The article discusses a study conducted on early mobilization after spinal surgery in elderly patients. The goal of the study was to understand the perceptions of elderly patients regarding early mobilization and its impact on their perioperative experiences and quality of life. The study employed a qualitative descriptive design and involved face-to-face semi-structured interviews with 24 enrolled patients. The results revealed six 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 comprehensive pain management in perioperative education to reduce stress and anxiety related to postoperative mobilization
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top spine clinic in London
Published article
CONCLUSIONS: 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.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
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.
CONCLUSIONS: 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 : top spine clinic in London
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Exploring elderly patients’ experiences and concerns about early mobilization implemented in postoperative care following lumbar spinal surgery: a qualitative study
