Implementing of Novel Nursing Care Bundle on Chronic Low Back Pain and Functional ability of Obese Patients Undergoing Bariatric Surgery

Atta, Aya S; Attia, Nagwa R; Abdalla, Hamdy Sidqui; El- Sadany, Hanan M; Ibrahim, Reda A

doi:10.21608/tsnj.2025.418165

Implementing of Novel Nursing Care Bundle on Chronic Low Back Pain and Functional ability of Obese Patients Undergoing Bariatric Surgery

Document Type : Original Article

Authors

¹ Assistant lecturer of Medical & Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

² Professor of Medical & Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

³ Professor of Physical Medicine & Rehabilitation, Faculty of Medicine, Tanta University, Egypt.

⁴ Professor of Gastrointestinal & Laparoscopic Medicine, Faculty of Medicine, Tanta University, Egypt

⁵ Assistant Professor of Medical & Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

10.21608/tsnj.2025.418165

Abstract

Background: Obesity is a widespread health concern that is linked to various
comorbidities, including chronic low back pain (CLBP). Low back pain is a
prevalent musculoskeletal disorder that significantly restricts daily activities. The
aim of the present study is to assess the implementation of a novel nursing care
bundle in managing chronic low back pain and improving functional ability
among obese patients undergoing bariatric surgery. Subjects and method; A
quasi-experimental study was carried out at the Surgical Department of Tanta
University Educational Hospital. The study included a total of 60 adult patients,
who were evenly divided into two groups, each consisting of 30 patients Data
collection Tools: Three tools were used for data collection as follow; Tool (1)
“Structured Interview Questionnaire” Part (one): Demographic and personal
data. Part (two): Clinical data covering History. Tool (II) Pain assessment tool,
Tool (III) "Oswestry low back Disability Index (ODI)". Results; The findings
of this study illustrated was highly statistical significance difference of reduction
of pain where two third(66%) of study group had (mild pain) while minority
(6.7%) control group had mild pain .There was statistical significance
approximately to more than half (56.7%) of study group had mild functional
disability while minority (13.3%) control group had mild functional disability ..
Conclusion: Obesity is a major risk factor for chronic low back pain (LBP).
Recommendation: assessment of obese patients at the day of admission & at
discharge adherence to the nursing Care Bundle for obese patient after discharge
for future application of pilates based exercises that it is one element of bundle
of care according to patients ability