The Effect of Motivational Interviewing on Low Back Pain-Related Disability Level and Quality of Life in Patients With Lumbar Discectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Oswetry Low Back Pain Disability Index
研究概览
简要总结
Abstract Objective: The aim of the study was to determine the effect of motivational interviewing about adaptation to body mechanics on the level of disability due to low back pain and quality of life in patients with lumbar discectomy surgery.
Method: The design of the study was a randomized controlled clinical trial with a pretest-posttest and follow-up design with a control group. The study will be conducted with patients who are hospitalized in the neurosurgery clinic of a university hospital, who have undergone discectomy surgery and whose discharge is planned. The data will be collected using the Participant Information Form, the Scale for Assessing Adaptation to Body Mechanics for Individuals with Lumbar Disc Herniation, the Motivational Interviewing Change Cycle Determination Form, the Oswetry Low Back Pain Disability Index and the World Health Organization Quality of Life Scale-Short Form. Motivational interview was applied to the experimental group. Motivational interviewing will be conducted for 6 sessions.
详细描述
Research Aim This research aims to contribute to the empowerment of patients in their home care processes following discectomy surgery; to enable them to perform daily living activities by moving in accordance with body mechanics and to motivate them in this regard; to reduce limitations in daily life caused by back pain; and to improve quality of life.
Research Hypotheses H1-0: There is no difference in the level of disability caused by back pain between lumbar discectomy patients who underwent MG related to adaptation to post-discharge body mechanics and those who did not.
H1: There is a difference in the level of disability caused by back pain between lumbar discectomy patients who underwent MG related to adaptation to post-discharge body mechanics and those who did not.
H2-0: There is no difference in quality of life between lumbar discectomy patients who underwent MG related to adaptation to body mechanics after discharge and those who did not.
H2: There is a difference in quality of life between lumbar discectomy patients who underwent MG related to adaptation to body mechanics after discharge and those who did not.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •being in the pre-intention or intention stage according to the motivational interviewing change cycle determination form,
- •low and medium scores on the body mechanics adaptation assessment scale for individuals with lumbar disc herniation, patients who underwent lumbar discectomy surgery for the first time and whose discharge was planned,
排除标准
- •were not having any complications before and after disc surgery (fecal and urinary incontinence, foot drop, cauda equina syndrome, tingling, numbness, etc.),
- •volunteering to participate in the study, having no problems in speaking and understanding Turkish, being 18 years of age or older,
- •having no spine or musculoskeletal problems other than disc herniation,
- •having a smartphone and internet access.
- •Exclusion Criteria:
- •having a psychiatric diagnosis,
- •being in the preparation, action or maintenance phase of change,
- •planning to participate in any rehabilitation program for the first 12 weeks after surgery.
研究组 & 干预措施
Motivational İnterviewing Group
patients who underwent lumbar discectomy surgery for the first time and whose discharge was planned, not having any complications before and after disc surgery (fecal and urinary incontinence, foot drop, cauda equina syndrome, tingling, numbness, etc.), being 18 years of age or older, having no spine or musculoskeletal problems other than disc herniation.
干预措施: Motivational Interviewing (Other)
Control Group
patients who underwent lumbar discectomy surgery for the first time and whose discharge was planned, not having any complications before and after disc surgery (fecal and urinary incontinence, foot drop, cauda equina syndrome, tingling, numbness, etc.), being 18 years of age or older, having no spine or musculoskeletal problems other than disc herniation,
结局指标
主要结局
Oswetry Low Back Pain Disability Index
时间窗: At 6 weeks after discharge
The scale defined by Fairbanks (1980) and later modified by Hudson Cook (2004) is recommended as a sensitive scale for measuring functional disability in patients with low back pain due to its validity and reliability. Turkish validity and reliability was performed by Yakut et al. (2004). The Cronbach's alpha value of the scale was found to be 0.918 at day 1 and 0.895 at day 7 (Yakut et al., 2004). The form includes 10 questions, each question has 6 options ranging from 0 to 5 points. The patient is asked to choose the statement that best describes his/her condition. The highest score obtained from the scale is 50, and 1-10 points are considered as mild functional disability, 11-30 points as moderate functional disability, and 31-50 points as severe functional disability
World Health Organization Quality of Life Scale-Short Form
时间窗: At 6 weeks after discharge
It is an international quality of life assessment scale developed by WHOQOL-BREF. It consists of a total of 26 questions assessing four domains: physical, mental, social and environmental. The WHOQOL-BREFTR version consists of 27 questions with one national question added during Turkish validity and reliability studies. The questions were asked to be answered considering the last 15 days.
次要结局
- Oswetry Low Back Pain Disability Index(At 12 weeks after discharge)
- World Health Organization Quality of Life Scale-Short Form(At 12 weeks after discharge)
研究者
Keziban OZTURK
Research assisstant
Gazi University