Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Illness Experiences of Patients Following Spinal Surgery

척추수술 환자의 질병경험

  • Received : 2022.11.01
  • Accepted : 2022.12.07
  • Published : 2022.12.31
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Abstract

Purpose: The purpose of this study was to explore the illness experiences of patients who had spinal surgery. Methods: Colaizzi's phenomenological method was used for the data analysis. Patients who had spinal surgery were included in this study. The data was collected between April and October 2022 by conducting a one-on-one, in-depth interview. Results: Five theme clusters were identified based on the illness experiences of patients who had spinal surgery: "An agonizing life changed by pain", "Efforts to alleviate the pain", "Surgery was determined to be the best way to relieve pain", "Recovered daily life after relieving pain caused by surgery", and "Dedicated to living a healthy, pain-free life". The analysis further yielded 20 themes. Patients used various treatment methods to relieve pain, but ultimately chose surgery due to unbearable pain. Patients who had spinal surgery felt grateful that they were feeling good and healthy because they could return to their normal daily lives. After all, the pain was relieved after the surgery. Even though some pain remained unrelieved, the patients had the hope of getting better through exercise and rehabilitation. Conclusion: This study provides an in-depth understanding and meaning of the illness experiences of patients who had spinal surgery and presents new perspectives on clinical practice. The findings of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after spinal surgery.

