Investigation on postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery and its related factors_West China Medical Journal

Authors：

ZHANG Yueer ,  NING Ning , LI Peifang , ZHANG Xinyu , CHEN Jiali

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Enhanced recovery after surgery; Lumbar disc herniation; Patient’s satisfaction

DOI：

10.7507/1002-0179.201707168

Video：

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Objective To explore the postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery and its related factors. Methods A total of 102 patients with lumbar disc herniation were selected and analyzed by convenient sampling method from September 2016 to June 2017. The patients’ general information, functional status [using the Oswestry Disability Index (ODI) to investigate the preoperative, postoperative and post-discharge ODI] and patients’ satisfaction (1 month after the discharge) were collected. Results A total of 102 patients, including 62 males and 40 females, aged from 14 to 82 years with an average of (43.8±14.4) years were included in the study.The mean length of hospital stay was (6.61±2.49) days. The total score of patients’ satisfaction was 62.43±6.37, and the satisfaction degree was at the middle and high level. Postoperative and post-discharge ODIs were associated with patients’ satisfaction (r_s=0.328, 0.452; P<0.05). Conclusions The postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery should be further improved. The medical staff should pay attention to the recovery of postoperative function in order to improve the patients’ satisfaction.

Citation： ZHANG Yueer, NING Ning, LI Peifang, ZHANG Xinyu, CHEN Jiali. Investigation on postoperative satisfaction of patients with lumbar disc herniation after enhanced recovery after surgery and its related factors. West China Medical Journal, 2017, 32(9): 1339-1342. doi: 10.7507/1002-0179.201707168 Copy

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10.	Specht K, Kjaersgaard-Andersen P, Kehlet H, et al. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement. Acta Orthop, 2015, 86(6): 702-707.
11.	Husted H, Hansen HC, Holm G, et al. What determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark. Arch Orthop Trauma Surg, 2010, 130(2): 263-268.
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1. Slim K. Fast-track surgery: the next revolution in surgical care following laparoscopy. Colorectal Dis, 2011, 13(5): 478-480.
2. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
3. 楊智偉, 史曉娟, 郭力, 等. 加速康復在腰椎融合手術中的應用研究. 骨科, 2017, 8(2): 127-131.
4. 陳果, 曾建成, 宋躍明, 等. 經皮內鏡椎板間入路微創治療腋下型 L₅S₁ 椎間盤突出癥. 中國矯形外科雜志, 2014, 22(13): 1169-1175.
5. 王專. 經皮椎間孔入路內窺鏡治療腰椎間盤突出癥手術入路安全性解剖評估及臨床應用對比研究. 瀘州: 瀘州醫學院西南醫科大學, 2010.
6. McGregor AH, Hushes SP. The evaluation of the surgical management of the nerve root compression in patients with low back pain: Part 1: the assessment of outcome. Spine (Phila Pa 1976), 2002, 27(13): 1465-1470.
7. 鄭光新, 趙曉鷗, 劉廣林, 等. Oswestry 功能障礙指數評定腰痛患者的可信性. 中國脊柱脊髓雜志, 2002, 12(1): 13-15.
8. Danish Health, Medicine Authority. CEMTV-Evaluering af patientforløb for patienter som gennemgår primære total hofte-eller knæalloplastik operationer I Danmark. An evaluation of clinical pathway for patients in primary total hip and knee arthroplasty in Denmark. 2006. Danish. http://sundhedsstyrelsen. dk/~/media/7C532FE90C3B48468C4A61BF96B6A520.ashx.
9. Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 2000, 25(24): 3186-3191.
10. Specht K, Kjaersgaard-Andersen P, Kehlet H, et al. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement. Acta Orthop, 2015, 86(6): 702-707.
11. Husted H, Hansen HC, Holm G, et al. What determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark. Arch Orthop Trauma Surg, 2010, 130(2): 263-268.
12. Fleege C, Arabmotlagh M, Almajali A, et al. Pre- and postoperative fast-track treatment concepts in spinal surgery: patient information and patient cooperation. Orthopade, 2014, 43(12): 1062-1064, 1066-9.
13. Larsen K, Hansen TB, S?balle K, et al. Patient-reported outcome after fast-track hip arthroplasty: a prospective cohort study. Health Qual Life Outcomes, 2010, 8: 144.
14. 陳新用, 梁裕, 曹鵬, 等. 手術治療腰椎間盤突出癥的長期療效及其影響因素. 中國脊柱脊髓雜志, 2012, 22(8): 717-721.
15. Buvanendran A, Thillainathan V. Preoperative and postoperative anesthetic and analgesic techniques for minimally invasive surgery of the spine. Spine (Phila Pa 1976), 2010, 35(26 Suppl): S274-S280.
16. Jones EL, Wainwright TW, Foster JD, et al. A systematic review of patient reported outcomes and patient experience in enhanced recovery after orthopaedic surgery. Ann R Coll Surg Engl, 2014, 96(2): 89-94.

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