Effect of Implementing a Protocol of Nursing Care on Clinical Outcomes for Patients Undergoing Lumbar Spine Disc Prolapse Surgeries

Abstract

Background: Disc surgeries have seen a remarkable increase in the recent times that requires a prompt intervention of the nursing personnel to maintain the patients' quality of life and return to their normal life. Aim of the study: Evaluate the effect of implementing a protocol of nursing care on clinical outcomes for patients undergoing lumbar spine disc prolapse surgeries. Design and Setting: A quasi-experimental research design was used to collect data from neurosurgery departments at Main Tanta university hospitals. Sample: A convenience sampling of (60) patients who were undergoing lumbar disc prolapse surgeries in the previously mentioned settings. They were divided into two equal groups; study and control; each group consisted of (30) patients. Tools: Three tools were used for data collection, Tool (I); Structured Interview Schedule, Tool (II); Neuro-Vascular Assessment Tool, Tool (III); Post Lumbar Disc Surgery Clinical Outcomes Assessment Tool. Results: the main results revealed that there was a high significant improvement in the total levels of knowledge, neuro-vascular assessment, level of pain and Oswestery Disability Index among study group patients at the 2 nd and 3 rd week post the protocol of care compared to the control group. Conclusion and Recommendation: The implementation of protocol of nursing care had an effect on increasing the level of patients' knowledge, reducing the level of pain post-surgery and so improving ADLs among study group patients. It was recommended that nurses should follow rehabilitative nursing program as a routine care for patients undergoing discectomy surgery.

Discharge Plan: It’s Effect on Low Back Pain Disability and Activities of Daily Living for Patients Undergoing Herniated Lumbar Disc Surgery

“…Furthermore, El-seadi etal (40) who reported that, regarding to the control group, there was no statistical significant difference regarding levels of (ODI) at the 2nd and 3rd week post routine hospital care. Comparing to, the study group that there was a high statistically significant improvement regarding levels of (ODI) at the 2 nd and 3 rd week post protocol of nursing care.…”

Assessment of Knowledge and Daily Living Activities for Patients Post Lumbar Laminectomy.

“…Epi info 7 was used to estimate the sample size using the following parameters: • Population size is 192 patients per year (According to the above-mentioned settings records in 2021). This tool was developed by the researcher after reviewing the relevant literature (8,12,18) . It was consisted of two parts:…”

“…Providing patient with adequate knowledge about disease process and treatment modalities through educational programs contributes to an accurate understanding of the disease, this promotes adherence to a healthy behavior, lifestyle modification and regular follow up program. (12) Nurses play an important role in teaching patients about proper self-care activities, wound care, preventive measures of complications, Additionally, nurses help the patient get ready for the rehabilitation phase, which includes instructions for proper positions post operation, postoperative exercises the patient would perform to keep the spine in its neutral posture, discharge instructions and follow up. Nurse assists the patients to adjust with their disease, as well as restoration of function within the family, community, and work.…”