Cent Eur J Nurs Midw 2015, 6(4):343-351 | DOI: 10.15452/CEJNM.2015.06.0026
Nursing intervention protocol for adult patients experiencing chronic low back pain
- 1 Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt
- 2 Community Health Nursing, Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt
- 3 Community Health Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt
Aim: The aim of this study was to evaluate the effectiveness of a nursing intervention protocol targeting the knowledge and practice of adult patients experiencing low back pain.
Design: A quasi-experimental research design.
Methods: Pre-post assessment of outcome was used in this study. The study was conducted in the outpatient clinic of the physical therapy department at Zagazig University Hospital and Beni-Suef University Hospital, Egypt. Sample: 40 participants diagnosed with chronic low back pain (lasting for longer than six months). Seven of the 40 dropped out during the follow-up phase for personal or logistical reasons. Tools included sections for demographic characteristics, knowledge and practice assessment; in addition to the Oswestry Disability Index, and Visual Analogue Scale (VAS).
Results: The application of an instruction protocol intervention for low back pain was effective in improving patient knowledge and practice, with associated amelioration of the severity of pain and disability among them. The effect was still apparent at the three-month follow-up.
Conclusion: It is recommended that the study be replicated using a more robust randomized clinical trial design. Nonetheless, the instruction protocol with the designed booklet may be adopted as an element of the care services offered to patients suffering LBP, given the clear positive effects on patient knowledge, which would undoubtedly help them decide on the most preferential management approach.
Keywords: low back pain, intervention protocol, disability
Received: September 9, 2015; Accepted: November 2, 2015; Published: September 30, 2015 Show citation
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References
- Birabi BN, Dienye PO, Ndukwu G. Prevalence of low back pain among peasant farmers in a rural community in South South Nigeria. Rural and remote health. 2012;12:1920.
Go to original source...
Go to PubMed...
- Casazza BA. Diagnosis and treatment of acute low back pain. American Family Physician. 2012;85(4):343-350.
Go to PubMed...
- Crowe M, Whitehead L, Jo Gagan M, Baxter D, Panckhurst A. Self-management and chronic low back pain: a qualitative study. Journal of Advanced Nursing. 2010;66(7):1478-1486.
Go to original source...
Go to PubMed...
- Choi BK, Verbeek JH, Tam WW, Jiang JY. Exercises for prevention of recurrences of low-back pain. Occupational and Environmental Medicine. 2010;67(11):795-796.
Go to original source...
Go to PubMed...
- Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, Owens DK; Clinical Efficacy Assessment Subcommittee of the American College of Physicians; American College of Physicians; American Pain Society Low Back Pain Guidelines Panel. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine. 2007;147(7):478-491.
Go to original source...
Go to PubMed...
- Dupeyron A, Ribinik P, Gélis A, Genty M, Claus D, Hérisson C, Coudeyre E. Education in the management of low back pain. Literature review and recall of key recommendations for practice. Annals of Physical and Rehabilitation Medicine. 2011;54(5):319-335.
Go to original source...
Go to PubMed...
- Fritz JM, Irrgang JJ. A comparison of a modified Oswestry low back pain disability questionnaire and the Quebec back pain disability scale. Physical Therapy. 2008;81(2):776-788.
Go to original source...
Go to PubMed...
- Global Burden of Disease Study. WHO; 2012. [cited 2014 Apr 24]. Available from: http://www.who.int/healthinfo/global_burden_disease/en/
- Greenfield S, Anderson H, Winickoff RN, Morgan A, Komaroff AL. Nurse-protocol management of low back pain: Outcomes, patient satisfaction and efficiency of primary care. Western Journal of Medicine. 1975;123(5):350-359.
- Guild DG. Mechanical therapy for low back pain. Primary Care. 2012;39(3):511-516.
Go to original source...
Go to PubMed...
- Häuser W, Schmutzer G, Brähler E, Schiltenwolf M, Hilbert A. The impact of body weight and depression on low backpain in a representative population sample. Pain Medicine. 2014;15(8):1316-1327.
Go to original source...
Go to PubMed...
- Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), mcgill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care & Research. 2011;63(S11):S240-S252.
Go to original source...
Go to PubMed...
- Hendrick P, Milosavljevic S, Hale L, Hurley DA, McDonough S, Ryan B, Baxter, GD. The relationship between physical activity and low back pain outcomes: a systematic review of observational studies. European Spine Journal. 2011;20(3):464-474.
