Effect of Nursing Rehabilitation Protocol on self-care Agency and Daily Living Activities in Patients undergoing Lumbar Discectomy

Abd Elhafez, Maha Nafady; Atya, Manal Sayed; Hussein, Attyiat Hassan

doi:10.21608/pssjn.2024.296950.1308

Effect of Nursing Rehabilitation Protocol on self-care Agency and Daily Living Activities in Patients undergoing Lumbar Discectomy

Document Type : Original Article

Authors

Medical surgical nursing department, Faculty of Nursing, Assiut University, Assiut, Egypt

10.21608/pssjn.2024.296950.1308

Abstract

Background: Lumbar disc herniation is a common spinal disease that interferes with daily activities and patient's rehabilitation regimen can greatly aid in their recovery. Aim: evaluate effect of nursing rehabilitation protocol on self-care agency and daily living activities in patients undergoing lumbar discectomy. Subjects and method: Research design: Quasi-experimental design (study/ control). Setting: Orthopedic Surgery and Traumatology Department and Outpatient Spine Clinic at Assiut University Hospital. Subjects: A purposive sample of sixty adult patients scheduled for lumber discectomy from both sexes was randomly assigned equally into two groups. Tools: A structured interview, Exercise for Self-Care Agency Scale, and Modified Barthel Index were assessed and analyzed before intervention and 3 months after surgery in two groups. Results: There was no difference between Self-Care Agency and daily living activities mean scores before rehabilitation protocol between study and control group (P > 0.05). Highly statistically significant difference was found in self-care agency mean score of study group (110.4±15.23) vs control group (88.13±5.72) with P value (<0.001). Additionally daily living activities mean score (88.13±6.31) vs (72±6.86) after the rehabilitation protocol was significantly higher in the study than in the control group (p < 0.001). Conclusion: Rehabilitation protocol increased the patients’ self-care agency and enhanced participants' independence in daily living activities. Recommendations: Necessity provision of simple illustrated rehabilitation protocol as a teaching approach for patients undergoing lumbar discectomy.

Keywords

Main Subjects

Medical Surgical Nursing

References

Abd Elwahhab, A., Shehata, A., & Abd Elghaffar, S. (2019). Effect of rehabilitative nursing program on functional status among patients with discectomy. Journal of Nursing and Health Science, 8(6), 82-92.

Abd-El Mohsen, S. A., Ammar, S. A., & Mohammed, S. H. (2019). Effect of nursing rehabilitation guide on outcomes of patients undergoing lumbar discectomy. Journal of Nursing and Health Science, 8(3), 01-11.

Abdelmowla, R. A. A., Gamal, R. M., Aziz, M. M., Ghany, W. A. A., & Elkhayat, R. (2020). Predictors of improvement following early exercises rehabilitation program for patients undergoing open lumbar discectomy. Journal of Nursing Education and Practice, 10(6).

Akhaddar, A. (2024). Central and Subarticular Lumbar Disk Herniations. In Atlas of Sciatica: Etiologies, Diagnosis, and Management (pp. 239-259). Cham: Springer International Publishing.

Ali, H& Hamed, S. (2019). Effect of Patients' Education on Their Performance and Outcomes Regarding Lumbar Disk Herniation. Evidence-Based Nursing Research. 1 (2). P. 7.

Amer, A., Anas, S., Rami, A. and Zuhair, A., (2017): Surgery for lumbar disc herniation, Demographic data and Analysis of Complications at King Hussein Medical City. 24(1):55-58/DOI: 10.12816/0034770.

Barbosa, T. P., Raposo, A. R., Cunha, P. D., Oliveira, N. C., Lobarinhas, A., Varanda, P., & Direito-Santos, B. (2023). Rehabilitation after cervical and lumbar spine surgery. EFORT Open Reviews, 8(8), 626-638.

Çatal, A. T., & Cebeci, F. (2023). The effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study. International journal of orthopedic and trauma nursing, volume (50), P. 101020.

Chen, L. Y., Chang, Y., Wong, C. E., Chi, K. Y., Lee, J. S., Huang, C. C., & Lee, P. H. (2023). Risk factors for 30-day unplanned readmission following surgery for lumbar degenerative diseases: a systematic review. Global Spine Journal, 13(2), 563-574.

