Fang Lingling
Department of Orthopedics First Ward, Lu'an Hospital of Anhui Medical University, Lu'an People's Hospital of Anhui Province, Lu'an, China.
Evid Based Complement Alternat Med. 2022 Jul 9;2022:3665919. doi: 10.1155/2022/3665919. eCollection 2022.
To investigate clinical efficacy analysis of fast rehabilitation nursing on pain mitigation after lumbar discectomy and bone graft fusion and internal fixation.
A total of 60 patients with lumbar disc herniation who underwent lumbar discectomy and bone graft fusion and internal fixation in our hospital from January 2021 to December 2021 were randomized either into routine group ( = 30) or rehabilitation group ( = 30) via the random number table method. The patients in the routine group were intervened with the routine postoperative nursing mode, and the patients in the rehabilitation group were intervened with the fast rehabilitation nursing mode on the basis of the nursing of the patients in the routine group. The rehabilitation effect, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores, postoperative pain improvement, and nursing satisfaction were compared between the two groups.
The postoperative rehabilitation effect of the rehabilitation group was significantly better than that of the routine group ( < 0.05). The fast rehabilitation nursing resulted in a notably lower postoperative SAS and SDS scores versus the routine nursing ( < 0.001). The postoperative pain was significantly mitigated in the rehabilitation group when compared with the routine group ( < 0.001). The fast rehabilitation nursing implemented in the rehabilitation group led to a remarkably higher nursing satisfaction of the patients ( < 0.001).
The fast rehabilitation nursing mode intervention for lumbar disc herniation patients undergoing lumbar discectomy and bone graft fusion and internal fixation is a promising approach to improve the postoperative rehabilitation, mitigate postoperative pain, and relieve anxiety, depression, and other negative emotions, with higher clinical nursing satisfaction.
探讨快速康复护理对腰椎间盘切除植骨融合内固定术后疼痛缓解的临床疗效分析。
选取2021年1月至2021年12月在我院行腰椎间盘切除植骨融合内固定术的60例腰椎间盘突出症患者,采用随机数字表法将其随机分为常规组(n = 30)和康复组(n = 30)。常规组患者采用常规术后护理模式进行干预,康复组患者在常规组患者护理的基础上采用快速康复护理模式进行干预。比较两组患者的康复效果、自评焦虑量表(SAS)和自评抑郁量表(SDS)评分、术后疼痛改善情况及护理满意度。
康复组术后康复效果明显优于常规组(P < 0.05)。与常规护理相比,快速康复护理使术后SAS和SDS评分显著降低(P < 0.001)。与常规组相比,康复组术后疼痛明显减轻(P < 0.001)。康复组实施的快速康复护理使患者的护理满意度显著提高(P < 0.001)。
对行腰椎间盘切除植骨融合内固定术的腰椎间盘突出症患者采用快速康复护理模式进行干预,是提高术后康复效果、减轻术后疼痛、缓解焦虑、抑郁等负面情绪的一种有前景的方法,临床护理满意度较高。