Abstract:

Objective To explore the clinical effect of postoperative pain nursing intervention for patients with spinal tuberculosis.Methods A total of 40 patients with spinal tuberculosis who admitted in the Minimally Invasive Spine Surgery Department of the Eighth Medical Center of PLA from January 2016 to June 2017 were randomly selected as the control group, and 40 patients with spinal tuberculosis in the same hospital from July 2017 to January 2019 were randomly included as the observation group. Patients in the control group underwent postoperative routine nursing, and patients in the observation group underwent postoperative pain nursing intervention based on the routine nursing. Then the pain degree and comfort, wound healing time, postoperative hospitalization time, and postoperative complications were compared between the two groups on the 3rd day and 1 week after operation.Results Based on visual analogue scoring (VAS), the pain scores in the observation group were (4.22±0.81) points on the 3rd day after operation and (2.22±0.81) points at 1 week after operation, which were both lower than those in the control group ((4.98±1.12) points and (2.98±1.12) points), with significant statistical differences (t=3.48 and 3.48; P=0.000 and 0.000). The VAS scores of comfort in the observation group were (4.48±0.41) points on the 3rd day after operation and (2.20±0.80) points at 1 week after operation, which were also both lower than those in the control group ((4.92±0.98) points and (2.96±1.12) points), with significant statistical differences (t=2.62 and 3.49; P=0.005 and 0.000). In addition, the postoperative wound healing time ((13.46±1.38) d) and the postoperative hospitalization time ((13.49±1.87) d) in the observation group were both less than those in the control group ((14.76±1.92) d and (14.86±2.54) d), with significant statistical differences (t=3.48 and 2.75; P=0.000 and 0.003). The incidence of postoperative complications in the observation group was lower than that in the control group (5.0%(2/40) vs 25.0%(10/40), χ ²=6.28, P=0.012).Conclusion Postoperative pain nursing intervention for patients with spinal tuberculosis can relieve pain, improve physiological comfort, reduce complications, and promote early recovery and discharge.

Key words: Tuberculosis, spinal, Pain, postoperative, Postoperative care, Nursing evaluation research