Comparative Effectiveness of Optimized Versus Conventional Perioperative Care in Unilateral Biportal Endoscopy for Lumbar Degenerative Disease: A Single-Center Retrospective Study

Miaomiao Cui,1,* Shengzhi Tan,1,* Yu Liu,2 Xin Wang,1 Mengshi Chen,1 Yujuan Tang,1 Liping Ding1 1Department of Spinal Surgery II, Ninth Medical Center, PLA General Hospital, Chaoyang District, Beijing, 100101, People’s Republic of China; 2Department of Anesthesiology, Ninth Medical Center, PLA General Hospital, Chaoyang District, Beijing, 100101, People’s Republic of China*These authors contributed equally to this workCorrespondence: Liping Ding, Department of Spinal Surgery II, Ninth Medical Center, PLA General Hospital, Chaoyang District, No. 9, Anxiang Beili, Chaoyang District, Beijing, 100101, People’s Republic of China, Email [email protected]: To analyze the effect of perioperative nursing optimization in patients with lumbar degenerative diseases treated with percutaneous unilateral biportal endoscopy (UBE).Methods: This observational, retrospective cohort study analyzed the data of 105 patients with lumbar degenerative diseases who underwent UBE surgery in the Department of Spine Surgery of PLA General Hospital Ninth Medical Center from June 2022 to December 2024. According to different nursing optimization methods, 49 patients were assigned to the conventional group (conventional nursing intervention) and 56 patients were assigned to the intervention group (perioperative nursing optimization). The anxiety, depression, waist/leg pain, quality of life, self-care ability and functional disability of the patients were evaluated by the self-rating anxiety scale (SAS), self-rating depression scale (SDS), visual analogue score (VAS) for waist/leg pain, quality of life scale score (SF-36), Barthel score and disability index (ODI). The incidence of complications was compared between the two groups.Results: The emotional state, quality of life, self-care ability, and functional impairment of the intervention group were more significantly improved after optimization than those of the conventional group (P< 0.05). The VAS score of waist/leg pain in the intervention group was significantly lower than that in the conventional group after surgery (P< 0.05). The total incidence of complications in the intervention group was 7.14%, and the total incidence of complications in the conventional group was 20.41%. The difference between the two groups was significant (P< 0.05).Conclusion: The optimization of perioperative nursing in patients undergoing UBE surgery for lumbar degenerative diseases can relieve patients’ negative emotions such as perioperative anxiety and depression, reduce postoperative pain symptoms, improve quality of life, enhance self-care ability, improve functional impairment, and promote postoperative recovery.Keywords: lumbar degenerative diseases, unilateral biportal endoscopy, optimization of perioperative nursing, pain symptoms, quality of life