Effects of pre-management led by specialist nurses in patients with minimally invasive lumbar fusion
10.3760/cma.j.cn115682-20220724-03590
- VernacularTitle:专科护士主导的前置化管理在微创入路腰椎融合术患者中的应用
- Author:
Bibo LI
1
;
Na LI
;
Jieyao LI
Author Information
1. 新乡市中心医院 新乡医学院第四临床学院骨科一（脊柱），新乡 453000
- Keywords:
Perioperative nursing;
Lumbar fusion;
Nurse specialists;
Pre-management
- From:
Chinese Journal of Modern Nursing
2023;29(7):949-954
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of pre-management led by specialist nurses in minimally invasive lumbar fusion.Methods:From January to June 2022, 154 patients with degenerative lumbar diseases who were admitted to the Department of Spinal Orthopedics of Xinxiang Central Hospital for lumbar fusion were selected by convenience sampling. According to the method of random number table, the patients were divided into control group and observation group, with 77 cases each. The control group was given routine preoperative nursing, while the observation group carried out pre-management led by specialist nurses on the basis of the control group. The lumbar spine function (Macnab criteria) and Oswestry Disability Index (ODI) of the two groups were evaluated before and two weeks after the intervention, and the time of getting out of bed and the days of hospitalization after the operation were recorded and compared between the two groups.Results:The Macnab criteria of the two groups at two weeks after operation was higher than that before intervention, and the ODI score was lower than that before intervention, and the differences were statistically significant ( P<0.05) . Two weeks after operation, the Macnab criteria of the observation group was higher than that of the control group, and the ODI score was lower than that of the control group, with statistically significant differences ( P<0.05) . The time of getting out of bed and the days of hospitalization after operation in the observation group were shorter than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The pre-management led by specialist nurses can alleviate the postoperative low back pain of patients with minimally invasive lumbar fusion, promote the recovery of lumbar function, shorten the postoperative time of getting out of bed and hospital stay, and improve the postoperative rehabilitation of patients.
