THE IMPACT OF NURSING INTERVENTIONS ON POSTOPERATIVE REHABILITATION IN LUMBAR SPINE FUSION PATIENTS: A STUDY AT CENTRAL MILITARY HOSPITAL 108
Main Article Content
Abstract
Objectives: This study aimed to evaluate the effectiveness of nursing interventions in improving postoperative rehabilitation outcomes for patients undergoing one-level lumbar spine fusion surgery at Central Military Hospital 108. Materials and Methods: A longitudinal interventional study was conducted on 80 patients, divided into a control group (n=40) receiving standard nursing care and an intervention group (n=40) receiving additional rehabilitation-focused nursing interventions. Primary outcomes included pain reduction (Visual Analog Scale - VAS), functional recovery (Oswestry Disability Index - ODI), and daily activity improvement (Barthel Index). Secondary outcomes included patient satisfaction and postoperative complications. Data were analyzed using SPSS version 20.0 with statistical significance set at p<0.05. Results: The intervention group demonstrated significantly greater improvements in pain reduction (VAS improvement: 5.4±1.6 vs. 4.2±1.4, p<0.05), functional recovery (ODI improvement: 32.0±15.0 vs. 20.0±14.5, p<0.05), and daily activity scores (Barthel Index improvement: 79.8 vs. 68.7, p<0.05) compared to the control group. Patient satisfaction was also significantly higher in the intervention group (4.8 vs. 3.4, p<0.05). No severe complications were observed. Conclusion: Enhanced nursing interventions significantly improve pain management, functional recovery, and patient satisfaction in postoperative rehabilitation for lumbar spine fusion patients. Implementing structured nursing support can optimize recovery outcomes in clinical settings.
Article Details
Keywords
Nursing interventions, postoperative rehabilitation, lumbar spine fusion, pain management, functional recovery
References


2. Janssen ERC, Punt IM, Clemens MJ, et.al. (2021). Current prehabilitation programs do not improve the postoperative outcomes of patients scheduled for lumbar spine surgery: A systematic review with meta-analysis. J Orthop Sports Phys Ther, 51(3):103-114. doi:10.2519/JOSPT.2021.9748


3. van Erp RM., Jelsma J., Ivan PJ., et.al. (2018). Spinal Surgeons’ Opinions on Pre- and Postoperative Rehabilitation in Patients Undergoing Lumbar Spinal Fusion Surgery: A Survey-Based Study in the Netherlands and Sweden. Spine (Phila Pa 1976), 43(10):713-719. doi:10.1097/BRS.0000000000002406


4. Gilmore SJ, McClelland JA, Davidson M. (2016). Physiotherapy management of patients undergoing lumbar spinal surgery: A survey of Australian physiotherapists. New Zeal J Physiother, 44(2):105-112. doi:10.15619/nzjp/44.2.06


5. Rushton A, Eveleigh G, Petherick E-J, et al. (2012). Physiotherapy rehabilitation following lumbar spinal fusion: a systematic review and meta-analysis of randomised controlled trials. BMJ Open, 2(4). doi:10.1136/bmjopen-2012-000829


6. McCormack HM, Horne DJ, Sheather S. (1988). Clinical applications of visual analogue scales: a critical review. Psychol Med, 18(4):1007-1019. doi:10.1017/s0033291700009934


7. Fairbank JC, Pynsent PB. (2000). The Oswestry Disability Index. Spine (Phila Pa 1976), 25(22):2940-2952. doi:10.1097/00007632-200011150-00017


8. Mahoney FI, Barthel DW (1965). Functional Evaluation: The Barthel Index. Md State Med J, 14:61-65.

9. Liang J, Wang L, Song J, et al.(2024). The impact of nursing interventions on the rehabilitation outcome of patients after lumbar spine surgery. BMC Musculoskelet Disord, 25(1):354. doi:10.1186/s12891-024-07419-9

