首页|正念减压式心理干预结合ERAS理念在腰椎管狭窄症患者PTED围手术期中的应用

正念减压式心理干预结合ERAS理念在腰椎管狭窄症患者PTED围手术期中的应用

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

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目的 探讨正念减压式心理干预结合加速康复外科(ERAS)理念应用于经皮椎间孔镜椎间盘切除术(PTED)患者围手术期中的效果.方法 选择2021年6月-2023年5月在亳州市人民医院行经皮椎间孔镜椎间盘切除术的患者134例,采用随机数字表法分为对照组(67例)和观察组(67例).对照组采用常规围手术期护理,观察组在对照组的基础上实施正念减压和快速康复理念护理干预.比较2组手术相关指标、心理状态、疼痛程度、腰椎功能恢复情况及并发症发生情况,运用SPSS 25.0统计学软件分析数据.结果 观察组患者住院时间较对照组短[(1.77±0.37)d vs.(1.96±0.46)d,P<0.05];干预后,观察组患者简明心境状态中消极情绪评分较对照组低(P<0.05),积极情绪评分较对照组高(P<0.05);术后1 d、干预后,观察组患者疼痛评分较对照组低(P<0.05);干预后,观察组患者腰椎功能评分较对照组高(P<0.05);干预后,观察组患者并发症发生率较对照组低[2(2.99%)vs.11(16.42%),x2=6.900,P<0.05].结论 将正念减压式心理干预与加速康复外科理念结合用于经皮椎间孔镜椎间盘切除术患者围手术期护理中,可明显改善患者心理状态、促进其腰椎功能恢复,同时减轻疼痛、减少并发症的发生.
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 perio-perative 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 observa-tion group(P<0.05).After intervention,the complication rate was lower in the observation group[2(2.99%)vs.11(16.42%),x2=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 per-cutaneous foraminoscopic discectomy can significantly improve psychological state,promote the recovery of lumbar func-tion,relieve pain,and reduce complications.

Mindfulness-based stress reduction interventionThe concept of enhanced recovery after surgeryLumbar spinal stenosisPercutaneous transforaminal endoscopic discectomy

程君、李曼林、路遥、卞冰洁、祝尚颖、佟茂琦、巩陈、邹明

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亳州市人民医院手术室,安徽亳州 236800

亳州市人民医院脊柱外科

正念减压式心理干预 加速康复外科理念 腰椎管狭窄症 经皮椎间孔镜椎间盘切除术

安徽省重点研究与开发计划项目

202104j07020053

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(8)