Abstract:

Main objective: To investigate the effects of postoperative care program on leg pain and functional performance after lumbar spine surgery at Nakhon Phanom Hospital.

Method: This was experimental research used a pretest-posttest for the 2 groups, which was done before and after to determine the effects of postoperative care program on leg pain and functional performance after lumbar spine surgery. This study performed on 40 patients who received lumbar spine surgery. Data was collected using the numerical rating scale and the postoperative functional performance questionnaire.

Results: The findings showed that the experimental group who received postoperative care will have reduced leg pain and better postoperative functional performance improvement than the control group (p<0.005 and p<0.001, respectively).

Conclusion and recommendation: Postoperative care program in combine with medical treatment reduced leg pain and yielded beneficial effects on some aspects of postoperative functional performance among lumbar spine surgery.

References:

[1].  Srimoragot, P. (2008). Medical-surgical nursing: clinical management for positive outcomes. 7^th ed. Bangkok: I Group Press Limited.

[2].  Kang, K. K., Shen, M. S., Zhao, W., Lurie, J. D., & Razi, A. E. (2016). Retrolisthesis and lumbar disc herniation: a postoperative assessment of patient function. Spine J, 13, 367-37.

[3].  Kitteringham, C. (1996). The effect of straight leg raises exercises after lumbar decompression surgery-A pilot study. Physiotherapy, 82(2), 115-123.

[4].  Grøvle, L., Haugen, J. A., Keller, A., Natvig, B., Brox, I. J., & Grotle, M. (2010). The bothersomeness of sciatica: patients’ self-report of paresthesia, weakness and leg pain. Eur Spine J, 19(2), 263–269.

[5].  Sangsaikaew, A., Duangpaeng, S., & koontaley, A. (2017). Factors Influencing postoperative symptom cluster after lumbar spine surgery. The Clinical Academia, 41(1), 17-25.

[6].  Prommated, P. (2011). Nursing care for Low Back Pain [homepage on the Internet]. [cited 2018 Sep 16]. Available from: http://www.med.cmu.ac.th/hospital/nis/download/spine2011/nurse_care_lbp.pdf.

[7].  The Burden of Musculoskeletal Diseases in the United States [homepage on the Internet]. (2014). Trends in spinal fusion procedures, United States 1998-2011. [cited 2018 June 11]. Available from:

http://www.boneandjointburden.org/2014-report/iie1/spinal-fusion.

[8].  Information center. (2016). Hospital Nakhon Phanom. lumbar spine surgery in statistical Report. Nakhon Phanom Hospital. Thailand.

[9].  Skolasky, R. L., Scherer, A. E., Wegener, T. S., & Tosteson, D. T. (2018). Does reduction in sciatica symptoms precede improvement in disability and physical health among those treated surgically for intervertebral disc herniation? Analysis of temporal patterns in data from the Spine Patient Outcomes Research Trial. Spine J, 1318–1324.

[10]. Polit, D. E., & Hungler, B. P. (2001). Nursing Research: Principle and Methods. Philadephia.

[11]. Prasat Neurological Institute Department of Medical Services. (2017). Clinical Nursing Practice Guideline for Surgical Spine [Internet]. Bangkok: Tana press Thailand 2018 [cited 2018 Feb 1]. Available from:

http://pni.go.th/pnigoth/wp-content/uploads//2017/12.pdf.

[12]. Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: an update. Adv Nurs Sci, 19(3), 14-27.

[13]. Wongrattana, C. (2017). Statistical techniques to research. 13th ed. Bangkok: PB Foreign Book Centre.

[14]. Burns, N., Grove, S. K. (2009). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. 6th ed. New York: Saunders Elsevier.

[15]. Lin, C-WC., McAuley, H. J., Macedo, L., et al. (2011). Relationship between physical activity and disability in low back pain: A systematic review and meta-analysis. Pain, 152, 607-613.

[16]. Deesomboon, S. (2008). The home-based physical activities program in daily life among older adults [Thesis]. [Bangkok]: Mahidol University. 203p. [in Thai].

[17]. Therkleson, T. (2018). Ginger and Osteoarthritis. Australia. [cited 2018 Sep 30]. Available from:

http://cdn.intechopen.com/pdfs/30687/intech-ginger_and_osteoarthritis.pdf.

[18]. Jurícek, M., Rehák, L., Tisovský, P., & Horváth, J. (2010). The effect of complications on the quality of life after surgery for lumbar spine degenerative disease. Acta Chir Orthop Traumatol Cech, 77, 112–117.

[19]. Roopsawang, I., Aree-Ue, F., Putwatana, P. (2009). A Follow-Up Study of Health Status in Patients with Chronic Low Back Pain before and after Spinal Surgery. Rama Nurs J, 15(3), 344-60. [in Thai].