The effect of discharge training with the teach-back method on post-discharge challenges in lumbar disc herniation patients: A quasi-experimental study.


Tat Çatal A., Cebeci F.

International journal of orthopaedic and trauma nursing, vol.50, pp.101020, 2023 (ESCI, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 50
  • Publication Date: 2023
  • Doi Number: 10.1016/j.ijotn.2023.101020
  • Journal Name: International journal of orthopaedic and trauma nursing
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.101020
  • Keywords: Discharge training and counseling, Lumbar disc herniation surgery, Nursing, Pain, Postoperative challenges, Teach-back
  • Akdeniz University Affiliated: Yes

Abstract

Background: Shortened length of hospital stay in patients undergoing lumbar disc herniation surgery forces to undertake interventions that facilitate optimal patient outcomes. Aim: The aim of this study was to investigate the effect of discharge training given by teach-back method, and counseling based on individual needs and a study-specific training booklet on postoperative pain and challenges experienced by lumbar disc herniation patients. Methods: This study had a quasi-experimental design and was conducted with 94 patients. Patients were divided into a control group (n = 48) and an intervention group (n = 46) using the blocking method. The pain was assessed at the time of patient admission, at discharge, and at follow-up; postoperative challenges were evaluated at discharge and follow-up. Results: Most patients experienced pain and challenges such as kinesiophobia, weakness-exhaustion-fatigue, irritability, constipation, and insomnia. The patients in the intervention group had less back and leg pain and challenges. Conclusions: The benefits of education given by teach-back method, and counseling in reducing the postoperative problems experienced by patients who underwent surgery for lumbar disc herniation were demonstrated in this study. The findings suggest that study-specific training and counseling may be useful for addressing the pain and challenges of patients with lumbar disc herniation.