Effect of Discharge Plan on Outcomes of Patients with Lumbar Disc Herniation Surgery
Mabrouka A. Abd- Ella; Tahany A. ELsenousy; Dalia A. Abdelatief; Samar F. Marzouk;
Abstract
ABSTRACT
Context: Discharge planning for patients undergoing lumbar disc herniation surgery is considered a strategy for promoting their home and
community outcomes.
Aim: This study aimed to evaluate the discharge plan's effect on patients' outcomes with lumbar disc herniation surgery.
Methods: A quasi-experimental design was utilized to conduct this study. The study was conducted in the neurosurgical ward at El-
Demerdash hospital and outpatient clinic at Ain Shams University Hospital, affiliated to Ain Shams University. A purposive sample of 60
patients with lumbar disc herniation surgery was selected according to specific inclusion criteria. The sample size was determined statistically
by power analysis considering the total number of patients with lumbar disc herniation surgery in El Demerdash hospital (2016). Tools of the
study included patients’ interviewing questionnaire regarding patients’ demographic characteristics, assessment of patients' knowledge, and
patients' outcomes assessment tools that include Oswestry disability index, the lower extremity functional scale, and the social dysfunction
scale and SF36 to assess psychological outcome.
Results: The present study revealed that the mean age of the patients under study was 39.58±8.69, 60% of them were females, and there was
a highly statistically significant difference among patients under study throughout discharge planning phases regarding their knowledge, their
level of disability, their lower extremity functional scale, total social dysfunction, and total psychological outcomes pre and at follow-up.
There were statistically significant relations between patients' level of knowledge and their outcome pre and three months after implementing
the discharge plan.
Conclusion: Application of discharge planning regarding lumbar disc herniation surgery improved patients' outcomes. The discharge plan
should be available in the neurosurgical department and clinic for all patients who will be undergoing lumbar disc herniation surgery should
be updated periodically.
Keywords: Discharge planning, outcomes, lumbar disc herniation surgery
Context: Discharge planning for patients undergoing lumbar disc herniation surgery is considered a strategy for promoting their home and
community outcomes.
Aim: This study aimed to evaluate the discharge plan's effect on patients' outcomes with lumbar disc herniation surgery.
Methods: A quasi-experimental design was utilized to conduct this study. The study was conducted in the neurosurgical ward at El-
Demerdash hospital and outpatient clinic at Ain Shams University Hospital, affiliated to Ain Shams University. A purposive sample of 60
patients with lumbar disc herniation surgery was selected according to specific inclusion criteria. The sample size was determined statistically
by power analysis considering the total number of patients with lumbar disc herniation surgery in El Demerdash hospital (2016). Tools of the
study included patients’ interviewing questionnaire regarding patients’ demographic characteristics, assessment of patients' knowledge, and
patients' outcomes assessment tools that include Oswestry disability index, the lower extremity functional scale, and the social dysfunction
scale and SF36 to assess psychological outcome.
Results: The present study revealed that the mean age of the patients under study was 39.58±8.69, 60% of them were females, and there was
a highly statistically significant difference among patients under study throughout discharge planning phases regarding their knowledge, their
level of disability, their lower extremity functional scale, total social dysfunction, and total psychological outcomes pre and at follow-up.
There were statistically significant relations between patients' level of knowledge and their outcome pre and three months after implementing
the discharge plan.
Conclusion: Application of discharge planning regarding lumbar disc herniation surgery improved patients' outcomes. The discharge plan
should be available in the neurosurgical department and clinic for all patients who will be undergoing lumbar disc herniation surgery should
be updated periodically.
Keywords: Discharge planning, outcomes, lumbar disc herniation surgery
Other data
Title | Effect of Discharge Plan on Outcomes of Patients with Lumbar Disc Herniation Surgery | Authors | Mabrouka A. Abd- Ella ; Tahany A. ELsenousy; Dalia A. Abdelatief; Samar F. Marzouk | Keywords | Discharge planning;outcomes;lumbar disc herniation surgery | Issue Date | Apr-2021 | Journal | Evidence-Based Nursing Research | Volume | 3 | Issue | 2 | Start page | 54 | End page | 64 | DOI | doi: 10.47104/ebnrojs3.v3i2.198 |
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