. Other potential sources in the gray literature, including professional websites, and the references of the included articles will be considered. Results: The results will be summarized and reported in a narrative summary and the evidence should directly respond to the review objective and question, aiming to cluster evidence regarding spinal immobilization and the associated adverse effects and identify possible knowledge gaps. Conclusion: Knowledge of morbidity associated with immobilization devices, as well as support for their use, can contribute to better care practice in the effective and safe approach to trauma, ensuring more informed decision-making about the need for immobilization.

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Evidence-Based Nursing Care for Spinal Nursing Immobilization: A Systematic Review

Cited by 6 publications

References 32 publications

Implementation of Evidence in Preventing Postoperative Sore Throat of Patients Undergoing General Anesthesia Intubation Using the i-PARIHS Framework

Implementation of Evidence in Preventing Postoperative Sore Throat of Patients Undergoing General Anesthesia Intubation Using the i-PARIHS Framework

The Effect of Pilates Exercise Nursing Combined with Communication Standard-Reaching Theory Nursing and Pelvic Floor Muscle Training on Bladder Function and Family Function of Patients after Cervical Cancer Surgery

Spinal immobilization in trauma victims in an out-of-hospital setting: scoping review protocol

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