The application of mindfulness-based stress reduction intervention combined with ERAS concept in PTED perioperative period for lumbar spinal stenosis patients
The application of mindfulness-based stress reduction intervention combined with ERAS concept in PTED perioperative period for lumbar spinal stenosis patients
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.
关键词
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
Key words
Mindfulness-based stress reduction intervention/The concept of enhanced recovery after surgery/Lumbar spinal stenosis/Percutaneous transforaminal endoscopic discectomy
维普
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