Effects of internet comprehensive interactive model on postoperative rehabilitation of patients with lumbar disc herniation

ObjectiveTo explore the effects of internet comprehensive interactive model on postoperative rehabilitation of patients with lumbar disc herniation.

MethodsEighty-six patients diagnosed with lumbar disc herniation and undergoing lumbar surgical treatment were selected as the research objects, and were divided into observation group and control group by random number method, 43 cases in each group.The control group was given conventional postoperative rehabilitation guidance and follow-up, and the observation group was followed up on the internet comprehensive interaction model on the basis of the control group.Before operation, 3 days, 3 months, and 6 months after operation, the visual analogue scale(VAS) was used to evaluate the patient's pain status, and Oswestry dysfunction index(ODI) and lumbar Japanese Orthopedic Association(JOA) score were used to evaluate the lumbar function.Before and 6 months after operation, the range of motion of the posterior lumbar spine joints(lumbar flexion, lumbar extension) was evaluated, the ability of daily living was evaluated using the modified barthel index(MBI), and the self-rating depression scale(SDS) and Self-Rating Anxiety Scale(SAS) were used to evaluate the state of depression and anxiety, respectively.

ResultsAs time progressed, the VAS score and ODI of the two groups gradually decreased after operation(P < 0.01).The VAS score and ODI of the observation group were lower than those of the control group at 3 and 6 months after surgery(P < 0.01).As time went on, the JOA score and MBI of the two groups gradually increased after operation(P < 0.01).The JOA score and MBI of the observation group were higher than those of the control group at 3 and 6 months after the operation(P < 0.01).Six months after operation, lumbar flexion and extension of the lumbar spine in the two groups were significantly improved compared with that before the operation(P < 0.05 to P < 0.01), and the lumbar flexion and extension of the lumbar spine in the observation group was improved more significantly than that in the control group(P < 0.01).Six months after operation, the SDS and SAS scores of the two groups were lower than before operation(P < 0.05 to P < 0.01), and the SDS and SAS scores of the observation group were lower than those of the control group(P < 0.01 and P < 0.05).

ConclusionsThe internet comprehensive interactive model shortens the postoperative pain recovery time of patients with lumbar disc herniation, promotes the recovery of lumbar spine function, increases the patients' ability of daily life, and significantly improves the patients' anxiety and depression.It is worthy of clinical application.