[Improving the Ambulation Rate Within 24 Hours Post-Surgery for Patients With Lumbar Spondylolisthesis]

Frequent bending movements and injuries in daily life often result in back pain and reduced mobility, making these primary reasons for lumbar spine surgery. Mobilizing patients within 24 hours after lumbar spine surgery is known to help prevent the adverse physiological effects of prolonged bed rest, enhance willingness to mobilize, and minimize the duration of hospitalization. However, a survey in our hospital indicated the achievement rate of mobilization within 24 hours postoperatively in patients with lumbar spondylolisthesis was only 15.2%. The primary reasons for this low rate were identified as patient concerns about drain dislodgement during mobilization, inconsistent health education from nursing staff, lack of explanation about mobilization timing, absence of a standardized mobilization protocol for lumbar spondylolisthesis, and inadequate patient understanding of the timing and importance of mobilization.

The project addressed in this study was developed to improve the achievement rate of mobilization within 24 hours postoperatively in patients with lumbar spondylolisthesis and to enhance the accuracy of mobilization steps and completeness of related education for nursing staff.

The "Hemovac Strap" and "Escape the Maze" were developed; a "Mobilization Fun Puzzle" was created; an educational video entitled "How Much Do You Know About Post-Lumbar Surgery Mobilization?" was produced; and the "Standardized Postoperative Mobilization Protocol and Training for Lumbar Spondylolisthesis" handbook was implemented.

The mobilization achievement rate within 24 hours postoperatively in patients with lumbar spondylolisthesis increased from 15.2% to 95.0%.

Patients and their caregivers gained a better understanding of the importance of early mobilization and the correct mobilization steps, facilitating the recovery of daily functional activities. Nursing staff significantly improved the comprehensiveness of educational guidance, enabling patients to receive holistic and high-quality care.