THE IMPACT OF NURSING INTERVENTIONS ON POSTOPERATIVE REHABILITATION IN LUMBAR SPINE FUSION PATIENTS: A STUDY AT CENTRAL MILITARY HOSPITAL 108

Objectives: This study aimed to evaluate the effectiveness of nursing interventions in improving postoperative rehabilitation outcomes for patients undergoing one-level lumbar spine fusion surgery at Central Military Hospital 108. Materials and Methods: A longitudinal interventional study was conducted on 80 patients, divided into a control group (n=40) receiving standard nursing care and an intervention group (n=40) receiving additional rehabilitation-focused nursing interventions. Primary outcomes included pain reduction (Visual Analog Scale - VAS), functional recovery (Oswestry Disability Index - ODI), and daily activity improvement (Barthel Index). Secondary outcomes included patient satisfaction and postoperative complications. Data were analyzed using SPSS version 20.0 with statistical significance set at p<0.05. Results: The intervention group demonstrated significantly greater improvements in pain reduction (VAS improvement: 5.4±1.6 vs. 4.2±1.4, p<0.05), functional recovery (ODI improvement: 32.0±15.0 vs. 20.0±14.5, p<0.05), and daily activity scores (Barthel Index improvement: 79.8 vs. 68.7, p<0.05) compared to the control group. Patient satisfaction was also significantly higher in the intervention group (4.8 vs. 3.4, p<0.05). No severe complications were observed. Conclusion: Enhanced nursing interventions significantly improve pain management, functional recovery, and patient satisfaction in postoperative rehabilitation for lumbar spine fusion patients. Implementing structured nursing support can optimize recovery outcomes in clinical settings.