The effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial

This study was conducted to investigate the effects of mobilization and in-bed turning training given through the role-playing technique to patients to undergo lumbar disk surgery on the patient's pain, strain and dependence level during the first postoperative mobilization (turning, sitting, s...

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Published in:International journal of orthopaedic and trauma nursing 2023-08, Vol.50, p.101022, Article 101022
Main Authors: Akkaya, Hatice, Ayhan, Hatice
Format: Article
Language:English
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In-bed turning
Lumbar disk surgery
Nursing
Postoperative
Role playing
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Ayhan, Hatice
description This study was conducted to investigate the effects of mobilization and in-bed turning training given through the role-playing technique to patients to undergo lumbar disk surgery on the patient's pain, strain and dependence level during the first postoperative mobilization (turning, sitting, standing and walking). Patients who would undergo a lumbar disk hernia surgery were recruited from a neurosurgery clinic in Turkey. Patients who met inclusion criteria and agreed to participate (n = 40) in the study were randomly assigned to an intervention group (in-bed turning and mobilization training simulated with the role-playing technique, n = 19) and a control group (usual clinical care, n = 21). The outcome of the study was patient mobility and observer mobility scale scores. Postoperative scores obtained from the patient mobility and observer mobility scale were lower in the intervention group than the scores of the control group, and the difference between the groups was found statistically significant (p 
doi_str_mv 10.1016/j.ijotn.2023.101022
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Patients who would undergo a lumbar disk hernia surgery were recruited from a neurosurgery clinic in Turkey. Patients who met inclusion criteria and agreed to participate (n = 40) in the study were randomly assigned to an intervention group (in-bed turning and mobilization training simulated with the role-playing technique, n = 19) and a control group (usual clinical care, n = 21). The outcome of the study was patient mobility and observer mobility scale scores. Postoperative scores obtained from the patient mobility and observer mobility scale were lower in the intervention group than the scores of the control group, and the difference between the groups was found statistically significant (p &lt; 0.05). The anxiety levels of the intervention group before (38.00 ± 6.59, p &lt; 0.001) and after mobilization (31.63 ± 4.57, p = 0.032) were significantly lower. The findings indicate training improves patient care outcomes for first postoperative mobility. It is recommended that structured training for in-bed turning and mobilization should be integrated into routine clinical care in the preoperative period for patients to undergo lumbar disk hernia surgery. Preoperative training increases the patient's willingness to be mobilized and decreases the anxiety level and perceived pain and strain. •The structured training intervention held using the role-playing technique in the pre-operative period for first postoperative mobility is effective in reducing the rate of dependency on nurses during postoperative mobility.•Preoperative training increases the patient's willingness to be mobilized.•Preoperative training decreases the patients's anxiety level and perceived pain and strain.</description><identifier>ISSN: 1878-1241</identifier><identifier>DOI: 10.1016/j.ijotn.2023.101022</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>In-bed turning ; Lumbar disk surgery ; Nursing ; Postoperative ; Role playing</subject><ispartof>International journal of orthopaedic and trauma nursing, 2023-08, Vol.50, p.101022, Article 101022</ispartof><rights>2023 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-8e8a108c0343f39243a2258b69d46107cea0b49376bf054bdff9f15e76096f73</citedby><cites>FETCH-LOGICAL-c359t-8e8a108c0343f39243a2258b69d46107cea0b49376bf054bdff9f15e76096f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Akkaya, Hatice</creatorcontrib><creatorcontrib>Ayhan, Hatice</creatorcontrib><title>The effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial</title><title>International journal of orthopaedic and trauma nursing</title><description>This study was conducted to investigate the effects of mobilization and in-bed turning training given through the role-playing technique to patients to undergo lumbar disk surgery on the patient's pain, strain and dependence level during the first postoperative mobilization (turning, sitting, standing and walking). 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subjects In-bed turning
Lumbar disk surgery
Nursing
Postoperative
Role playing
title The effect of in-bed turning and mobilization training given to patients who undergo lumbar disk surgery on postoperative first mobility level: A single-blind, randomized controlled trial
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