Postoperative Day 1 ambulation in patients undergoing posterior lumbar interbody fusion surgery: current status and influencing factors
10.3760/cma.j.cn115682-20250207-00540
- VernacularTitle:腰椎后路融合术患者术后第1天下床活动现况及影响因素分析
- Author:
Bing HAN
1
;
Xiaoxia KANG
;
Wenli ZHU
;
Fangfang DUAN
;
Da HE
;
Jiayuan WU
Author Information
1. 首都医科大学附属北京积水潭医院护理部，北京 100035
- Publication Type:Journal Article
- Keywords:
Lumbar spine;
Spinal fusion surgery;
Early ambulation;
Enhanced recovery after surgery;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(15):2065-2071
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of postoperative Day 1 ambulation in patients undergoing posterior lumbar interbody fusion (PLIF) surgery under an enhanced recovery after surgery (ERAS) protocol, analyze the influencing factors of successful ambulation on postoperative Day 1, and explore the impact of early ambulation on postoperative recovery.Methods:Data from 397 patients who underwent PLIF surgery at Beijing Jishuitan Hospital, Capital Medical University, from September 2023 to July 2024 were retrospectively collected. Patients were divided into two groups based on whether they successfully ambulated on postoperative Day 1: the successful ambulation on Day 1 group and the delayed ambulation group. Binary Logistic regression was used to analyze the factors influencing successful ambulation on postoperative Day 1. Postoperative recovery indicators, including catheter removal time, hospital length of stay, drainage volume on postoperative Day 3, and pain scores for the low back and legs, were compared between the two groups.Results:A total of 378 patients were included in the analysis. Among them, 316 patients (83.6%) successfully ambulated on postoperative Day 1, while 62 patients (16.4%) had delayed ambulation. Logistic regression analysis indicated that postoperative Day 1 hemoglobin classification and pre-ambulation low back pain score in the supine position were independent factors influencing successful ambulation on Day 1 ( P<0.05). The successful ambulation group had a shorter catheter removal time and hospital stay compared to the delayed ambulation group, with statistically significant differences ( P<0.05). There were no significant differences between the two groups in postoperative drainage volume, low back pain scores, leg pain scores, or Oswestry Disability Index scores before discharge (all P>0.05) . Conclusions:Postoperative Day 1 hemoglobin levels and pre-ambulation low back pain scores are independent factors influencing the success of ambulation on postoperative Day 1 in patients undergoing PLIF surgery. Early ambulation on postoperative Day 1 helps reduce catheter removal time and length of hospital stay without increasing postoperative drainage or pain levels.
