Development Of Post-Operative Rehabilitation Booklet For Lumbar Spinal Decompression And Fixation Surgery

Abstract

RESEARCH DESIGN: A methodological study
OBJECTIVE: To Develop And Validate A Booklet For Post Operative Rehabilitation Of Lumbar Spine Decompression And Fixation Surgery Individuals.
BACKGROUND OF STUDY: Individuals often have numerous questions regarding spine surgeries, including inquiries like: What actions should be taken? What actions should be avoided? Is undergoing surgery a safe option? What precautions are necessary after surgery? After examining a large number of studies to address these concerns, researchers discovered that there isn't a definitive physiotherapy program for LSDF patients that can ease their fears and dispel their misconceptions. Consequently, the researcher proposed the creation of an informational booklet.
Educating patients has proven to be advantageous in numerous surgical procedures, leading to improved surgery outcomes related to pain, disability, and overall quality of life.
METHODOLOGY : The booklet was developed using the following 5 step-by-step techniques. 1)The domains of the training booklet were identified by a literature study, informal interviews, and questionnaires completed by 5 neurosurgeons and 5 physiotherapists were used to determine the domains of educational booklet. 2) Literature review to create a preliminary copy of the booklet and develop the content for the various disciplines. 3)The booklet should be modified in accordance with the suggestions made by physiotherapists and surgeons in order to create the final version. 4) Evaluation of the booklet by Suitability Assessment and Material Questionnaire (SAM) filled by physiotherapists and surgeons. 5) Pilot study on patients to gather feedback on the created booklet.
RESULTS : According to the reliability given by 10 panelists i.e. 5 physiotherapists & 5 spine surgeons in a SAM Questionnaire and validity given by all 15 panelists i.e. 5 physiotherapists, 5 spine surgeons and 5 patients in a CVI value. After filling the SAM scale, 8 of 10 panelists gave the score between 38 and 42 SAM score, which translates to a % score between 70-100% SAM %. calculated by a specific formula.
The data analysis of SAM for this study represents superior quality content (70-100%). Thus, this confirms the reliability of the booklet. Lastly, Content Validity Ratio (CVR) was calculated. The CVR value achieved for all the 10 items is in a positive integer. Thus, this confirms the validity of the booklet.
CONCLUSION: According to the Suitability Assessment and Material Questionnaire, the developed patient educational booklet entitled "Treat Your Back By Yourself" was fairly easy to understand, therefore it should be included in patient education.