Volume 22 Issue 8
Aug.  2024
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CHENG Jun, LI Manlin, LU Yao, BIAN Bingjie, ZHU Shangying, TONG Maoqi, GONG Chen, ZOU Ming. The application of mindfulness-based stress reduction intervention combined with ERAS concept in PTED perioperative period for lumbar spinal stenosis patients[J]. Chinese Journal of General Practice, 2024, 22(8): 1438-1442. doi: 10.16766/j.cnki.issn.1674-4152.003654
Citation: CHENG Jun, LI Manlin, LU Yao, BIAN Bingjie, ZHU Shangying, TONG Maoqi, GONG Chen, ZOU Ming. The application of mindfulness-based stress reduction intervention combined with ERAS concept in PTED perioperative period for lumbar spinal stenosis patients[J]. Chinese Journal of General Practice, 2024, 22(8): 1438-1442. doi: 10.16766/j.cnki.issn.1674-4152.003654

The application of mindfulness-based stress reduction intervention combined with ERAS concept in PTED perioperative period for lumbar spinal stenosis patients

doi: 10.16766/j.cnki.issn.1674-4152.003654
Funds:

 202104j07020053

  • Received Date: 2024-03-15
    Available Online: 2024-11-19
  •   Objective  To investigate the effect of mind-based decompression psychological intervention combined with enhanced recovery after surgery (ERAS) in perioperative period of percutaneous transforaminal endoscopic discectomy (PTED) patients.  Methods  A total of one hundred and thirty-four patients who underwent percutaneous foraminoscopic discectomy at Bozhou People ' s Hospital from June 2021 to May 2023 were selected and divided into a control group (n=67) and an observation group (n=67) by random number table method. The control group was treated with routine perioperative nursing, while the observation group was treated with mindfulness-based decompression and rapid rehabilitation. Surgical indicators, mental state, pain levels, lumbar function recovery, and complication rates were compared between the two groups. SPSS 25.0 software was used for statistical analysis.  Results  The hospitalization time was shorter in the observation group [(1.77±0.37) d vs. (1.96±0.46) d, P < 0.05]. After the intervention, the observation group had lower negative emotion score and higher positive emotion score (P < 0.05). Pain scores was lower in the observation group one day after operation and after the intervention (P < 0.05). After intervention, lumbar function was high in the observation group (P < 0.05). After intervention, the complication rate was lower in the observation group [2 (2.99%) vs. 11 (16.42%), χ2=6.900, P < 0.05].  Conclusion  The combination of mindfulness-based decompression psychological intervention and accelerated department of surgery rehabilitation concept in the perioperative nursing of patients with percutaneous foraminoscopic discectomy can significantly improve psychological state, promote the recovery of lumbar function, relieve pain, and reduce complications.

     

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