Prospective study on effect of dual-subject three-step method on postoperative recovery in patients with intradural tumors
- VernacularTitle:双主体三步法对椎管内肿瘤患者术后康复效果的前瞻性研究
- Author:
Shuxia LYU
1
;
Guangling PENG
Author Information
- Keywords: dual-subject; three-step method; intradural tumor; psychophysical stress; lumbar spine function
- From: Journal of Clinical Medicine in Practice 2025;29(1):102-106
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effects of the dual-subject three-step method on periop-erative outcomes in patients with intradural tumors.Methods A total of 86 patients with intradural tumors were enrolled in a prospective study and were randomly divided into control group and observa-tion group,with 43 patients per group.The control group received routine perioperative care,while the observation group underwent intervention of the dual-subject three-step method.The recovery process,psychological state[Patient Health Questionnaire-9(PHQ-9)and Generalized Anxiety Dis-order-7(GAD-7)]at different perioperative time points,lumbar spine function scores of Japanese Orthopaedic Association(JOA),and occurrence of complication were observed.Results The obser-vation group exhibited shorter durations for first flatus,first ambulation,recovery of bowel move-ments,and hospital stay compared with the control group(P＜0.05).The PHQ-9 and GAD-7 scores in the observation group were lower than those in the control group at 1 day preoperatively,1 day post operatively,and 1 month after discharge(P＜0.05).At discharge,1 month after discharge,and 6 months during follow-up,the JOA scores in the observation group were higher than those in the con-trol group(P＜0.05).The complication rate in the observation group was lower than that in the con-trol group(6.98％versus 25.58％,P＜0.05).Conclusion Application of the dual-subject three-step method in patients with intradural tumors can effectively improve psychophysical stress,reduce complications,improve lumbar spine function,and promote early postoperative recovery.
