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Rehabilitation nursing for patient rehabilitation after minimally invasive spine surgery
Guo X, Hou X, Ding S, Chang S
International Journal of Clinical and Experimental Medicine 2019;12(3):2450-2455
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To explore the effects of rehabilitation nursing interventions on pain, hospital stay, the incidence of complications, activities of daily living (ADLs) and nursing satisfaction of patients undergoing minimally invasive spine surgery (MISS). METHOD(S): One hundred patients with lumbar disc herniation (LDH) admitted to Tangshan Gongren Hospital Rehabilitation Hospital who had undergone MISS were recruited in this study between January 2015 and December 2017 and were randomized into the control group (n = 50) and the observation group (n = 50). Patients in the control group were given routine nursing alone, whereas those in the observation group received rehabilitation nursing interventions in addition to usual care. Rehabilitation nursing interventions included rehabilitation exercise, pain care, psychological care, discharge guidance, complications care and sleep care. The VAS pain score, time to postoperative ambulation, length of hospital stays, the incidence of complications, the Barthel index score (ADL) and nursing satisfaction were compared between the two groups. RESULT(S): Compared with the control group, the observation group had significantly lower VAS score (p < 0.001), shorter time to postoperative ambulation and hospital stays (both p < 0.001), a lower rate of total complications (p = 0.033), higher Barthel index score (p < 0.001), as well as a significantly high rate of nursing satisfaction (p = 0.004). CONCLUSION(S): For patients with MISS, rehabilitation nursing interventions can significantly relieve pain, shorten the time to postoperative ambulation and hospital stays, reduce the incidence of complications, and improve patients' ability to perform ADLs and satisfaction with nursing care. Thus, it is worthy of generalization in clinical practice.

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