Motivational Interviewing: Improving Confidence With Self-care Management in Postoperative Thoracolumbar Spine Patients

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Kimberly ScheffelKathleen A Fitzgerald

Abstract

Patients undergoing thoracic or lumbar spine surgery often lack confidence with self-care management of symptoms contributing to disability, such as pain, lack of sleep, depression, and immobility. The purpose of this pilot study was to examine whether a targeted motivational interview, focused on evidence-based recommendations to manage postoperative symptoms related to thoracolumbar spine surgery, would improve patient confidence with self-care management of their symptom-related disability. A quasiexperimental, 1-group, pretest-posttest design was used on a convenience sample of 15 adult surgical spine patients at a large university spine center. Level of disability was measured using the Oswestry Disability Index (ODI). Confidence with self-care management of symptom-related disability was measured using the Health Confidence Index (HCI). Paired samples t tests were completed on participants' preintervention and postintervention scores on the HCI and ODI and on each of the 10 items that the ODI questionnaire addresses. The results of the paired samples t test on participants' HCI scores showed a statistically significant improvement in participants' confidence with self-care management of symptom-related disability from pre...Continue Reading

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Citations

Jan 15, 2020·Global Spine Journal·Sukanta MaitraMichael D Daubs
Sep 2, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Jeoung Hee Kim, Yong Soon Shin

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