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

CHENG Jun; LI Manlin; LU Yao; BIAN Bingjie; ZHU Shangying; TONG Maoqi; GONG Chen; ZOU Ming

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

Volume 22 Issue 8

Aug. 2024

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > Chinese Journal of General Practice > 2024 > 22(8): 1438-1442

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

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

PDF( 478 KB)

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

1.
Operating Room, Bozhou People ' s Hospital, Bozhou, Anhui 236800, China

Funds:

202104j07020053

Received Date: 2024-03-15
Available Online: 2024-11-19

Abstract

Abstract

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.

FullText(HTML)

References(20)

References

[1]	蒋玉倩, 陈祖琨, 陈春艳, 等. 子午流注纳支法穴位贴敷在肝肾亏虚型腰椎管狭窄症病人护理中的应用研究[J]. 护理研究, 2021, 35(4): 700-703. JIANG Y Q, CHEN Z K, CHEN C Y, et al. Application of acupoint application used Nazhi method of Ziwu Liuzhu in nursing of patients with lumbar spinal stenosis typed in deficiency of liver and kidney[J]. Chinese Nursing Research, 2021, 35(4): 700-703.
[2]	宋月, 张春虹, 许海委. 加速康复外科理念在极外侧入路腰椎间融合术围手术期护理中的应用研究[J]. 山西医药杂志, 2020, 49(15): 1942-1945. SONG Y, ZHANG C H, XU H W. The nursing based on the concept of enhanced recovery after surgery in the perioperative of lumbar extreme lateral interbody fusion[J]. Shanxi Medical Journal, 2020, 49(15): 1942-1945.
[3]	陈丽娟, 茅志娟, 陆芳芹, 等. 深层肌康复锻炼联合揿针对经皮椎间孔镜下髓核摘除术后腰间盘突出症患者腰痛及日常生活的影响[J]. 中国医药导报, 2022, 19(15): 97-100. CHEN L J, MAO Z J, LU F Q, et al. Effect of deep muscle rehabilitation exercise combined with thumb-tack needle for subcutaneous embedding on lumbago and daily life of patients after minimally invasive lumbar surgery[J]. China Medical Herald, 2022, 19(15): 97-100.
[4]	王惠婷, 黄洁, 蒋继乐, 等. 快速康复为中心的围术期优化护理在腰椎微创手术患者中的应用[J]. 河北医药, 2022, 44(11): 1747-1750. WANG H T, HUANG J, JIANG J L, et al. The application effects of ERAS-based nursing measures in patients undergoing percutaneous endoscopic lumbar discectomy[J]. Hebei Medical Journal, 2022, 44(11): 1747-1750.
[5]	温建伟, 吴赵, 张文奎. 腰椎管狭窄症患者手术后不良心理因素与预后结局的关系[J]. 颈腰痛杂志, 2023, 44(6): 926-929. WEN J W, WU Z, ZHANG W K. Relationship between postoperative depression and anxiety symptoms and function after lumbar spinal stenosis surgery[J]. The Journal of Cervicodynia and Lumbodynia, 2023, 44(6): 926-929.
[6]	甄志龙, 刘瑞, 赵建民, 等. 局部麻醉与硬膜外麻醉用于经皮椎间孔镜腰椎间盘切除术的有效性和安全性的Meta分析[J]. 中国内镜杂志, 2023, 29(7): 20-28. ZHEN Z L, LIU R, ZHAO J M, et al. Meta-analysis of effectiveness and safety between local anesthesia vs epidural anesthesia for percutaneous transforaminal endoscopic discectomy[J]. China Journal of Endoscopy, 2023, 29(7): 20-28.
[7]	张晓, 胡磊, 杨华, 等. 正念减压式心理干预对肝脏肿瘤切除患者焦虑与抑郁和睡眠质量的影响[J]. 中国临床保健杂志, 2022, 25(3): 398-401. ZHANG X, HU L, YANG H, et al. Effects of mindfulness decompression psychological intervention on anxiety, depression and sleep quality in patients with liver tumor resection[J]. Chinese Journal of Clinical Healthcare, 2022, 25(3): 398-401.
[8]	丁燕, 丁楠. 快速康复护理对经皮椎间孔镜下治疗腰椎管狭窄症后疼痛与疗效的影响[J]. 颈腰痛杂志, 2020, 41(5): 637-638. DING Y, DING N. Effect of rapid rehabilitation nursing on pain and curative effect after percutaneous foraminal endoscopic treatment of lumbar spinal stenosis[J]. The Journal of Cervicodynia and Lumbodynia, 2020, 41(5): 637-638.
