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Quality of Life, Disability Level, and Pain Intensity among Patients after Lumbar Disc Surgery: An Observational Three-Month Follow-Up Study.
- Source :
- Healthcare (2227-9032); Dec2023, Vol. 11 Issue 24, p3127, 15p
- Publication Year :
- 2023
-
Abstract
- The prevalence of intervertebral disc degeneration in the lumbar region resulting in low back pain is high. One of the treatment options is neurosurgery. Previous studies and systematic reviews demonstrate the need to identify factors that affect the health-related quality of life of patients undergoing surgery. This study aimed to analyze the sociodemographic and clinical factors that affect the quality of life of patients undergoing lumbar disc surgery. A group of 128 patients was assessed for eligibility and qualified by radiological examinations for lumbar disc surgery by a neurosurgeon in the outpatient clinic. Finally, 110 patients were studied and evaluated 24 h and 3 months after surgery. Health-related quality of life (36-Item Short Form Survey, SF-36), disability level (Oswestry Disability Index, ODI), and pain intensity (Visual Analogue Scale, VAS) were assessed. The mean pain intensity before surgery was 7.8 ± 2.3 pts and decreased significantly 24 h after surgery, with a mean score of 3.8 ± 2.4 pts (p = 0.0000). After three months, the increase in pain intensity was at 4.8 ± 2.4 pts, but the score was still significantly better than before surgery (p = 0.0024). The mean ODI score before surgery was 29.3 ± 8.4 pts (slight disability), and three months after surgery, there was an insignificant increase to a mean value of 31.5 ± 10.4 pts (p = 0.0834). There was a statistically significant increase in quality-of-life scores at three months after surgery in the following domains: physical functioning (8.7%; p = 0.0176), bodily pain (26.2%; p = 0.0000), vitality (5.8%; p = 0.0132) and mental health (6.2%; p = 0.0163), and a decrease in role limitations due to physical problems (3.8; p = 0.0013) and general health perception (6.7%; p = 0.0112). In conclusion, the surgical procedure plays an important role in improving the quality of life of patients operated on for intervertebral disc degeneration. It was effective in reducing the pain level, especially 24 h after surgery; however, surgery did not affect the disability level. [ABSTRACT FROM AUTHOR]
- Subjects :
- LUMBAR vertebrae surgery
LUMBAR pain
HOSPITALS
STATISTICS
MATHEMATICAL statistics
NONPARAMETRIC statistics
PAIN measurement
SPINE diseases
SCIENTIFIC observation
PARAMETERS (Statistics)
NEUROSURGERY
ONE-way analysis of variance
SURGERY
PATIENTS
CLINICS
HEALTH surveys
VISUAL analog scale
HEALTH outcome assessment
MAGNETIC resonance imaging
MANN Whitney U Test
FUNCTIONAL assessment
TREATMENT effectiveness
SEVERITY of illness index
COMPARATIVE studies
PRE-tests & post-tests
T-test (Statistics)
CRONBACH'S alpha
PEARSON correlation (Statistics)
QUALITY of life
QUESTIONNAIRES
DESCRIPTIVE statistics
HEALTH attitudes
CHI-squared test
LUMBAR vertebrae
SOCIODEMOGRAPHIC factors
COMPUTED tomography
DATA analysis software
DATA analysis
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 11
- Issue :
- 24
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 174437982
- Full Text :
- https://doi.org/10.3390/healthcare11243127