Effectiveness of Rehabilitative Nursing Intervention on Patients with Chronic Low Back Pain

Authors

1 Lecturer of Community Nursing, Faculty of Nursing, Menoufiya University

2 Assis. Prof. of Community Nursing, Faculty of Nursing, Menoufiya University

3 Lecturer of Physical medicine, Faculty of Medicine, Menoufiya University

Abstract

Background: Chronic low back pain is a common health problem in many countries. Individuals suffering from chronic low back pain experience major physical, social, mental, and occupational disruptions. The impact of low back pain includes loss of physical function; deterioration of general health and reconditioning (loss of muscle tone and weight gain); constant or episodic pain or increase in the level of pain; loss of social functioning manifested as decreased participation in social and leisure activities, family stress, or loss of group and community relatedness (often associated with decreased income and/or job loss); and disruption of psychological functioning manifested through insomnia, irritability, anxiety, depression and somatic complaints. Whilst there have been a number of studies investigating the current physiotherapy management of LBP in the former, little is known about such management in developing countries. Aim of the work was twofold: first, to examine the effectiveness of a Rehabilitative Nursing Intervention on patients with Chronic Low Back pain immediately after the intervention and 3months later. Second, to assess the effect of these interventions on patient's quality of life and patient's satisfaction .Subject and methods: A Quasi experimental research design was used with three-month follow-up. Setting: The study was implemented in the out patient department of physical medicine clinics in Menoufiya University Hospital. 70 patients, diagnosed with chronic low back pain were included and divided into two matched groups. Group I (31 Patients) received Medical Intervention (MI) and strengthening exercise for back and abdomen besides interferential current stimulation for a period of three months. Group II (n=39) received (MI) and a Self Back Education Package (SBEP) regarding body mechanics. .Both groups received an initial physician evaluation and subsequent management protocol as prescribed. Results: There was improvement of mean QOL score in almost all domains for the two groups at the post intervention. Also, there was no statistical significant association between disability level and total score of QOL in each of the studied groups Rating Quality improvement was 60.7 % for group I intervention and was 60.0 % for group II intervention. Conclusion: Overall, both nursing modalities that were used in the present study were effective to reduce the disability, pain. Also, all quality of life domains of patients with chronic low back pain were improved except with emotional role in group managed by strengthening exercises (for back and abdomen) and Interferential Current Stimulation and except with physical functioning in group managed by Self Back Education Package (SBEP) .In addition, the two modalities have the same effect on patient's satisfaction.

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