[9]	姚俊杰, 齐伟, 张馨心, 等. 腰椎管狭窄症诊断与治疗的研究进展[J]. 实用临床医药杂志, 2022, 26(4): 136-140, 145. YAO J J, QI W, ZHANG X X, et al. Research progress in diagnosis and treatment of lumbar spinal stenosis[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 136-140, 145.
[10]	别怀芳, 王妍. 麻醉前集中心理疏导对患者应激反应、苏醒期情况及心境状态的影响[J]. 哈尔滨医科大学学报, 2020, 54(2): 211-214. BIE H F, WANG Y. Effects of concentrated psychological counseling before anesthesia on stress response, recovery period and mood state of patients[J]. Journal of Harbin Medical University, 2020, 54(2): 211-214.
[11]	翁晓倩, 方开云, 王斌, 等. 加速康复外科管理路径对初次全髋关节置换术患者预后的影响[J]. 贵州医科大学学报, 2023, 48(4): 441-447. WENG X Q, FANG K Y, WANG B, et al. Impact of enhanced recovery after surgery protocol on the prognosis of patients undergoing primary total hip arthroplasty[J]. Journal of Guizhou Medical University, 2023, 48(4): 441-447.
[12]	王朵, 张丹, 桂萍. 腰椎管狭窄症患者应用以结局为导向的强化护理干预临床观察[J]. 中国医药导报, 2022, 19(28): 194-196, 封3. WANG D, ZHANG D, GUI P. Clinical observation of outcome-oriented intensive nursing intervention in patients with lumbar spinal stenosis[J]. China Medical Herald, 2022, 19(28): 194-196, COVER 3.
[13]	张杨西贝, 柏彬, 马杰, 等. 基于加速康复外科理念的术前护理干预模式在老年腰椎管狭窄症手术患者中的应用研究[J]. 中华全科医学, 2021, 19(12): 2146-2148, 2157. doi: 10.16766/j.cnki.issn.1674-4152.002257 ZHANG Y X B, BAI B, MA J, et al. 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
[14]	BODEN L M, RODRIGUEZ C, KELLY J D, et al. Mindfulness applications: can they serve as a stress, anxiety, and burnout reduction tool in orthopaedic surgery training? A randomized control trial[J]. JB JS Open Access, 2023, 8(3): e22.00114. DOI: 10.2106/JBJS.OA.22.00114.
[15]	EMANUE O, GREENSLADE K, LECHNER M, et al. Mindfulness for patients undergoing surgery: a cost-effective and potentially underrated tool for improving outcomes[J]. Br J Anaesth, 2021, 127(1): e22-e24.
[16]	STEPHEN A E, MEHTA D H. Mindfulness in surgery[J]. Am J Lifestyle Med, 2019, 13(6): 552-555.
[17]	唐平方, 郑燕玲, 欧阳艳菲. 基于正念减压的团体心理干预联合中药热奄包护理应用于腰椎间盘突出症患者的效果[J]. 中外医学研究, 2023, 21(33): 94-98. TANG P F, ZHENG Y L, OUYANG Y F. Effect of group psychological intervention based on mindfulness decompression combined with traditional chinese medicine hot bag nursing for patients with lumbar disc herniation[J]. Chinese and Foreign Medical Research, 2023, 21(33): 94-98.
[18]	杨志强, 曾建成, 李涛, 等. 加速康复外科在OLIF结合前路内固定治疗腰椎管狭窄症合并退变性不稳中的应用[J]. 中国骨与关节杂志, 2020, 9(1): 33-38. YANG Z Q, ZENG J C, LI T, et al. Application of enhanced recovery after surgery in oblique lateral interbody fusion combined with anterior fixation in the treatment of lumbar spinal stenosis with degenerative instability[J]. Chinese Journal of Bone and Joint, 2020, 9(1): 33-38.
[19]	DEBONO B, WAINWRIGHT T W, WANG M Y, et al. Consensus statement for perioperative care in lumbar spinal fusion: enhanced recovery after surgery (ERAS^®) society recommendations[J]. Spine J, 2021, 21(5): 729-752.
[20]	LAM C N, SILKE O, ITAMURA J, et al. Mindfulness training by telephone before and after orthopedic surgery: a feasibility study[J]. J Altern Complement Med, 2020, 26(3): 249-251.

