Evaluation of an integrated stepwise rehabilitation model following Nuss procedure in pediatric patients.

Abstract

Objective: This study aimed to evaluate the application and rehabilitation outcomes of an integrated stepwise rehabilitation training model in pediatric patients undergoing minimally invasive repair of pectus excavatum (Nuss procedure).

Methods: A cohort of 97 children who underwent the Nuss procedure between July 2019 and August 2021 were included in the study. Participants were divided into an observation group (n = 52) and a control group (n = 45). The observation group received a stepwise rehabilitation training model in addition to standard perioperative care, while the control group received only routine care. Rehabilitation outcomes, including physical development, pulmonary function, self-care ability, and treatment satisfaction, were assessed over a 12-month period.

Results: There were no statistically significant differences in baseline characteristics or postoperative complications between the two groups. In the observation group, all pulmonary function parameters demonstrated significant improvements at both 6- and 12-months post-surgery (p < 0.001). The control group did not indicate significant changes at 6 months, with improvements noted only at 12 months (p < 0.001). Postoperative satisfaction and self-care ability in the control group improved significantly at the 12-month follow-up. In contrast, the observation group exhibited significant improvements in these parameters as early as 6 months postoperatively.

Conclusion: Early implementation of an integrated stepwise rehabilitation training model enhances the recovery process in pediatric patients following the Nuss procedure. This approach is both effective and economically feasible, providing a practical framework for post-surgical rehabilitation.