Meta-Analysis of the Efficacy of Rapid Rehabilitation Surgical Nursing in Lumbar Disc Herniation

<b>Background:</b> Lumbar disc herniation (LDH) is a common cause of lower back pain and radiculopathy. In recent years, the enhanced recovery after surgery (ERAS) concept has been increasingly applied in orthopedics and gastrointestinal surgery. <b>Purpose:</b> To investigate the effect of using rapid rehabilitation surgical care for lumbar disc herniation by meta-analysis. <b>Data source:</b> Google Scholar, PubMed Medical, Cochrane and Embase databases were used for the analysis. <b>Research selection:</b> An initial search yielded a total of 322 relevant articles. Duplicate pieces of literature were screened using Endnote. In addition, non-randomized controlled trials and studies with a sample size of less than 30 were excluded. A total of seven papers were included in this study. <b>Main outcomes:</b> The Rapid Rehabilitation Surgical Nursing (RRSN) group showed significantly higher patient satisfaction (RR = 1.24; 95% CI: 1.06, 1.26; <i>p</i> < 0.01) and self-assessed health (Total MD = 5.67; 95% CI: 4.27, 7.06; <i>p</i> < 0.01) compared to the Normal Nursing (NN) group. Pain levels (MD = -0.66; 95% CI: -0.97, -0.36; <i>p</i> < 0.01), disability levels (MD = -18.64; 95% CI: -32.53, -4.76; <i>p</i> < 0.01), anxiety risk (SAS-MD = -4.33; 95% CI: -6.23, -2.44; <i>p</i> < 0.01), and depression risk (SDS-MD = -4.29; 95% CI: -7.50, -1.07; <i>p</i> < 0.01) were significantly lower in the RRSN group compared to the NN group. According to the GRADE classification, the certainty for patient satisfaction is high, while the certainty for post-care pain, functional capacity, risk of psychological disorders, and self-assessed health status is moderate. <b>Conclusions:</b> Rapid recovery surgical nursing can significantly improve postoperative recovery of lumbar disc herniation, increase patient satisfaction, reduce the risk of psychological disorders, improve lumbar function, and alleviate patient pain.