Objective:To investigate the current status of current status of patient activation and discharge readiness in patients with degenerated lumbar disorders after surgery and to analyze their correlation.Methods:By the convenient sampling method, a total of 183 patients with degenerated lumbar disorders after surgery who were treated in Third Department of Orthopedics in Guangdong Province Hospital of Traditional Chinese Medicine, Zhuhai Hospital from January 2018 to December 2018 were selected. Patient Activation Measure (PAM) and Readiness for Hospital Discharge Scale (RHDS) were used to investigate them, and Pearson correlation analysis and multiple linear regression analysis were used to analyze the relationship between them.Results:The standardized PAM scores of 183 patients were (53.06±16.14) . Of which, 86 patients (47.0%) scored less than or equal to 47, 37 patients (20.2%) scored 47.1 to 55.1, 48 patients (26.2%) scored 55.2 to 67.0, 12 patients (6.6%) scored more than or equal to 67.1. The RHDS score of 183 patients was (92.10±10.43) and the standardized score was (7.68±1.87) . PAM scores in all dimensions were positively correlated with RHDS scores in all dimensions ( r=0.203-0.588, P<0.05) . Moreover, self-consciousness of disease management, knowledge of disease, postoperative prevention ability and belief in adhering to healthy life were all independent influencing factors of discharge readiness ( P<0.05) , which could explain 32.9% of variances. Conclusions:The patient activation and discharge readiness of patients with degenerated lumbar disorders after surgery still need to be improved, and good patient activation helps improve discharge readiness. Clinical medical staff should focus on cultivating patient activation so as to improve their self-management ability before discharge.

Objective:To explore the effects of discharge key task plan in patients undergoing lumbar intervertebral fusion surgery.Methods:Totally 125 patients who underwent lumbar intervertebral fusion surgery in Zhuhai Hospital of Traditional Chinese Medicine from June 2018 to June 2019 were selected by convenient sampling and divided into an observation group and a control group according to the random number table. Patients in the observation group received interventions with the discharge key task plan, while patients in the control group received routine care. The discharge readiness, compliance of treatment behavior, and Oswestry Disability Index were collected and compared between the two groups of patients.Results:Finally, 123 patients completed the study, with 62 in the observation group and 61 in the control group. The total scores and scores of all dimensions of readiness to discharge in the observation group were higher than those in the control group ( P<0.05) . The compliance with treatment behavior in the observation group 24 hours before discharge and 3, 6 months after discharge were higher than those in the control group ( P<0.05) ; and the repeated measures analysis of variance showed that the compliance scores of the two groups shoed statistically significant difference in the intervention time, between the groups, and in interaction effects ( P<0.01) . The Oswestry Disability Index in the observation group was lower than that in the control group 3 and 6 months after discharge from the hospital ( P<0.05) ; and the repeated measures analysis of variance showed that the Oswestry Disability Index of the two groups showed statistically significant difference in terms of intervention time, inter-group, and interaction effects ( P<0.01) . Conclusions:The discharge key task plan helps to improve the discharge readiness and compliance with treatment behavior, and reduce the lumbar intervertebral dysfunction in patients undergoing lumbar intervertebral fusion surgery.