Effects of an Individualized Educational Program for Korean Patients With Chronic Low Back Pain: A Randomized Controlled Trial

Seong-Kyong KIM; Hee-Seung KIM; Sung-Soo CHUNG

doi:10.1097/jnr.0000000000000455

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Effects of an Individualized Educational Program for Korean Patients With Chronic Low Back Pain: A Randomized Controlled Trial

Seong-Kyong KIM ； Hee-Seung KIM ； Sung-Soo CHUNG

The Journal of Nursing Research ； 29 卷 6 期 (2021 / 12 / 01) ， P1 - 11

英文 DOI： 10.1097/jnr.0000000000000455

low back pain ； individualized education ； daily living disability ； back muscle strength ； medication adherence

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摘要 │ 参考文献 (43) │ 国际计量

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Background: Most patients with low back pain prefer to ignore symptoms and avoid medical management because of incorrect perceptions about this condition. However, over 90% of patients with chronic low back pain are hardly unable to perform daily activities, with 50%reporting that their daily activities have been severely impeded. Purpose: In this study, an individualized educational program was developed and implemented in a sample of Korean patients with chronic low back pain, and the effectiveness of this program was evaluated. Methods: This study was conducted as a randomized controlled trial with outpatients (n = 43) in an orthopedic clinic. The Analysis, Design, Development, Implementation, and Evaluation model was applied to develop the educational program. The experimental group was provided with an educational booklet and contacted via biweekly personalized telephone and face-to-face counseling sessions. The control group was provided the educational booklet only. SAS Version 9.4 was used to analyze collected data using the X^2 test, t test, Fisher's exact test, Wilcoxon test, linear regression analysis, and Spearman partial correlation analysis. Results: After 8 weeks, the experimental group demonstrated a significantly greater reduction in maximum, average, and current low back pain experienced within the immediately preceding 24 hours than the control group (p = .001, p = .002, and p = .014, respectively). In addition, daily living disability showed a greater reduction, and average back muscle strength showed a more significant improvement in the experimental group than in the control group (p = .001 and p = .035). The difference in medication adherence between the groups was not statistically significant (p = .089). The experimental group rated an average of 4.3 out of 5.0 points on the program satisfaction scale, indicating an 86% rate of satisfaction. Conclusions/Implications for Practice: In this study, the individualized educational program was shown to be effective in helping alleviate symptoms in patients with chronic low back pain, decrease daily living disability, and improve average back muscle strength. It was further demonstrated that following up with expert medical staffs can motivate patients to incorporate the recommendations of the program into their daily routine, leading to higher patient satisfaction.

参考文献 ( 43 ) 〈TOP〉

Muscle. (2020). In Wikipedia. https://en.wikipedia.org/wiki/Muscle
Abbasi, S.,Rojhani-Shirazi, Z.,Shokri, E.,José, F. G.-M. S.(2018).The effect of Kinesio Taping on postural control in subjects with non-specific chronic low back pain.Journal of Bodywork and Movement Therapies,22(2),487-492.
Bang, H. S.(2015).The effects of lumbar stabilization exercise on muscle activity and isokinetic muscle strength of female patients with chronic low back pain.Journal of the Korean Society of Physical Medicine,10(2),63-71.
Deyo, R. A.,Weinstein, J. N.(2001).Low back pain.The New England Journal of Medicine,344(5),363-370.
Dick, W.,Carey, L.,Carey, J. O.(2011).The systematic design of instruction.Pearson.

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