Çatal Arzu Tat, Cebeci Fatma
Faculty of Nursing, Akdeniz University, 07058, Campus, Antalya, Turkey.
Faculty of Nursing, Head of the Surgical Nursing Department, Akdeniz University, 07058, Campus, Antalya, Turkey.
Int J Orthop Trauma Nurs. 2023 Aug;50:101020. doi: 10.1016/j.ijotn.2023.101020. Epub 2023 May 12.
Shortened length of hospital stay in patients undergoing lumbar disc herniation surgery forces to undertake interventions that facilitate optimal patient outcomes.
The aim of this study was to investigate the effect of discharge training given by teach-back method, and counseling based on individual needs and a study-specific training booklet on postoperative pain and challenges experienced by lumbar disc herniation patients.
This study had a quasi-experimental design and was conducted with 94 patients. Patients were divided into a control group (n = 48) and an intervention group (n = 46) using the blocking method. The pain was assessed at the time of patient admission, at discharge, and at follow-up; postoperative challenges were evaluated at discharge and follow-up.
Most patients experienced pain and challenges such as kinesiophobia, weakness-exhaustion-fatigue, irritability, constipation, and insomnia. The patients in the intervention group had less back and leg pain and challenges.
The benefits of education given by teach-back method, and counseling in reducing the postoperative problems experienced by patients who underwent surgery for lumbar disc herniation were demonstrated in this study. The findings suggest that study-specific training and counseling may be useful for addressing the pain and challenges of patients with lumbar disc herniation.
腰椎间盘突出症手术患者住院时间缩短，这就促使采取各种干预措施以实现最佳的患者治疗效果。
本研究旨在探讨以反馈教学法进行出院指导、基于个体需求的咨询以及一本针对该研究的培训手册对腰椎间盘突出症患者术后疼痛及所面临挑战的影响。
本研究采用准实验设计，共纳入94例患者。采用区组法将患者分为对照组（n = 48）和干预组（n = 46）。在患者入院时、出院时及随访时评估疼痛情况；在出院时及随访时评估术后所面临的挑战。
大多数患者经历了疼痛及诸如运动恐惧、虚弱-疲惫-疲劳、易怒、便秘和失眠等挑战。干预组患者的腰腿痛及所面临的挑战较少。
本研究证明了以反馈教学法进行教育及咨询在减少腰椎间盘突出症手术患者术后问题方面的益处。研究结果表明，针对该研究的培训及咨询可能有助于解决腰椎间盘突出症患者的疼痛及挑战问题。
