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, cilt.50, ss.101020, 2023 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 50
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.ijotn.2023.101020
  • Dergi Adı: International journal of orthopaedic and trauma nursing
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.101020
  • Anahtar Kelimeler: Discharge training and counseling, Lumbar disc herniation surgery, Nursing, Pain, Postoperative challenges, Teach-back
  • Akdeniz Üniversitesi Adresli: Evet

Özet

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.