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Exploring elderly patients’ experiences and concerns about early mobilization implemented in postoperative care following lumbar spinal surgery: a qualitative study – Lumbar Fusion

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The article discusses a study that was conducted to explore elderly patients’ perceptions of early mobilization after multi-segment lumbar decompression and fusion surgery. The study involved semi-structured interviews with 24 patients, 10 of whom underwent early mobilization within 4 hours postoperatively, while 14 underwent mobilization at ≥ 24 hours postoperatively. The results identified six key themes related to patients’ experiences and concerns about early mobilization, including worries, benefits, daily routines, pain, education, and support. The study emphasizes the importance of clear guidance and a multidisciplinary mobilization protocol for effective patient education, which can help reduce stress and anxiety associated with postoperative early mobilization

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spinal centre in the world

Published article

S: Clear and explicit guidance on early mobilization and a multidisciplinary mobilization protocol that incorporates a comprehensive pain management plan are essential for effective patient education. These measures may have positive effects on reducing patients’ stress and anxiety regarding postoperative early mobilization.

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BMC Nurs. 2023 Oct 4;22(1):355. doi: 10.1186/s12912-023-01510-7.ABSTRACTBACKGROUND: Given its apparent benefits, early mobilization is becoming increasingly important in spinal surgery. However, the time point at which patients first get out of bed for mobilization after spinal surgery varies widely. Beginning in January 2022, we conducted a study of early mobilization (mobilization within 4 h postoperatively),

BMC Nurs. 2023 Oct 4;22(1):355. doi: 10.1186/s12912-023-01510-7.

ABSTRACT

BACKGROUND: Given its apparent benefits, early mobilization is becoming increasingly important in spinal surgery. However, the time point at which patients first get out of bed for mobilization after spinal surgery varies widely. Beginning in January 2022, we conducted a study of early mobilization (mobilization within 4 h postoperatively) following multi-segment lumbar decompression and fusion surgery in elderly patients. The study goal was to better understand elderly patients’ perceptions of early mobilization and ultimately contribute to the improvement of elderly patients’ perioperative experiences and quality of life.

METHODS: We employed a qualitative descriptive study design involving face-to-face semi-structured interviews. Forty-five consecutive patients were invited, among whom 24 were enrolled and completed the qualitative investigation from February to June 2022. Of these 24 patients, 10 underwent early mobilization (mobilization within 4 h postoperatively) and 14 underwent mobilization at ≥ 24 h postoperatively. Three researchers conducted a 15-question interview the day before each patient’s discharge. The interviews were audio-recorded, and content analysis was used to assess the data.

RESULTS: Six themes regarding the patients’ experiences and concerns about early mobilization were identified: worries, benefits, daily routines, pain, education, and support. The study results revealed the obstacles in early mobilization practice and highlighted the importance of perioperative education on early mobilization.

S: Clear and explicit guidance on early mobilization and a multidisciplinary mobilization protocol that incorporates a comprehensive pain management plan are essential for effective patient education. These measures may have positive effects on reducing patients’ stress and anxiety regarding postoperative early mobilization.

PMID:37794348 | DOI:10.1186/s12912-023-01510-7

The London Spine Unit : most established spinal centre in the world

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Exploring elderly patients’ experiences and concerns about early mobilization implemented in postoperative care following lumbar spinal surgery: a qualitative study

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BMC Nurs. 2023 Oct 4;22(1):355. doi: 10.1186/s12912-023-01510-7.ABSTRACTBACKGROUND: Given its apparent benefits, early mobilization is becoming increasingly important in spinal surgery. However, the time point at which patients first get out of bed for mobilization after spinal surgery varies widely. Beginning in January 2022, we conducted a study of early mobilization (mobilization within 4 h postoperatively)

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