Perioperative Nursing Plan for Posterior Lumbar Interbody Fusion in Patients with Lumbar Spinal Stenosis Based on the Enhanced Recovery After Surgery Concept.

OBJECTIVE

To evaluate the impact of perioperative nursing plans based on enhanced recovery after surgery on the recovery of patients undergoing posterior lumbar interbody fusion surgery for lumbar spinal stenosis.

METHODS

The study was conducted at Drum Tower Hospital, Nanjing, Jiangsu, China, between January 2020 and December 2022, and comprised patients with lumbar spinal stenosis who were randomly divided into experimental group A receiving enhanced recovery after surgery-based perioperative care, and control group B receiving routine care. Postoperative complications, wound healing time, hospital stay, and patient satisfaction were compared between the groups. Data was analysed using SPSS 25.

RESULTS

Of the 100 patients, 50(50%) were in each of the two groups. Age and gender distribution was not significantly different between the groups (p>0.05). At baseline, the groups were clinically similar (p=0.72), but at one and three months post-surgery, group A showed significantly more improvement compared to group B (p=0.001). Pain level on days 1 and 3 post-surgery were significantly lower in group A than group B (p=0.01). Group A had a lower incidence of postoperative complications and shorter hospital stay than group B (p<0.05).

CONCLUSIONS

The enhanced recovery after surgery-based perioperative nursing plan significantly improved recovery outcomes for patients undergoing posterior lumbar interbody fusion surgery.