Impact of Nursing Physical Training Program on Clinical Outcomes for Patients Undergoing Cervical Spine Surgery
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 5
Abstract
Background: Cervical spine disorders (CSD) including degenerative disc disease (“DDD”) are common causes of neck pain. CSD are characterized by degenerative changes in the intervertebral discs. It can be noticeable anywhere along the spine. Population-based surveys have indicated lifetime prevalence rates for neck pain somewhere in the range of 67 to 71%, whereas 13- 22% of the population in industrialized society encounter neck pain at any time point. CSD also account for an essential number of physical therapy outpatient visits yearly. Objectives: Determine the influence of nursing physical training program on the clinical outcome of patients undergoing cervical spine surgery. Setting: The study was done at the neurosurgery department at Alexandria Main University Hospital and the affiliated Outpatient Clinic. Subjects: Subjects of this study were a convenient sample of 40 adult patients with cervical spondylosis, canal stenosis and cervical disc prolapse undergoing cervical spine surgery. They were sequentially divided into 2 equal groups; the first was the control group which comprised 20 patients and exposed to routine care only, the second was the study group and comprised 20 patients and they received the nursing physical training program. Tools: Two tools were used Tool I: Cervical Spine Surgery Patients’ Assessment and Tool II: Neck Disability Index. Results: There were highly statistical significant differences between study and control regarding pain intensity 1 month after the surgery. It was found that among the study group, the mean score of all assessed muscles strength was increased from preoperative day to two weeks postoperatively and one month after surgery. This increase within the study group was statistically significant .The mean scores of all reflexes among study group were 2.0± 0.00 one month postoperative which denotes the improvement to normal response. A statistically significant improvement in the disability level was noticed among the study group. Conclusion: Applying nursing physical training program significantly enhanced the studied patients’ pain intensity, gait, muscle strength, reflexes, and neck disability index postoperatively than their controls.
Authors and Affiliations
Samah R. Shaheen, Sanaa Alaa Eldeen, Maha Adel Salem, Osama Abdelaziz
Keywords
Related Articles
- EP ID EP436955
- DOI 10.9790/1959-0705046178.
- Views 125
- Downloads 0
Comparison of the Effects of Prenatal Perineal Massage Versus Kegel Exercise on Labor Outcome
Background: Today, the fundamental approach related to pregnancy and childbirth is that they are physiological processes and requires minimum level of medical intervention. The aim of the present study was to compare the...
Azzam reacquisition skill grading scale and its use in cerebral palsied children
Background: The goal of this work was to show the efficacy of gradual hand skills progression training evaluated by Azzam hand skills progression scale in reacquisition of hand dexterity in hemiplegic C.P. children. Meth...
Psycho-educational Program on Psychological Status of Patients with Coronary Heart Disease
Psychological symptoms are strongly associated with coronary heart disease. Depression, anxiety, stress, anger, somatic symptoms and social isolation are the most common psychological distress disorders related to corona...
Massage Therapy for Alleviating Menopausal Transitional Period Symptoms among Women employed at Suez Canal University Hospital
Background: Massage therapy is an old independent nursing intervention. It has effect on endocrine and circulatory systems and can regulate hormonal production, improve physiological functions, and promote muscle relaxat...
Risk Factor Analysis of Rheumatoid Arthritis Occurrence toward Community in Working Area of Palau Barring Lompoc Community Health Centre of Makassar City
Rheumatoid Arthritis (RA) is one of the biggest health problems in the world, both in developed and developing countries. This disease cause swelling toward synovium, where the swelling can cause cartilage and bone damag...