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Changes in Pain Characteristics and Activities of Daily Living after Lumbar Spinal Surgery for
Degenerative Spinal Disorder Patients
Degenerative spinal disorder,Pain,Activities of daily living,Anxiety,Depression,Japanese Orthopedic Association Back Pain Evaluation Questionnaire,
|Publication Year :||2019|
Background. Pain is the most common symptom for patients with degenerative spinal disorders requiring surgery. These pains usually locate in the lower back, lower hips and even lower legs. Other than pain, patients usually complain numbness, sourness, tightness, and even weakness. Not only could these discomforts cause physical and mental uneasiness to the patients, but also affect patients’ daily activities and social life in many degrees.
Purposes. The aim of this study is to understand the short-term outcome and perioperative changes after lumbar spine surgery for degenerative lumbar patients. Specifically, this study aimed to understand. (1) The pain intensity, pain duration, pain characteristics and its changes before and one month after surgery. (2) Daily living activities and their changes before and one month after surgery. (3) The score of anxiety and depression and their changes before and one month after surgery. (4) The score of Japanese of Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and its five subscales and their changes before and one month after surgery. (5) The associations between JOABPEQ and patients’ pain intensity, daily living activities, anxiety and depression.
Methods. This is a descriptive, correlational research. Participants were selected based on purposive sampling from hospitalized patients scheduled to undergo degenerative spinal surgery in a medical center in northern Taiwan during May 2018 to April 2019. Patients completed structured questionnaires, consisting of demographic information, Pain Numeric Rating Scale, Barthel Index, Hospital Anxiety and Depression Scale and the Japanese Orthopedics Association Back Pain Assessment Questionnaire (JOABPEQ) before and one month after surgery. The collected data were analyzed using SPSS16.0 software package.
Results. A total of 85 patients completed the questionnaire. The mean age of participants was 66.4 years-old with males accounted for 49.4% and females accounted for 50.6%. Our data were as follows: (1) One month after surgery, the patient's pain intensity, pain duration and level of discomfort decreased significantly. Other discomforts such as soreness, weakness and tightness did not show significantly complete improvement after the surgery. (2) The score of daily living activities also improved significantly one month after surgery. (3) The score of the anxiety scale decreased significantly, yet depression scale increased significantly one month after surgery. (4) The score of JOABPEQ and its four subscales: back pain, walking function, social life, and mental health all showed significant improvement one month after surgery. (5) There is a significantly negative correlation between JOABPEQ and pain intensity and significantly positive correlation, between JOABPEQ and depression and
daily living activities.
Conclusions and Suggestions. In summary, pain intensity, pain duration, the level of numbness, and activities of daily living were improved significantly one month after lumbar spinal surgery for patients with degenerative spinal disorders. However, other discomforts like soreness, weakness and tightness did not show significantly complete improvement. The level of depression also increased significantly after surgery. Therefore, we should design an intervention program to assist patient overcoming their residual discomfort, adapting early inconvenience and also easing the psychological stress.
|Appears in Collections:||護理學系所|
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