Health education for postoperative rehabilitation of patients with cervical spine disease

  1.Position and diet: Patients are instructed by medical staff to take a flat position for 4-6 hours after surgery, after which the nurse will assist in turning every 2-4 hours, and patients can move freely in bed with both lower limbs. Please tell the medical staff if choking and coughing occurs during the feeding process. A high-protein, high-vitamin diet such as more fish, egg whites, fresh vegetables and fruits is recommended for 1-2 weeks after surgery, and diabetic patients should follow the instructions of the medical staff. In general, wear a neck brace to get out of bed 1-3 days after surgery.  2. Tube treatment: Patients are usually left with wound drains and urinary catheters after surgery, and some patients have slight discomfort at the urethral orifice when the urinary catheter is left in place, so it is generally recommended that the urinary catheter be removed by the responsible nurse the morning after surgery. The wound drainage tube is to draw out the local blood from the wound, pay attention to avoid pressure and folding of the drainage tube, to keep it open, the nurse will make regular rounds, the doctor will decide when to remove it according to the amount of drainage and the condition, please don’t worry about it.  3. Pain management: Patients usually have more obvious incision pain within three days after surgery, especially when coughing or eating, please do not worry and tell the nurse on duty to actively deal with pain relief.  4.Cough and sputum treatment: Patients who have surgery in the anterior cervical region generally have more sputum and dry and painful throat discomfort after surgery, please tell the medical staff, they will give you timely treatment.  5.Rehabilitation: (1) Ankle pump exercise: 30 times for 1 group, 10 groups per day to promote venous reflux of lower limbs and prevent deep vein embolism.  (2) Deep breathing exercise and coughing exercise: deep breathing exercise is recommended 5 times per hour. If the patient has surgery in the anterior neck area, please use your hand to lightly press the wound to do effective coughing exercise to assist in sputum excretion.  (3) Post-operative precautions also include paying attention to the warmth of the shoulder and avoiding strenuous movements of the neck. Please follow the instructions of the medical staff for the rehabilitation of coordinated movements of the limbs, such as picking beans of different sizes, buttoning and other fine movements, and grip strength training to help you make maximum recovery as soon as possible.  (4) Correctly wear a neck brace or external fixation support to get out of bed: lie down and wear a good neck brace – take a lateral position —- arm support and sit up slowly —- sit for a short while —- no dizziness and other discomfort to leave the bed and move around. And consult your supervising doctor or nurse about the time to wear the neck brace.  6.Post-operative follow-up: return to the hospital for follow-up in the 1st, 2nd and 3rd month after surgery or follow the doctor’s instructions. If there is wound oozing, obvious pain, aggravation of the original pre-operative symptoms and other discomforts, it is recommended to return to the hospital for follow-up immediately.