Application and effectiveness evaluation of the triple pre-rehabilitation strategy in the perioperative period of patients with degenerative scoliosis
Objective:To explore and analyze the effect of triple prehabilitation strategy on perioperative motor function, nutritional status and psychological status in patients with degenerative spine scoliosis (DSS).Methods:A total of 107 patients with degenerative scoliosis who were treated in the Department of Spinal Surgery of our hospital from January 2019 to December 2022 were included as the research objects. The patients in the experimental group were given triple pre-rehabilitation strategy, and the patients in the control group were given routine nursing strategy. Visual Analogue Scale (VAS), Oswestry disability index (ODI) and self-rating anxiety Scale (SAS) were recorded at admission, 1 day before surgery and on the day of discharge SF-36 scores were recorded on the day of admission and discharge. Hemoglobin, albumin, and total protein values were recorded before operation, 1 day after operation and on the day of discharge.Results:The VAS score and ODI score showed no statistically significant difference between different groups and there was statistically significant difference between different time points (P<0.05). There was interaction between groups and time points. Further analysis of individual effects showed no statistically significant difference between the two groups at admission and before surgery. There were statistically significant differences between the two groups at discharge (P<0.05), and there were statistically significant differences between the control group and the experimental group at each time point (P<0.05). Patient satisfaction also differed significantly between the two groups, with higher satisfaction reported by patients in the experimental group (P<0.05). The repeated measurement design analysis of variance between the experimental group and the control group in the SF-36 score showed no statistical significance between different groups (P>0.05), and there were statistically significant differences between different time points except for physiological functions (P<0.05). There were interactions between groups and time points in physical pain and general health status, but no interactions in other dimensions. In the control group, there were statistically significant differences in physiological function, physical pain, energy, social function, emotional function, and mental health at each time point (P<0.05). There were statistically significant differences in physiological function, physiological function, physical pain, general health status, energy, social function, emotional function, mental health, and health change among the experimental groups at each time point (P<0.05). The main effect of the two groups receiving different treatment strategies was different, and the main effect of nursing strategies was different in different groups. The repeated measurement of hemoglobin, total protein, and albumin contents at admission, immediately after surgery, and at discharge showed no statistical significance between different groups, and statistically significant differences at different time points (P<0.05), except for hemoglobin, there was interaction between groups and time points. There was statistical significance between control group and experimental group at each time point (P<0.05). SAS and SDS scores at admission and discharge showed no significant difference among different groups, but significant difference among different time points (P<0.05). SDS scores interacted with time points. There were statistically significant differences between control group and experimental group at each time point (P<0.05).Conclusion:The comprehensive nursing of triple prehabilitation strategy has a positive significance in the rehabilitation of postoperative motor function, nutritional status and mental health of patients with degenerative scoliosis, which can be promoted and applied in clinical nursing work.
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