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The impact of nursing interventions on the rehabilitation outcome of patients after lumbar spine surgery

医学 康复 入射(几何) 可视模拟标度 心理干预 Oswestry残疾指数 物理疗法 萧条(经济学) 焦虑 生活质量(医疗保健) 腰椎 不利影响 腰痛 内科学 外科 护理部 物理 替代医学 病理 精神科 光学 经济 宏观经济学
作者
Jun Liang,Liyan Wang,Jialu Song,Yu Zhao,Ke-Yan Zhang,Xia Zhang,Cailing Hu,Dong Tian
出处
期刊:BMC Musculoskeletal Disorders [Springer Nature]
卷期号:25 (1): 354-354 被引量:5
标识
DOI:10.1186/s12891-024-07419-9
摘要

Abstract Background This study aimed to investigate the impact of nursing interventions on the rehabilitation outcomes of patients after lumbar spine surgery and to provide effective references for future postoperative care for patients undergoing lumbar spine surgery. Methods The study included two groups: a control group receiving routine care and an observation group receiving additional comprehensive nursing care. The comprehensive care encompassed postoperative rehabilitation, pain, psychological, dietary management, and discharge planning. The Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Short-Form 36 (SF-36) Health Survey, self-rating depression scale (SDS) and self-rating anxiety scale(SAS) were used to assess physiological and psychological recovery. Blood albumin, haemoglobin, neutrophil counts, white blood cell counts, red blood cell counts, inflammatory markers (IL-6, IL-10, and IFN-γ) were measured, and the incidence of postoperative adverse reactions was also recorded. Results Patients in the observation group exhibited significantly improved VAS, ODI, SF-36, SDS and SAS scores assessments post-intervention compared to the control group ( P < 0.05). Moreover, levels of IL-6, IL-10, and IFN-γ were more favorable in the observation group post-intervention ( P < 0.05), indicating a reduction in inflammatory response. There was no significant difference in the incidence of postoperative adverse reactions between the groups ( P > 0.05), suggesting that the comprehensive nursing interventions did not increase the risk of adverse effects. Conclusion Comprehensive nursing interventions have a significant impact on the postoperative recovery outcomes of patients with LSS, alleviating pain, reducing inflammation levels, and improving the overall quality of patient recovery without increasing the patient burden. Therefore, in clinical practice, it is important to focus on comprehensive nursing interventions for patients with LSS to improve their recovery outcomes and quality of life.
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