Volume 29, Issue 5, 2020
DOI: 10.24205/03276716.2020.1072
Effects of Stepwise Rehabilitation Nursing Intervention on Patients with Lumbar Disc Herniation After Minimally Invasive Surgery and Japanese Orthopedic Association Score
Abstract
Objective: To evaluate the effects of stepwise rehabilitation nursing intervention on patients with lumbar disc herniation (LDH) after minimally invasive surgery and the Japanese Orthopedic Association (JOA) score.
Methods: A total of 120 LDH patients undergoing minimally invasive surgery in our hospital from January 2017 to October 2019 were enrolled and divided into two groups (n=60) using a random number table. In control group, routine nursing was given, based on which stepwise rehabilitation nursing was given in observation group. The lumbar pain score, comfort score, lumbar function score, lumbar mobility, negative emotion score, sleep status indices, quality-of-life score and nursing satisfaction were compared between the two groups.
Results: After nursing, the lumbar pain score was lower in observation group than that in control group, and the comfort score was higher in observation group than that in control group (P<0.05). The JOA score and lumbar mobility were higher in observation group than those in control group (P<0.05). Both anxiety and depression scores were lower in observation group than those in control group (P<0.05). Compared with those in control group, the sleep latency was shortened, the actual sleep duration was prolonged, and the sleep quality score declined in observation group after nursing (P<0.05). Observation group had a higher quality-of-life score than control group (P<0.05). The overall nursing satisfaction in observation group (96.67%) was higher than that in control group (81.67%) (P<0.05).
Conclusion: Stepwise rehabilitation nursing can reduce lumbar pain after minimally invasive surgery, enhance comfort, improve lumbar function and mobility, help reduce negative emotions, raise both sleep quality and quality of life, and make LDH patients more satisfied with nursing services
Keywords
lumbar disc herniation; minimally invasive surgery; stepwise rehabilitation nursing; quality of life