An Examination of Readmission Rates and Health Practices among Patients with Prolapsed Intervertebral Disc (PIVD) in a Designated Hospital, Bhawanipatna, Odisha, India

Abstract

The purpose of this descriptive survey was to examine health practices, readmission rates, and causes of readmission patients with Prolapsed Intervertebral Disc Disease (PIVD) in a few hospitals in Bhawanipatna, Odisha. The goals of the study were to find out how often PIVD patients were readmitted, what factors led to their readmission, how good the patients were reported health practices, and how certain variables were associated with those practices in a sample of hospitals in Kolkata. A modified version of Jean Watson's precede-proceed model from Behavioural Theory provided the theoretical underpinnings. A study design based on surveys was utilized. A tertiary hospital in Bhawanipatna utilized a convenience sample strategy to pick 60 PIVD patients who were readmitted. To gather information about the patients' demographics and clinical profiles, readmission rates and causes, and health habits, a record analysis proforma, a checklist, and an interview schedule were utilized, respectively. Readmission rates averaged 33% between 2015 and 2017. Low back pain (35% of patients) and bladder incontinence (21.66% of patients) were the leading causes of readmission. Twenty-four people (or 40% of the total) told us they've never gone on a lengthy trip without packing an umbrella, while nineteen people (or 31.66% of the total) said they never squatted. In order to alleviate discomfort, over half of the responders (45 or 75%) used analgesic tablets. On discharge, no patient took the medication-infused, cushioned shoe advice. Thirteen patients (30%) used a lumbo-sacral belt, while thirty-two (53.33%) used a hard-surface bed. There were statistically significant correlations between the following factors: gender, frequency of exercise, habitat, habit of avoiding squatting, and patients' levels of education, as well as between these variables and the usage of lumbo-sacral belts and frequent exercise. Nursing education, administration, practice, and research are all touched by the study's consequences. The results of the present investigation informed the recommendation for future research.