Effect of Pre Operative Educational Guidelines on Postoperative Health Outcomes of Patients Undergoing Cervical Spine Surgery
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Cervical spine surgery is both a lifesaving procedure and a life-changing event. Individual responses to cervical disorders are varied and complex, and are influenced by a range of personal, clinical, social, physical and environmental factors. Aim: The aim of this study is to evaluate the effect of educational guidelines on postoperative health outcomes of cervical spine surgery patients. Study design: a quasiexperimental study (Control and study groups; pre-test-post-test design). Subject: A purposive sample of sixty patients undergoing cervical spine surgery was recruited from neurosurgical units at Ain Shams University Hospital. Tools for data collection: six tools were used; self-administered patients' knowledge assessment questionnaire, patients' post cervical spine surgery practice observational checklists, visual-analog scale (VAS), pain catastrophizing scale (PCS), neck disability index (NDI) and short form-36 (SF-36). The results: This study found that, the majority of the cervical spine surgery patients had unsatisfactory level of knowledge and practice pre implementation of the educational guidelines that significantly improved post implementing the guidelines. Moreover, all patients showed significant improvement in all health-outcomes three months after surgery with mean changes between pre and post three months for NDI, VAS, PCS and F-36 scores were - 14.41±12.09, -3.34±2.67, 7.24±9.01, 25.38±8.02 respectively. Conclusion: This study concluded that the educational guidelines had positive effect on cervical spine surgery patients' postoperative health outcomes. Recommendation: The study recommended conducting a standard rehabilitation programs for improving cervical spine surgery patients' life style.
Authors and Affiliations
Samar Faltas Marzouk Faltas, Asmaa Hamdi Mohamed
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