Self-Management and Self-Management Support on Chronic Low Back Pain Patients in Primary Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/304313
Category:
Full-text
Type:
Presentation
Title:
Self-Management and Self-Management Support on Chronic Low Back Pain Patients in Primary Care
Author(s):
Kawi, Jennifer
Lead Author STTI Affiliation:
Zeta Kappa
Author Details:
Jennifer Kawi, PhD, MSN, APN, FNP-BC, jennifer.kawi@unlv.edu
Abstract:

Session presented on: Friday, July 26, 2013

Purpose:

' ' 'This research study examined self-management (SM), self-management (SMS), and other pain-related variables on chronic low back pain (CLBP) in the primary care setting. Participant perceptions of their SM, SMS, and functional ability were also described. The Chronic Care Model served as the theoretical framework for this research.

' ' 'The World Health Organization described low back pain as the most common cause of disability afflicting large numbers of the population. In effect, SM has been strongly recommended as an essential skill to empower and engage patients to care for themselves appropriately. Worldwide, healthcare professionals are urged to provide adequate SMS to increase patient's ability to self-manage. However, although these strategies have shown success in improving other chronic disease outcomes, current knowledge base are insufficient in the area of non-malignant CLBP.'

Methods:

' ' 'Non-experimental, cross-sectional, descriptive design, using general linear modeling and qualitative content analysis addressed the study purposes. Data were collected from 120 participants in four primary care clinics using survey measures.'

Results:

' ' 'SMS was found to significantly influence SM and mental health. Participant-perceived overall health significantly influenced functional ability and pain intensity. Participants described taking medications, exercising, and making lifestyle changes as most common SM strategies. Prescribing medications, giving encouragement, and providing information were main participant-perceived SMS activities. Depression and anxiety were key responses to participant perceptions on functional ability.

Conclusion:

' ' 'Study findings increase our understanding of the SM, SMS, and functional ability of CLBP patients with relevance to application in practice. There is great need to develop evidence-based SM and SMS programs specific to CLBP patients' needs. Nurses play major roles in leading these initiatives globally. Study findings also reinforce the importance of psychologists and physical therapists' collaboration in the complex care of CLBP. Longitudinal and experimental studies are recommended to evaluate SM and SMS programs that include physical therapy and psychological care components.

Keywords:
back pain; self-management; self-management support
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleSelf-Management and Self-Management Support on Chronic Low Back Pain Patients in Primary Careen
dc.contributor.authorKawi, Jenniferen
dc.contributor.departmentZeta Kappaen
dc.author.detailsJennifer Kawi, PhD, MSN, APN, FNP-BC, jennifer.kawi@unlv.eduen
dc.identifier.urihttp://hdl.handle.net/10755/304313-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><b>Purpose: </b> <p>' ' 'This research study examined self-management (SM), self-management (SMS), and other pain-related variables on chronic low back pain (CLBP) in the primary care setting. Participant perceptions of their SM, SMS, and functional ability were also described. The Chronic Care Model served as the theoretical framework for this research. <p>' ' 'The World Health Organization described low back pain as the most common cause of disability afflicting large numbers of the population. In effect, SM has been strongly recommended as an essential skill to empower and engage patients to care for themselves appropriately. Worldwide, healthcare professionals are urged to provide adequate SMS to increase patient's ability to self-manage. However, although these strategies have shown success in improving other chronic disease outcomes, current knowledge base are insufficient in the area of non-malignant CLBP.' <p><b>Methods: </b> <p>' ' 'Non-experimental, cross-sectional, descriptive design, using general linear modeling and qualitative content analysis addressed the study purposes. Data were collected from 120 participants in four primary care clinics using survey measures.' <p><b>Results: </b> <p>' ' 'SMS was found to significantly influence SM and mental health. Participant-perceived overall health significantly influenced functional ability and pain intensity. Participants described taking medications, exercising, and making lifestyle changes as most common SM strategies. Prescribing medications, giving encouragement, and providing information were main participant-perceived SMS activities. Depression and anxiety were key responses to participant perceptions on functional ability. <p><b>Conclusion: </b> <p>' ' 'Study findings increase our understanding of the SM, SMS, and functional ability of CLBP patients with relevance to application in practice. There is great need to develop evidence-based SM and SMS programs specific to CLBP patients' needs. Nurses play major roles in leading these initiatives globally. Study findings also reinforce the importance of psychologists and physical therapists' collaboration in the complex care of CLBP. Longitudinal and experimental studies are recommended to evaluate SM and SMS programs that include physical therapy and psychological care components.en
dc.subjectback painen
dc.subjectself-managementen
dc.subjectself-management supporten
dc.date.available2013-10-22T20:33:23Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:33:23Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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