A Follow-Up Study of Health Status in Patients with Chronic Low Back Pain before and after Spinal Surgery
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Date
2010-10-06
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract: Keywords: Health status, Chronic low back pain, Spinal surgeryThe objective of this prospective descriptive research was to compare healthstatus in patients with chronic low back pain before and after spinal surgery at a 6-weekfollow-up. The conceptual framework of this study was based on Smith’s idea of ahealth model. This study comprised 69 patients who were 20 years of age and older,and were diagnosed with low pack pain with degenerative spinal diseases, andreceived spinal surgery as the primary treatment. Data were obtained by interviewingpatients admitted to orthopaedic wards at three government tertiary care hospitals inBangkok, from February to August 2008. The types of data collected in this studywere: 1) the Demographic Data Form; 2) the Short-Form Health Survey-Thaiversion; and 3) the Modified Oswestry Low Back Pain Disability Questionnaire-Thaiversion. Statistical analysis was performed using descriptive statistics and paired t-test.Findings of this study revealed that the means score of overall health status weresignificantly improved postoperatively. Approximately 20% of the sample perceivedmoderate or severe disability during the 6-week follow-up, while 80% perceived severedisability at the baseline assessment. For implications of this study, subjectiveevaluation tools, which provide the benefits of general health status and specific healthstatus related to spinal problems may help identify patients who are likely to benefit fromsurgical treatment. Although postoperative disability seems to be decreased at a 6-weekfollow-up, the provision of continual care to the adult and older adult patients withchronic low back pain is needed in order to restore the functional ability and improvetheir health status, which has a major influence on patients’ quality of life.
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Ramathibodi Nursing Journal; Vol. 15 No.3 September - December 2009