Promoting knowledge and self-care behaviors among patients with chronic low back pain in the community through the Back Pain School Program
Keywords:
Chronic Low Back Pain, Back School Programe, NRS, Back Education, Self-Care BehaviorAbstract
Background: Chronic low back pain syndrome is more common in musculoskeletal disorders. Understanding back pain and self-care can help reduce low back pain and have the ability to use daily life better. Objective: To study the effect of education and self-care with back pain school program on the level of numerical resting scale (NRS), disability (Roland – Morris disability questionnaire), knowledge of back pain, and self-care behaviors in patients with chronic low back pain. Method: This study was a quasi-experimental study that recruited a specific sample of 30 people who were diagnosed by a physician and referred to a multidisciplinary team for pain relief and a record form for indicators in this study. The data in this study are presented in terms of percentage, mean, and standard deviation. Result: The results showed no statistically significant difference in the mean level of NRS and disability when comparing the results between before and after participating in the Back pain school program at two weeks (p > 0.05). There was a statistically significant difference in these indicators when comparing the results before and after the program at one month, three months and six months, respectively (p < 0.05). The mean scores of patients' knowledge of back pain and self-care behaviors were statistically improved across all assessment periods compared to before participating in the program (p < 0.05). Conclusion: Back pain school programs can reduce pain and disability and make patients with chronic low back pain have better knowledge and behavior in taking care of themselves.
References
Wheeler SG, Wipf JE, Staiger TO, Deyo RA, Jarvik JG. Evaluation of low back pain in adults. UpToDate April. 2016;27.
Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation Technol Neural Interface. 2014;17:3–10.
Siriphanich S, Meanpheung P, Sayumpurujinan S. Occupational and environmental disease dituation 2003-2009 occupational disease and environmental monitoring system. Wkly Epidemiol Surveill Rep WESR. 2011;42(14):209–23. (In Thai)
Chaiklieng S, Suggaravetsiri P, Pultumetakul R. Prevalence and risk factors of low back pain among informal garment workers in the northeast of Thailand. Occup Env Med. 2013;70 (Suppl 1):A1-149. (In Thai)
Khruakhorn S, Sritipsukho P, Siripakarn Y, Vachalathiti R. Prevalence and risk factors of low back pain among the university staff. J Med Assoc Thail Chotmaihet Thangphaet. 2010 Dec;93 Suppl 7:S142-8. (In Thai)
Keawduangdee P, Puntumetakul R, Swangnetr M, Laohasiriwong W, Settheetham D, Yamauchi J, et al. Prevalence of low back pain and associated factors among farmers during the rice transplanting process. J Phys Ther Sci. 2015 Jul;27(7):2239–45. (In Thai)
Untimanon O, Boonmeephong K, Saipang T, Sukanun K, Promrat A, Julraung P, et al. Burden of back pain among working populations. Dep Dis Control. 2016;42(2):119–29. (In Thai)
O’Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005 Nov;10(4):242–55.
Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–30.
Wongwilairat K. Potential development for Self-Care Low Back Pain People: Ban Nonsaad Moo2, Nonsaad Sub-district, Nonsaad District, Udonthani Province. [Master of Public Health Thesis in Public Health Administration, Graduate school]. [Khon Kaen]: Khon Kaen University; 2011. (In Thai)
Jiraratphonchai K. Spine Disease Empirical Evidence, Book 1. (1st edition). Khon Kaen: Khon Kaen University Printing; 2011. (Epidemiology of neck and back pain). (In Thai)
Tiwawatpakorn J, Wongkiratimethawi T, Sukubol S. The Development and Effectiveness of the Hat-Yai Back School Program in patients with chronic low back pain. Thai J Phys Ther. in press; (In Thai)
Tiwawapakorn J, Sutheeravat P. Collaboration of Patients with Chronic Low Back Pain Rehabilitation by community participation: A study from Tambon Patong Municipality, Hat-Yai District, Songkhla Province. Thai J Public Health. 2021;51(1):75–87. (In Thai)
Chuengsatiansup K, Suksut P. Health Volunteers in the Context of Change : Potential and Developmental Strategies. J Health Syst Res. 2009;1(4):268–79. (In Thai)
Garcia AN, Costa L da CM, da Silva TM, Gondo FLB, Cyrillo FN, Costa RA, et al. Effectiveness of back school versus McKenzie exercises in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther. 2013;93(6):729–47.
Mannion AF, Balagué F, Pellisé F, Cedraschi C. Pain measurement in patients with low back pain. Nat Rev Rheumatol. 2007;3 (11):610.
Jirarattanaphochai K, Jung S, Sumananont C, Saengnipanthkul S. Reliability of the Roland-Morris Disability Questionnaire (Thai version) for the evaluation of low back pain patients. J Med Assoc Thai. 2005;88(3):407–11.
Sahin N, Albayrak I, Durmus B, Ugurlu H. Effectiveness of back school for treatment of pain and functional disability in patients with chronic low back pain: a randomized controlled trial. J Rehabil Med. 2011;43(3):224–29.
Durmus D, Unal M, Kuru O. How effective is a modified exercise program on its own or with back school in chronic low back pain? A randomized-controlled clinical trial. J Back Musculoskelet Rehabil. 2014;27(4):553–61.
Hanchanlert Y. Effectiveness of Education Program on Correct Posture and Daily Exercise in Reducing and Preventing Back Pain in Patients with Chronic Low Back Pain, Kuean Sub-district, Kosumpisai District, Mahasarakam Province. J Health Sci. 2014;23(4):601–8. (In Thai)
Kaplansky BD, Wei FY, Reecer MV. Prevention strategies for occupational low back pain. Clin Occup Environ Med. 2006;5(3):529–44.
Areeudomwong P, Puntumetakul R, Jirarattanaphochai K, Wanpen S, Kanpittaya J, Chatchawan U, et al. Core Stabilization Exercise Improves Pain Intensity, Functional Disability and Trunk Muscle Activity of Patients with Clinical Lumbar Instability: a Pilot Randomized Controlled Study. J Phys Ther Sci. 2012;24(10):1007–12.
Nimtrong K. Effectiveness of Educative Supportive Programe on Self-care Behaviors and Pain Leval among Patients with Chronic Low Back Pain [Thesis M.N.S. in Community Nurse Practitioner]. [Phitsanulok]: Naresuan Univercity; 2012. (In Thai)
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