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Efficacy of Nursing Interventions of Multimodal Teaching Module of Self-care on Abilities and Quality of Life of Patients Undergoing Spinal Surgeries

. Omima Abdel-shafy El-shrnouby, Nagwa Ragb Attia Gad, Ali Ibrahim Seif- Eldeen, Amany Lotfy Abdel Aziz & Nermen Abdel Fatah Mohamed


Abstract

Today, spinal disorders are a significant health problem contributing to disability requiring surgery. Previous research demonstrated the importance of patient teaching and follow-ups. Aim: This study aimed to evaluate the efficacy of nursing interventions in a multimodal teaching module on self-care on the abilities and quality of life of patients undergoing spinal surgeries. Study design: a quasi-experimental research design was used to conduct this study. Setting: The study was conducted at the Neurosurgery and Orthopedic inpatient and outpatient clinics of Tanta Main University Hospital, El Gharbia Governorate, Egypt. Subject: Randomly selected sampling of 100 adult patients undergoing spinal surgeries. Tools: Three tools were used: Tool I: Patients' assessment; Tool II: Patients' self-care abilities; and Tool III: the World Health Organization Quality of Life BREF Assessment questionnaire. Results: The study revealed that statistically significant changes in self-care abilities, and quality of life scores at the immediate postoperative hemodynamic stabilization phase and three months post teaching module implementation were detected in the multimodal teaching module study group patients, then the illustrated booklet study group patients, and finally the smart phone video developed study group patients compared to control group patients. Conclusion: A multimodal teaching module is the most effective method for enhancing patients' self-care abilities and quality of life level, followed by an illustrated booklet as the second best, a developed video as the third, and routine nursing interventions as the least effective method. Recommendations: A multimodal teaching module about self-care should be utilized as a collaborative teaching modality to improve post-operative outcomes and the quality of life of patients undergoing spinal surgeries. Patients need to be given an illustrated booklet or smart phone video developed as a teaching approach, but it is better not to use isolated methods.

 

Keywords- Multimodal teaching module, Nursing Interventions, Self-care abilities, Quality of life, low back pain, patients, Spinal surgeries.

 

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