Nair Somnath, Podichetty Vinod K
Department of Neurosurgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.
Neurol Clin. 2004 May;22(2):441-56. doi: 10.1016/j.ncl.2003.12.003.
Changing health care regulations and funding have led healthcare providers to develop new ways of providing care for patients who have back pain, while consuming fewer hospital resources. As no consensus exists for a transcendent model of preoperative and postoperative assessment and care, clinicians must define their objectives clearly for effective patient care. These include, but are not limited to, acquiring pertinent medical information, consultations, and laboratory testing necessary to assess perioperative risk; optimizing the patient's condition and developing an appropriate perioperative care plan; and educating the patient about intraoperative care and postoperative management to reduce preoperative anxiety. Clinical circumstances and specific tests for patients who have back pain meet the criteria for good screening opportunities and should be used effectively for pre- and postoperative care.
不断变化的医疗保健法规和资金状况促使医疗服务提供者开发新的方法，以便在消耗更少医院资源的情况下，为背痛患者提供护理。由于术前和术后评估及护理的卓越模式尚未达成共识，临床医生必须明确界定其目标，以实现有效的患者护理。这些目标包括但不限于获取评估围手术期风险所需的相关医学信息、会诊和实验室检查；优化患者状况并制定适当的围手术期护理计划；以及对患者进行术中护理和术后管理教育，以减轻术前焦虑。背痛患者的临床情况和特定检查符合良好筛查机会的标准，应有效地用于术前和术后护理。