Relative Articles

[1]	ZHANG Nan, WANG Miao, ZHANG Peng, MA Chao, GAO Shunxing, LIU Hongzheng, TAO Xiaobing. Effect of indwelling drainage tube on wound healing and infection indexes in patients after posterior lumbar decompression and internal fixation surgery[J]. Chinese Journal of General Practice, 2024, 22(5): 729-732. doi: 10.16766/j.cnki.issn.1674-4152.003490
[2]	YANG Fan, AN Xiaolong, ZHOU Chengpei, ZHU Kailong, QIAN Jixian, QIAN Shu. New progress in minimally invasive surgical treatment of thoracic spinal stenosis[J]. Chinese Journal of General Practice, 2024, 22(2): 292-295. doi: 10.16766/j.cnki.issn.1674-4152.003387
[3]	YANG Chang, LUO Guogang, ZHOU Minjie. Application of nursing model based on enhanced recovery after surgery concept combined with ear point embedding in the perioperative period of elderly hip fractures[J]. Chinese Journal of General Practice, 2023, 21(12): 2165-2168. doi: 10.16766/j.cnki.issn.1674-4152.003314
[4]	BI Hongsheng, DAI Jiali, SUN Dawei. Effect of self-help mindfulness-based intervention on stigma and resilience in patients with depression[J]. Chinese Journal of General Practice, 2023, 21(12): 2097-2100. doi: 10.16766/j.cnki.issn.1674-4152.003299
[5]	LU Huaiwang, TIAN Lin, HU Peng, LIU Bin, ZHANG Yuhong. Short-term clinical effect analysis of unilateral biportal endoscopic surgery for of single responsible segment lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2023, 21(3): 413-416. doi: 10.16766/j.cnki.issn.1674-4152.002896
[6]	TANG Ting, ZHANG Qiang, WANG Xiang, HE Li-yun, ZHANG Wen-bin. Effect of improved continuous nursing on surgical stress and immune function in patients with gastric cancer after laparoscopic distal gastrectomy[J]. Chinese Journal of General Practice, 2022, 20(5): 882-885. doi: 10.16766/j.cnki.issn.1674-4152.002478
[7]	ZHAO Long, ZHANG Rong-yi, LIU Chang. Comparison of the clinical effects of percutaneous transforaminal endoscopic discectomy and plasma-mediated radiofrequency ablation combined with collagenase in the treatment of lumbar disc herniation[J]. Chinese Journal of General Practice, 2021, 19(11): 1827-1830. doi: 10.16766/j.cnki.issn.1674-4152.002177
[8]	WU Hao, YU Hai-yang, ZHAI Yun-lei, LIANG Cheng-min, CUI Xi-long. Effect of 270° autogenous bone replantation around the intervertebral cage on vertebral fusion rate and efficacy after lumbar fusion[J]. Chinese Journal of General Practice, 2021, 19(9): 1488-1491. doi: 10.16766/j.cnki.issn.1674-4152.002093
[9]	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
[10]	LIU Lu-lu, LI Xiu-chuan, YUAN Feng, LIANG Hua-kun, ZHANG Kai, LI Jian-cheng. Application of the concept of enhanced recovery after surgery in free flap repair of oral cancer patients[J]. Chinese Journal of General Practice, 2020, 18(10): 1774-1778. doi: 10.16766/j.cnki.issn.1674-4152.001616
[11]	MI Da-guo, ZHOU Bin, LU Wei, HUANG Wei, CAI Chun-yue. Treatment of lumbar spinal stenosis with percutaneous transforaminal endoscopic discectomy via anterior and lateral approach[J]. Chinese Journal of General Practice, 2019, 17(11): 1845-1848. doi: 10.16766/j.cnki.issn.1674-4152.001071
