摘要
Abstract
Objective:To explore the effect of nonverbal communication combined with enhanced recovery after surgery(ERAS)staged rehabilitation nursing on patients with lumbar disc herniation undergoing percutaneous transforaminal endoscopic discectomy(PTED).Method:A total of 80 elderly patients with lumbar disc herniation who received PTED in Jingdezhen Hospital of Traditional Chinese Medicine from January 2022 to June 2023 were selected and divided into intervention group and conventional group according to the random number table method,with 40 cases in each group.The conventional group was given perioperative conventional nursing regimen,and the intervention group was given nonverbal communication combined with ERAS theory-guided staged rehabilitation nursing regimen.Perioperative indicators(surgical time,exhaust time,ambulation time,hospital stay)were observed in the two groups;and visual analogue scale(VAS)score at immediately after surgery and at 12 and 24 hours after surgery were compared in the two groups;self-efficacy[general self-efficacy scale(GSES),chronic pain self-efficacy scale(CPSS)]before and after intervention,excellent and good rate of efficacy[modified Japanese Orthopedic Association(M-JOA)back pain score]during the last follow-up and perioperative complications were compared between the two groups.Result:The exhaust time,ambulation time and hospital stay in intervention group were shorter than those in conventional group,the differences were statistically significant(P<0.05),there was no significant difference in surgical time between the two groups(P>0.05).At 24 hours after surgery,the pain degree scores in both groups were decreased,and the score in intervention group was lower than that in conventional group,the differences were statistically significant(P<0.05).After intervention,the GSES score and scores of pain management,physical function and symptom coping of CPSS were increased in both groups,and the scores in intervention group were higher than those in conventional group,the differences were statistically significant(P<0.05).At the last follow-up,the excellent and good rate of efficacy in intervention group and conventional group was compared,the difference was not statistically significant(P>0.05).The total incidence rate of perioperative complications in intervention group and conventional group was compared,the difference was not statistically significant(P>0.05).Conclusion:For perioperative nursing of elderly patients with lumbar disc herniation,nonverbal communication combined with ERAS theory-guided staged rehabilitation nursing can accelerate the rehabilitation process,relieve the postoperative pain,enhance the self-efficacy,promote the normal recovery of lumbar function,and reduce the occurrence of complications.关键词
围手术期/非语言交流/加速康复外科理论/阶段性康复护理/老年腰椎间盘突出症/经皮椎间孔镜下髓核摘除术/自我效能感Key words
Perioperative period/Nonverbal communication/Enhanced recovery after surgery theory/Staged rehabilitation nursing/Elderly lumbar disc herniation/Percutaneous transforaminal endoscopic discectomy/Self-efficacy
