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
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- EP ID EP436955
- DOI 10.9790/1959-0705046178.
- Views 145
- Downloads 0
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