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References

  1. Accardi-Ravid, M., Eaton, L., Meins, A., Godfrey, D., Gordon, D., Lesnik, I., et al. (2020). A qualitative descriptive Study of patient experiences of pain before and after spine surgery. Pain Medicine, 21(3), 604-612. https://doi.org/10.1093/pm/pnz090
  2. Aghion, D., Chopra, P., & Oyelese, A. A. (2012). Failed back syndrome. Rhode Island Medical Journal, 95(12), 391.
  3. Bener, A., Verjee, M, Dafeeah, E. E., Falah, O., Al-Juhaishi, T., Schlogl, J., et al. (2013). Psychological factors: Anxiety, depression, and somatization symptoms in low back pain patients. Journal of Pain Research, 6, 95. https://doi.org/10.2147/JPR.S40740
  4. Cho, J. H., Choi, S. U., & Lee, S. C. (2007). The effect of resistance training on inflammation variables and gait ability with 360 spinal fusion surgery. Health & Sports Medicine; Official Journal of the Korean Association of Certified Exercise Professionals, 9(1), 85-92.
  5. Colaizzi, P. F. (1978). Psychological research as the phenomenological views. In R. Valle, & M. King (Ed.), Existential phenomenological alternative for psychology (pp. 48-71). New York, NY: Oxford University Press.
  6. Davis, R. E., Vincent, C., Henley, A., & McGregor, A. (2013). Exploring the care experience of patients undergoing spinal surgery: A qualitative study. Journal of Evaluation in Clinical Practice, 19(1), 132-138. https://doi.org/10.1111/j.1365-2753.2011.01783.x
  7. Finlay, L. (2009). Ambiguous encounters: A relational approach to phenomenological research. Indo-Pacific Journal of Phenomenology, 9(1), 1-17. https://doi.org/10.1080/20797222.2009.11433983
  8. Hur, H. K. (1997). An exploration of the life experiences of patients with chronic pain: Women with rheumatoid arthritis. The Journal of Nurses Academic Society, 27(1), 13-25. https://doi.org/10.4040/jnas.1997.27.1.13
  9. Hwang, J. R., & Min, H. S. (2021). Related factors in the occurrence of postoperative ileus following spinal surgery. Journal of Korean Critical Care Nursing, 14(1), 28-39. https://doi.org/10.34250/jkccn.2021.14.1.28
  10. Jang, Y. S., & Jung, S. Y. (2021). Factors related to quality of life of patients with failed back surgery syndrome. Journal of Korean Academy of Fundamentals of Nursing, 28(3), 311-319. https://doi.org/10.7739/jkafn.2021.28.3.311
  11. Kang, M. M., & Kim, A. K. (2021). Experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment. Journal of Digital Convergence, 19(8), 385-396. https://doi.org/10.14400/JDC.2021.19.8.385
  12. Kim, D. G. (2007). Practical points in neurosurgery. Seoul: Ilchokak.
  13. Kim, J. H., Lee, E. H., Kim, S. R., & Kim, S. R. (2016). Factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway. Korean Journal of Adult Nursing, 28(1), 43-52. https://doi.org/10.7475/kjan.2016.28.1.43
  14. Kim, S. M., & Lee, S. J. (2018). The development and effect of a video education program on uncertainty and educational satisfaction among spinal surgery patients. Journal of Muscle and Joint Health, 25(3), 187-195. https://doi.org/10.5953/JMJH.2018.25.3.187
  15. Kim, Y. H., Park, K. Y., Kim, M. Y., & Kim, M. O. (2004). The experiences of perioperative patients with cancer. Journal of Korean Academy of Nursing, 34(6), 945-953. https://doi.org/10.4040/jkan.2004.34.6.945
  16. Korean Society of Orthopedic Surgery. (2006). Orthopedics 2, Seoul: Choisinuhaksa.
  17. Lam, W. W. K., & Loke, A. Y. (2017). Factors and concerns of patients that influence the decision for spinal surgery and implications for practice: A review of literature. International Journal of Orthopaedic and Trauma Nursing, 25, 11-18. https://doi.org/10.1016/j.ijotn.2016.09.001
  18. Lee, H. K., Kim, M. H., & Won, H. J. (2022) Narrative inquiry on pilates experience of three female office workers living with chronic back pain. Korean Journal of Leisure Recreation & Park, 46(2), 87-100. https://doi.org/10.26446/kjlrp.2022.6.46.2.87
  19. Lee, M. J., Kim, E. S., Kim, H., & Lee, S. M. (2009). Effects of a video exercise program for spinal surgery patients on pain, daily living function and educational satisfaction. Journal of Korean Clinical Nursing Research, 15(3), 39-48. https://doi.org/10.22650/JKCNR.2009.15.3.39
  20. Lee, S. K. (2005). Activities of daily living and influencing factors in postoperative elderly patients with spinal stenosis. Unpublished master's thesis, Dona-A University, Busan.
  21. Lim, S. W., & Yi, M. (2021). Illness experiences of adults with spina bifida: Protecting the whole self. Asian Nursing Research, 15(1), 67-75. https://doi.org/10.1016/j.anr.2020.12.001
  22. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park, CA: sage.
  23. National Health Insurance Corporation. (2021, October 19). Major operation statistics 2020. Retrieved December 15, 2020, from https://www.nhis.or.kr/nhis/together/wbhaec06800m01.do?mode=view&articleNo=10813594
  24. Papanastassiou, I., Anderson, R., Barber, N., Conover, C., & Castellvi, A. E. (2011). Effects of preoperative education on spinal surgery patients. SAS Journal, 5(4), 120-124. https://doi.org/10.1016/j.esas.2011.06.003
  25. Park, S. K. (2011). The relationships among pain, depression, family support and health behavior in elderly patients with chronic low back pain. Unpublished master's thesis, Ewha Womans University, Seoul.
  26. Toyone, T., Tanaka, T., Kato, D., Kaneyama, R., & Otsuka, M. (2005). Patients' expectations and satisfaction in lumbar spine surgery. Spine, 30(23), 2689-2694. https://doi.org/10.1097/01.brs.0000187876.14304.15
  27. Weiner, B. K., & Essis, F. M. (2006). Patient preferences regarding spine surgical decision making. Spine, 31(24), 2857-2860. https://doi.org/10.1097/01.brs.0000245840.42669.f1
  28. Weinstein, J. N., Lurie, J. D., Tosteson, T. D., Hanscom, B., Tosteson, A. N., Blood, E. A., et al. (2007). Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. New England Journal of Medicine, 356(22), 2257-2270. https://doi.org/10.1056/NEJMoa070302
  29. Yoo, S. S., Yoo, S., & Yi, J. H. (2015). A study on flexibility improvement causing posture change through well-being yoga. Journal of the Korea Entertainment Industry Association (JKEIA), 9(3), 389. https://doi.org/10.21184/JKEIA.2015.09.9.3.389
  30. Yoon, J. E., & Cho, O. H. (2020). Effects of functions of daily living, depression, and anxiety on catastrophizing pain among patients undergoing lumbar spinal surgery. Journal of Korean Academy of Fundamentals of Nursing, 27(3), 289-297. https://doi.org/10.7739/jkafn.2020.27.3.289