Go to original source...
Go to PubMed...
- Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Practice & Research Clinical Rheumatology. 2010;24(6):769-781.
Go to original source...
Go to PubMed...
- Karjalainen K, Malmivaara A, Pohjolainen T, Hurri H, Mutanen P, Rissanen P, Pahkajärvi H, Levon H, Karpoff H, Roine R. Mini-intervention for subacute low back pain: a randomized controlled trial. Spine. 2003;28(6):533-541.
Go to original source...
Go to PubMed...
- Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. The Journal of Bone & Joint Surgery. 2006;88(suppl2):21-24.
Go to original source...
Go to PubMed...
- Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal. 2010;19(12):2075-2094.
Go to original source...
Go to PubMed...
- Learman KE, Ellis AR, Goode AP, Showalter C, Cook CE. Physical therapists' clinical knowledge of multidisciplinary low back pain treatment guidelines. Physical Therapy. 2014;94(7):934-946.
Go to original source...
Go to PubMed...
- Marlowe D. Complementary and alternative medicine treatments for low back pain. Primary Care. 2012;39(3):533- 546.
Go to original source...
Go to PubMed...
- Nishant, Chhabra HS, Kapoor KS. New Modified English and Hindi Oswestry Disability Index in Low Back Pain Patients Treated Conservatively in Indian Population. Asian Spine Journal. 2014;8(5):632-638.
Go to original source...
Go to PubMed...
- North American Spine Society. Chronic low back pain. NASS; 2009. [cited 2013 Oct 9]. Available from: http://www.knowyourback.org/Pages/Default.aspx
- Patel S, Ngunjiri A, Sandhu H, Griffiths F, Thistlewaite J, Brown S, Friede T, Lord J, Tysall C, Woolvine M, Underwood M. Design and development of a decision support package for low back pain. Arthritis Care & Research. 2014;66(6):925-933.
Go to original source...
Go to PubMed...
- Phillips FM, Slosar PJ, Youssef JA, Andersson G, Papatheofanis F. Lumbar spine fusion for chronic low back pain due to degenerative disc disease: a systematic review. Spine. 2013;38(7):E409-E422.
Go to original source...
Go to PubMed...
- Priority Medicines for Europe and the World. Low back pain, Priority diseases and reasons for inclusion. University of Washington; 2013. [cited 2015 Oct 19]. Available from: http://ghdx.healthmetricsandevaluation.org
- Rubin DI. Epidemiology and risk factors for spine pain. Neurologic Clinics. 2007;25(2):353-371.
Go to original source...
Go to PubMed...
- Samad IN, Abdullah H, Moin S, Tamrin MBS, Hashim Z. Prevalence of low back pain and its risk factors among school teachers. American Journal of Applied Sciences. 2010;7(5):634-639.
Go to original source...
- Samartzis D, Karppinen J, Cheung JP, Lotz J. Disk degeneration and low back pain: are they fat-related conditions? Global Spine Journal. 2013;3(3):133-144.
Go to original source...
Go to PubMed...
- Schlesselman J. Case-control studies: design, conduct, analysis. New York: Oxford University. Press. 1982; p. 145- 146.
- Smuck M, Kao MC, Brar N, Martinez-Ith A, Choi J, Tomkins-Lane CC. Does physical activity influence the relationship between low back pain and obesity? The Spine Journal. 2014;14(2):209-216.
Go to original source...
Go to PubMed...
- Sokunbi O, Cross V, Watt P, Moore A. Experiences of individuals with chronic low back pain during and after their participation in a spinal stabilisation exercise programme - a pilot qualitative study. Manual Therapy. 2010;15(2):179-184.
Go to original source...
Go to PubMed...
- Sprouse R. Treatment: current treatment recommendations for acute and chronic undifferentiated low back pain. Primary Care. 2012;39(3):481-486.
Go to original source...
Go to PubMed...
- Tavafian SS, Jamshidi A, Mohammad K, Montazeri A. Low back pain education and short term quality of life: a randomized trial. BMC Musculoskeletal Disorders. 2007;8:21.
Go to original source...
Go to PubMed...
- Therkleson T. Ginger compress therapy for adults with osteoarthritis. Journal of Advanced Nursing. 2010;66(10):2225-2233.
Go to original source...
Go to PubMed...
- University Health Services. Tang Center. Managing Low
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