The Quality of Life in Patients After Surgical Treatment of a Lumbar Disc Herniation — a Preliminary Study
DOI:
https://doi.org/10.15225/PNN.2017.6.1.1Keywords
lumbar disc herniation, quality of life, Oswestry Disability Index, SF-36Abstract
Introduction. Herniated intervertebral disc is a disease that is one of the main causes of sciatica and severe, sharp back pain and usually concerns adults aged 35 to 50 years.
Aim. To evaluate the effect of surgical treatment on the quality of life in patients hospitalized and subjected to surgery due to a disk herniation in the lumbar spine.
Material and Methods. The study included 50 patients treated surgically for disc herniation in the lumbar region. The diagnostic survey method was applied for the purposes of this study with the use of the author’s questionnaire, the Oswestry Disability Index (ODI), the SF-36 questionnaire and VAS scale. The statistical analysis of the material has been performed using the Student t-test, Shapiro–Wilk test, Wilcoxon test and Spearman and Pearson correlation test.
Results. The analysis of the study material showed that before surgery all respondents experienced pain sensations of varying degree in the lumbar region, and after surgery 52% of patients experienced no pain in this region. The analysis of data obtained through the ODI showed that before surgery, the majority of respondents belonged to the group 3, while after the procedure they were in group 1.
Conclusions. 1) Spinal disk disease and related pain had a negative impact on social and sexual life of patients. 2) After surgery, patients experienced significantly less pain. 3) It was observed that in patients operated for a lumbar disc herniation, the degree of disability was reduced and the quality of life increased after surgery. (JNNN 2017;6(1):4–10)
References
Gregory D.S., Seto C.K., Wortley G.C., Shugart C.M. Acute lumbar disk pain: Navigating evaluation and treatment choices. Am Fam Physician. 2008;78(7):835–842.
Rąpała K. Zespoły bólowe kręgosłupa — zagadnienia wybrane. PZWL, Warszawa 2004.
Farzanegan G., Alghasi M., Safari S. Quality-of-Life Evaluation of Patients Undergoing Lumbar Discectomy Using Short Form 36. Anesth Pain Med. 2011;1(2):73–76.
Falavigna A., Righesso O., Teles A.R., Bossardi J.B., da Silva P.G. Preoperative motor deficit in lumbar disc herniation and its influence on quality of life. Coluna/Columna. 2014;13(4):282–286.
Häkkinen A., Kautiainen H., Järvenpää S., Arkela-Kautiainen M., Ylinen J. Changes in the total Oswestry Index and its ten items in females and males pre- and post-surgery for lumbar disc herniation: a 1-year follow-up. Eur Spine J. 2007;16(3):347–352.
Sedighi M., Haghnegahdar A. Lumbar disk herniation surgery: outcome and predictors. Global Spine J. 2014;4(4):233–244.
Juniper M., Le T.K., Mladsi D. The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review. Expert Opin Pharmacother. 2009;10(16):2581–2592.
Kiwerski J., Fiutko R. (Red.), Bóle kręgosłupa. Poradnik dla Ciebie. PZWL, Warszawa 2001.
Fairbank J.C., Pynsent P.B. The Oswestry Disability Index. Spine. 2000;25(22):2940–2953.
Fairbank J.C., Couper J., Davies J.B., O’Brien J.P. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271–273.
Tylka J., Piotrowicz R. Kwestionariusz oceny jakości życia SF-36 — wersja polska. Kardiol Pol. 2009;67:1166–1169.
Czaja E., Kózka M., Burda A. Jakość życia pacjentów z dyskopatią odcinka lędźwiowo-krzyżowego kręgosłupa. Pielęgniarstwo Neurol Neurochir. 2012;1(3):92–96.
Cedraschi C., Luthy C., Allaz A.F., Herrmann F.R., Ludwig C. Low back pain and health-related quality of life in community-dwelling older adults. Eur Spine J. 2016;25(9):2822–2832.
Jabłońska R., Ślusarz R., Królikowska A., Beuth W., Ciemnoczołowski W. The conditions of functional efficiency of patients in early post-operative period after surgical treatment of lumbar-sacral spine discopathy. Pielęgniarstwo Chir Angiol. 2008;(4):144–150.
Misiak B., Snarska K.K. Quality of Life of Patients with Back Pain. J Neurol Neurosurg Nurs. 2014;3(3):97–144.
Peng C.W., Yeo W., Tan S.B. Percutaneous endoscopic discectomy: clinical results and how it affects the quality of life. J Spinal Disord Tech. 2010;23(6):425–430.
Silverplats K., Lind B., Zoega B. et al. Health-related quality of life in patients with surgically treated lumbar disc herniation: 2- and 7-year follow-up of 117 patients. Acta Orthop. 2011;82(2):198–203.
Strömqvist F., Ahmad M., Hildingsson C., Jönsson B., Strömqvist B. Gender differences in lumbar disc herniation surgery. Acta Orthop. 2008;79(5):643–649.
Rosińczuk J., Owsikowska K., Kołtuniuk A. Analysis of the Causes of Lumbar Disc Herniation in Patients Treated Neurosurgical Due to it. J Neurol Neurosurg Nurs. 2015;4(4):152–157.
Motter B.V., Machado A.N., Kolachinski Brandão T., Ueno F.H., Cesar A.E.M., Rodrigues L.M.R. Quality of Life in Patients Before and After Lumbar Surgery in Different Work Situations. Coluna/Columna. 2015;14(3):198–201.
Jabłońska R., Ślusarz R., Królikowska A., Rosińczuk-Tonderys J. Oswestry Disability Index as a Tool to Determine Agility of the Patients After Surgical Treatment of Intervertebral Disk Discopathy. Adv Clin Exp Med. 2011;20(3):377–384.
Jabłońska R., Królikowska A., Ślusarz R. The use of Repty Functional Index and Oswestry Disability Questionnaire for the Functional Evaluation of the Patients Treated Surgically Because of Intervertebral Disc Damage. J Neurol Neurosurg Nurs. 2014;3(2):64–74.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Stats
Number of views and downloads: 252
Number of citations: 0