Application of preoperative nursing intervention mode based on the concept of enhanced recovery after surgery in elderly patients with lumbar spinal stenosis

ZHANG-YANG Xi-bei; BO Bin; MA Jie; ZHOU Ping-hui

doi:10.16766/j.cnki.issn.1674-4152.002257

Volume 19 Issue 12

Dec. 2021

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Article Navigation > Chinese Journal of General Practice > 2021 > 19(12): 2146-2148, 2157

ZHANG-YANG Xi-bei, BO Bin, MA Jie, ZHOU Ping-hui. Application of preoperative nursing intervention mode based on the concept of enhanced recovery after surgery in elderly patients with lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2021, 19(12): 2146-2148, 2157. doi: 10.16766/j.cnki.issn.1674-4152.002257

Citation:

ZHANG-YANG Xi-bei, BO Bin, MA Jie, ZHOU Ping-hui. Application of preoperative nursing intervention mode based on the concept of enhanced recovery after surgery in elderly patients with lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2021, 19(12): 2146-2148, 2157. doi: 10.16766/j.cnki.issn.1674-4152.002257

Citation:

ZHANG-YANG Xi-bei, BO Bin, MA Jie, ZHOU Ping-hui. Application of preoperative nursing intervention mode based on the concept of enhanced recovery after surgery in elderly patients with lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2021, 19(12): 2146-2148, 2157. doi: 10.16766/j.cnki.issn.1674-4152.002257

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Application of preoperative nursing intervention mode based on the concept of enhanced recovery after surgery in elderly patients with lumbar spinal stenosis

doi: 10.16766/j.cnki.issn.1674-4152.002257

ZHANG-YANG Xi-bei^{1, 2}
, BO Bin^{1, 2}
, MA Jie^{1, 2}
, ZHOU Ping-hui^{1, 2
,
,}

1.
Department of Orthopaedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

31700854

Received Date: 2020-11-30
Available Online: 2022-03-02

Abstract

Abstract

Objective To study the effects of preoperative nursing intervention based on the concept of enhanced recovery after surgery on sleep quality, anxiety and postoperative complications in elderly patients with lumbar spinal stenosis. Methods The clinical data of 102 patients (age>65 years) who underwent lumbar spinal surgery due to lumbar spinal stenosis from July 2017 to June 2019 in the First Affiliated Hospital of Bengbu Medical College were randomly divided into the control group (n=51) and experimental group (n=51). The control group received routine orthopaedic care in the hospital, whilst the experimental group received preoperative nursing interventions based on the concept of accelerated rehabilitation surgery. The differences in sleep quality, anxiety, postoperative complications and nursing satisfaction between the two groups before and after nursing intervention were compared. Results No significant differences were found in the general information, anxiety and sleep quality between the two groups before intervention (all P>0.05). After intervention, the Pittsburgh Sleep Quality Index scores in the experimental group and the control group were (6.20±1.60) points and (13.35±2.27) points, respectively, and the difference between groups was statistically significant (t=18.402, P < 0.001). The scores of the self-rating anxiety scale were (38.42±8.99) points in the experimental group and (44.63±8.92) points in the control group, with statistically significant difference between groups (t=3.505, P=0.001). The incidence of postoperative complications in the experimental group (5.88%) was significantly lower than that in the control group (19.61%), and the difference between groups was significant (χ²=4.320, P=0.038). The nursing satisfaction was 96.08% in the experimental group and 80.39% in the control group, and the difference between groups was statistically significant (χ²=15.389, P < 0.001). Conclusion The preoperative nursing intervention mode based on the concept of enhanced recovery after surgery can effectively improve the sleep quality of elderly patients with lumbar spinal stenosis, improve the anxiety of patients, reduce the incidence of postoperative complications and improve the satisfaction of patients with medical services and quality.
- Enhanced recovery after surgery,
- Preoperative care,
- Elderly,
- Lumbar spinal stenosis

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References

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