Ebrahim Abd-Elzaher, R., Mohamed Abd-El-Aal, E., Abd-Elrazek Mahmoud, A., & Mohamed Abd-Elrahman, B. (2023). Coping Strategies among Adult Patients with Lumber Disc Herniation. Journal of Nursing Science Benha University, 4(1), 505-518.

Edemekong PF, Bomgaars DL, Sukumaran S, Schoo C. (2023): Activities of Daily Living. 2023 Jun 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 29261878. Accessed in June 2024.

El-Aziz, A., Mohamed, A. E. S., Taha, N. M., Ali, M. A. M., & Zytoon, H. K. (2024). Discharge Plan: It’s Effect on Low Back Pain Disability and Activities of Daily Living for Patients Undergoing Herniated Lumbar Disc Surgery. Zagazig Nursing Journal, 20(1), 1-16.

Elghannam, H. M., Soliman, E. S., Aboelkhair, M. M., & Ibrahim, M. M. (2024). The Effects of a Suggested Early Physical Therapy Rehabilitation on Pain and Functional Performance After Lumbar Fusion Surgery. Egyptian Journal of Physical Therapy, 17(1), Pp 43-50 .

El-seadi, A. W., AbdAllah, A. K., El-Mahallawy, M. A., El-Hay, A., Seham, A., & El-Saay, O. E. A. (2022). Effect of Implementing a Protocol of Nursing Care on Clinical Outcomes for Patients Undergoing Lumbar Spine Disc Prolapse Surgeries. Tanta Scientific Nursing Journal, 26(3), 65-84.

El-shrnouby, O. A. S., Gad, N. R. A., Seif-Eldeen, A. I., Aziz, A. L. A., & Mohamed, N. A. F. Efficacy of Nursing Interventions of Multimodal Teaching Module of Self-care on Abilities and Quality of Life of Patients Undergoing Spinal Surgeries. Journal of Xi’an Shiyou University, Natural Science Edition VOLUME 19 ISSUE 05 MAY 2023 1500-1506.

Guo X, Hou X, Ding S and Chang S(2019): Rehabilitation Nursing For Patient Rehabilitation After Minimally Invasive Spine Surgery, Int J Clin Exp Med, 12(3) Pp 2450-2455.

Hablass, A. A. A. R., Mahmoud, M. H., & Abo, N. M. (2020). Effect of Applying an Educational Program for Patients with lumbar laminectomy on Their Knowledge and Self-Care Activities. Published PHD thesis, Faculty of Nursing, Benha University, Egypt, 76.

Haghighat, S., Yazdi, K., Mahmoodi‐Shan, G. R., & Sabzi, Z. (2024). The challenges of nursing care for patients with lumbar discectomy: A qualitative study. Nursing Open, 11(3), e2137.

Hoffeld, K., Lenz, M., Egenolf, P., Weber, M., Heck, V., Eysel, P., & Scheyerer, M. J. (2023). Patient-related risk factors and lifestyle factors for lumbar degenerative disc disease: a systematic review. Neurochirurgie, 101482.

Ibrahim, R. A., & Atya, W. K. (2023). Effect of Body Mechanics Training Program on Low Back Pain and Disability among Patients with Lumbar Disc Prolapse. Evidence-Based Nursing Research, 5(3), 45-56.

Jeong, J. H., & Lee, H. K. (2021). Effects of Self-care Program on Exercise performance Self-Efficay, Self-care Knowledge, Self-care Performance in Patients with Lumbar Discectomy. Journal of the Korean Applied Science and Technology, 38(3), 891-902.

Jiang, H. W., Chen, C. D., Zhan, B. S., Wang, Y. L., Tang, P., & Jiang, X. S. (2022). Unilateral biportal endoscopic discectomy versus percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation: a retrospective study. Journal of Orthopaedic Surgery and Research, 17(1), No (30), P.p 1737—1744.

Kang, E., Gillespie, B. M., Tobiano, G., & Chaboyer, W. (2018). Discharge education delivered to general surgical patients in their management of recovery post discharge: a systematic mixed studies review. International journal of nursing studies, volume (87), pp.1-13.

Karukonda, T. R., Mancini, N., Katz, A., Cote, M. P., & Moss, I. L. (2020). Lumbar laminectomy in the outpatient setting is associated with lower 30-day complication rates. Global Spine Journal, 10(4), 384-392.

