Effect of rapid rehabilitation surgical nursing in perioperative period of minimally invasive transforaminal fusion / 中国实用护理杂志

ABSTRACT

Objective:To explore the perioperative effect of rapid rehabilitation surgical nursing (FTS) in patients undergoing minimally invasive transforaminal fusion.Methods:A total of 74 patients with lumbar spondylolisthesis who received minimally invasive transforaminal fusion in the department of orthopedics of the First Affiliated Hospital of Zhengzhou University from January 2017 to December 2018 were selected as the study subjects. The control group and the experimental group each contained 37 cases. Patients in the experimental group received perioperative FTS nursing, while patients in the control group received routine nursing.Numerical Rating Scale (NRS), Oswestry Disability Index (ODI) and postoperative rehabilitation status of patients in the two groups were compared under different nursing interventions.Results:After nursing, the curative effect of the experimental group was 27 (72.97%), 7 (18.92%), 2 (5.41%) and 1 (2.70%) cases, and the control group was 18 (48.65%), 8 (21.62%), 6 (16.22%) and 5 (13.51%) cases, respectively. The difference of the curative effect between the two groups was statistically significant ( χ2 value was 4.593, P<0.05). Patients during perioperative operation time, blood loss, hospital stay, bed time value respectively for the first time (205.44±22.85) min, (185.71±12.21) ml, (2.52±0.82) d, (11.64±3.32) d and control group respectively (213.73±17.12) min, (253.58±16.01) ml, (4.15±0.97) d, (14.56±4.43) d. Blood loss, hospital stay, out of bed time for the first time showed statistically difference between two groups ( t value was 20.504, 7.806, 3.208, all P < 0.05); NRS score and ODI score were 2.26±0.93 and 32.35±5.36 respectively in the experimental group and 4.50±1.09 and 20.62±6.23 in the control group after nursing. The difference between the two groups was statistically significant ( t value was 9.509, 8.682, both P<0.05). Nursing satisfaction was 86.49% (32/37) in the experimental group and 67.57% (25/37) in the control group, and the difference between the two groups was statistically significant ( χ2 value was 3.742, P<0.05). Conclusion:FTS nursing intervention can effectively reduce perioperative discomfort symptoms of patients, promote the recovery of various rehabilitation indicators of perioperative patients, and has positive significance for the improvement of lumbar spine function and lower limb dysfunction.