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ORIGINAL ARTICLE
Year : 2018  |  Volume : 15  |  Issue : 2  |  Page : 135-143

Effect of pre-discharge instructions on patients’ activities and functional ability post spinal cord injury


1 Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
2 Lecturer of Medical Surgical Nursing, Faculty of nursing Aswan University, Egypt
3 Lecturer of Rheumatology and Physical Medicine, Faculty of Medicine Hlwan University, Cairo, Egypt

Correspondence Address:
Entisar Gaad-Elmoula Shabaan
Lecturer in Medical Surgical Nursing, Faculty of Nursing, Aswan University, Aswan
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ENJ.ENJ_44_17

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Background Spinal cord injury (SCI) disrupts spinal cord function, and patients after SCI require long-term physical and occupational therapy, as the injuries interfere with activities of daily (ADL) living and function ability. This study may bring into light the amount of care and dependency that individuals with SCI will face as they are discharged from hospital and re-integrate back into their usual life. Aim This study aimed to evaluate the effect of predischarge instructions on ADL and functional ability of patients with SCI. Patients and methods The study was conducted in Neurosurgery and Physical Medicine Department at Aswan University Hospital. Sample This study included 120 adult patients of both sexes. These patients were divided equally into two groups: study and control. Data were collected from them within 1 year from January 2015 to January 2016. Inclusion criteria were recent admission because of SCI with no previous spinal surgery, no other medical problems and muscle-skeleton deformity that may interfere with educational instructions outcome, and had no hindering factors to communicate verbally. A control patient group with the same inclusion criteria was matched with the study group but was not given predischarge instructions. Four tools were used: 1. Structured interview questions and Medical Data Sheet; 2. Knowledge Questionnaire and Lifestyle Assessment Questionnaire: 3. ADL Questionnaire. 4. Compliance Discharge Instructions. Results Findings revealed that only 8.3% of pre instruction patients were oriented about range of motion exercises, and 6.6% about healthy lifestyle as compared with the satisfactory post instructions knowledge (96.6%, 95.0% respectively), at P values=.000*). Conclusion Statistical significant difference between pre & post instruction of discharge knowledge regarding range of motion exercises, lifestyle, ADL and overall discharge compliance. Recommendations Encourage a simple illustrated booklet to patients’ post SCI includes all therapeutic instructions could help increasing patient’s awareness, understanding, and perform activities.


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