Kearney, B. Y., & Fleischer, B. J. (1979). Development of an instrument to measure exercise of self-care agency. Research in Nursing, 2(1), 25-34.

Kim, B. S., Lee, Y. J., Kim, H. B., Sung, K. J., Jeon, J. H., Kim, E. S., & Kim, Y. I. (2020). Effects of nonsurgical spinal decompression treatment on the level of pain and quality of life in patients with cervical or lumbar disc herniation: a retrospective observational study.

Lewandrowski, K. U., Telfeian, A. E., Hellinger, S., León, J. F. R., de Carvalho, P. S. T., Ramos, M. R., ... & Yeung, A. (2021). Difficulties, challenges, and the learning curve of avoiding complications in lumbar endoscopic spine surgery. International Journal of Spine Surgery, 15(suppl 3), S21-S37.

Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index: A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland State Medical Journal, 14, 61–65.

Mohamed Weheida, S., Elsayed Khatab, H., Abdel Mowla Ahmed Abdel Mowla, H., & Mohamed Mohamed, H. (2022). Effect of Applying an Educational Program on Knowledge and Self-Care Activities of Patients Undergoing Lumbar Discectomy. Egyptian Journal of Health Care, 13(4), 1334-1350.

Özden, F. (2022). The effect of exercise interventions after lumbar decompression surgery: a systematic review and meta-analysis. World Neurosurgery, 167, e904-e921.

Peterson, K. M., Ibañez, V. F., & Guerrero, L. A. (2023). Self-Care Skills. Handbook of Applied Behavior Analysis: Integrating Research into Practice, 703-719.

Pojskic, M., Bisson, E., Oertel, J., Takami, T., Zygourakis, C., & Costa, F. (2024). Lumbar disc herniation: Epidemiology, clinical and radiologic diagnosis WFNS spine committee recommendations. World Neurosurgery: X, 20; 22: 100279. doi: 10.1016/j.wnsx.2024.100279. PMID: 38440379; PMCID: PMC10911853.p. 100279.

Quan W. (2022): A study on Postoperative Nursing of Minimally Invasive Surgery for Lumbar Disc Herniation, Food Science and Technology, 42(56321), 1-9.

Rababah, J. A., & Al-Hammouri, M. M. (2022). Health literacy dimensions as predictors of self-care agency among nursing students. Journal of Professional Nursing, 42, 46-50.‏

Rajesh, N., Moudgil-Joshi, J., & Kaliaperumal, C. (2022). Smoking and degenerative spinal disease: A systematic review. Brain and Spine, 2, 100916.

Saeed Ahmed, E., Mohamed, A. E. H., Mohamed Al Sherbeny, E., & Awadeen Ali, L. (2023). The Effect of Nursing Rehabilitation Program on Quality of Life for Patients with Vertebral Disc in Beni-suef City. Egyptian Journal of Health Care, 14(1), 1212-1245.

Saha, B. S., & Goktas, S. (2022). The effect of computer-based training on self-care and daily living activities in patients with lumbar discectomy surgery: a randomized controlled study. CIN: Computers, Informatics, Nursing, 40(3), 147-153.

Shah, S., Vanclay, F., & Cooper, B. (1989a). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42 (8), 703 - 709.

Taylor, D. B. (2014). Writing Skills in Nursing and Healthcare: A Guide to Completing Successful Dissertations and Theses. Writing Skills in Nursing and Healthcare, 1^st edition, SAGE Publications Ltd; 1-176.‏

Wan-Ting C, Enyuan L, Heng-Hsin T, (2020). Simulated health education measures after lumbar disk herniation surgery: a quasi-experimental study in Taiwan. Clinical Simulation in Nursing. 2020;44(1): 50–58.

Yamashita, M. (1998). The exercise of self-care agency scale. Western Journal of Nursing Research, 20(3), 370-381.

Zakariea Abd El-Ghany Ebrahem, A., Hamed Farahat, N., & Khalil Ibrahim, W. (2022). Activities of Daily Living among Adult Patients with Lumbar Disc. Egyptian Journal of Health Care, 13(2), 173-190.

Zhang, A. S., Xu, A., Ansari, K., Hardacker, K., Anderson, G., Alsoof, D., & Daniels, A. H. (2023). Lumbar disc herniation: diagnosis and management. The American journal of medicine, 136(7), 645-651.