Application Of Rehabilitation Nursing In Patients Accepting Minimally Invasive Spine Surgery And Its Effects On Pain And Adverse Emotions

Objective: To explore the significance of rehabilitation nursing (RN) after minimally invasive spine surgery (MISS), and to investigate its improvement on postoperative pain and anxiety/depression. Methods: A prospective study was conducted in 130 patients who underwent elective MISS. These patients were divided into two groups by the random number table method: control group (n=65, routine nursing mode) and research group (n=65, routine nursing and RN mode). Operation-related indicators, postoperative complications, pain, anxiety/depression, and quality of life were compared between the two groups. Results: Compared with the control group, the research group had significantly earlier off-bed activity after operation, significantly shorter length of hospital stay, lower total incidence of postoperative adverse reactions (all P<0.05) and significantly shortened latency to feeding (P<0.01). VAS scores at rest, and during turnover and cough after intervention were significantly lower in the research group than those in the control group (P<0.05, P<0.001, P<0.05). The SAS and SDS scores of the two groups after intervention were significantly lower than those before intervention (P<0.05 or P<0.01), and the reduction in the research group was more significant (P<0.001, P<0.01). The scores of Generic Quality of Life Inventory-74 (GQOL-74) in the research group were significantly higher than those in the control group one month after operation (all P<0.05). Conclusion: The application of RN in MISS can significantly relieve postoperative pain and adverse psychological emotions, reduce the risk of postoperative complications, shorten the length of hospital stay, and improve the quality of life.