Abstract
Background: Chronic low back pain is a full disorder that considers an important health problem. Aim: To evaluate the effectiveness of structured teaching program on outcomes of chronic low back pain patients undergoing radiofrequency ablation. Methods: A quasi-experimental research design has been utilized. Setting: Anesthesia and pain management department at the main Assiut University Hospital. Sample: Sixty low back pain patients undergoing radiofrequency ablation. They were randomly assigned in two groups of 30 patients each. Tools: three tools were utilized: Tool I: Structured interview patients' questionnaire. Tool II: Visual analogue pain scale and Tool III: Modified Oswestry low back pain disability questionnaire in addition, structured nursing teaching program. Results: More than half (53.3%) of the case group their age was from 18 to < 55 years, and the rest of them (46.7%) were older adults aged 55 years and more. 80% of the case group had good knowledge post implementation of the program. (100%) of the case group had worst pain intensity level which decrease to (46.7%) post program. 40% of case group had sever disability, which decreased to 30% post implementation of the program. there were significant relation between pain analogue scale and Oswestry low back pain disability scale in pre and post structured nursing teaching program regarding to occupation Conclusion: Structured nursing teaching program had an effective strategy to improve the patients’ outcomes through increasing patients' knowledge, and decreasing both pain intensity and physical disability in the case group versus the control group. Recommendation: Supervised structured teaching program should be carried out for all patients undergoing radiofrequency ablation about pre-and post-procedure instructions and helpful hints for a healthy back when standing, walking, sitting, sleeping, and lifting. Keywords: Chronic low back pain, Radiofrequency ablation, structured nursing teaching program. DOI : 10.7176/JHMN/65-08 Publication date : August 31 st 2019
Highlights
Low back pain is the most common pain in the modern society with estimates of lifetime prevalence as high as 84–90% and the 5-year recurrence rate as high as 69%
Chronic back pain is defined as pain that continues for 12 weeks or more, even after an initial injury or underlying cause of acute low back pain has been treated
Regarding low back pain causes, it were found that the most cause was discogenic low back pain in case group while in the control group; lumber facet joint was the main cause (66.7% and 50% respectively)
Summary
Low back pain is the most common pain in the modern society with estimates of lifetime prevalence as high as 84–90% and the 5-year recurrence rate as high as 69%. Radiofrequency ablation (RFA) is a regularly utilized treatment in pain clinics for chronic low back pain since the early 1970s. It is a safe, proven means of interrupting pain signals. Aim: To evaluate the effectiveness of structured teaching program on outcomes of chronic low back pain patients undergoing radiofrequency ablation. There were significant relation between pain analogue scale and Oswestry low back pain disability scale in pre and post structured nursing teaching program regarding to occupation Conclusion: Structured nursing teaching program had an effective strategy to improve the patients’ outcomes through increasing patients' knowledge, and decreasing both pain intensity and physical disability in the case group versus the control group.
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