[12]	YANG Fu-hua, ZHANG Yue-yan, YING Rong-chao. The effect of accelerated rehabilitation on the clinical prognosis of elderly patients with radical gastrectomy[J]. Chinese Journal of General Practice, 2018, 16(3): 473-475. doi: 10.16766/j.cnki.issn.1674-4152.000131
[13]	ZHU Min-yu, LI Chi, TENG Hong-lin, WANG Jing, WANG Yu, ZHOU Yang, HUANG Ke-lun, LIN Chao-wei, WU Shi-yang. Trans-foraminal and inter-laminar percutaneous endoscopic lumbar discectomy treatment for L_4-5 down-migrating disc herniating[J]. Chinese Journal of General Practice, 2018, 16(7): 1116-1120. doi: 10.16766/j.cnki.issn.1674-4152.000308
[14]	XU Qing-ping, SONG Deng-feng, HE Jian-xing, ZHU Xiao-feng, HU Xi-lian. Effect of minimally invasive unilateral pedicle screw fixation and bilateral decompression on lumbar spinal isolated segment stenosis[J]. Chinese Journal of General Practice, 2018, 16(1): 34-37. doi: 10.16766/j.cnki.issn.1674-4152.000009
[15]	HUANG Cheng, WANG Yiwei, LI Bin, JIANG Yi, ZHANG Congxiao, ZUO Rujun, SHI Yan, WU Lei, YIN Dong. Effects of lumbar interbody fusion combined pedicle screw fixation in the treatment of lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2017, 15(9): 1484-1486. doi: 10.16766/j.cnki.issn.1674-4152.2017.09.009
[16]	WANG Yandong, MA Rui, QIAN Jixian, ZHOU Yong, ZHANG Wei, YANG Zhiquan, HAN Kang, DANG Peiye. Clinical study of percutaneous transforaminal endoscopic discectomy for far lateral lumbar disc herniation[J]. Chinese Journal of General Practice, 2017, 15(7): 1099-1101,1108. doi: 10.16766/j.cnki.issn.1674-4152.2017.07.002
[17]	ZHOU Hong-xia, LIU Jian-min. Efficacy analysis of the clinical application of ERAS nursing concept in patients with percutaneous nephrolithotomy[J]. Chinese Journal of General Practice, 2017, 15(12): 2145-2147. doi: 10.16766/j.cnki.issn.1674-4152.2017.12.042
[19]	ZHANG Wei, GAO Dong, GAO Hao-ran, GAO Quan-you, HAN Kang, WANG Yan-dong, LI Yao-zhang, ZHOU Yong, XING Yong-jun. Comparison of Mini-TLIF using quadrant minimally invasive system and open-TLIF in treatment of lumbar disc herniation[J]. Chinese Journal of General Practice, 2016, 14(3): 346-348,464. doi: 10.16766/j.cnki.issn.1674-4152.2016.03.002
[20]	YANG Yan, SUN Yun, LI Rui, YANG Fang, YANG Qiao-hui, XUE Wei-gao, BIAN Na, MA Qiong, HAN Kang. Perioperative care of patients undergoing percutaneous transforaminal endoscopic discectomy[J]. Chinese Journal of General Practice, 2016, 14(2): 317-319. doi: 10.16766/j.cnki.issn.1674-4152.2016.02.053

Supplements(0)

Cited By

Cited by

Periodical cited type(2)

1.	胡冰涛，张文灿，王崇怡，林翔宇，王凯斌，冯运泽，刘郴，徐万龙，李乐，司海朋. 基于加速康复外科理念的单孔分体内镜微创技术治疗腰椎管狭窄症的临床效果分析. 山东大学学报(医学版). 2025(03): 1-7+13 .
2.	朱瑞雪，刘丽丽，李超超，刘兰香. 支持性心理干预联合正念减压疗法对肺癌化疗患者的影响. 齐鲁护理杂志. 2024(21): 24-27 .

Other cited types(0)

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(6)

Get Citation

PDF

XML

Article Metrics

Article views (85) PDF downloads(3)

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

Abstract

References

Relative Articles

Cited by

Periodical cited type(2)

Other cited types(0)

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

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

Abstract

References

Relative Articles

Cited by

Periodical cited type(2)

Other cited types(0)

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content