Bosković Ksenija, Todorović-Tomasević Snezana, Naumović Nada, Grajić Mirko, Knezević Aleksandar
Clinical Centre of Vojvodina, Clinical for Medical Rehabilitation, Novi Sad, Serbia.
Vojnosanit Pregl. 2009 Oct;66(10):807-12. doi: 10.2298/vsp0910807b.
BACKGROUND/AIM: The quality of life of lumbar radiculopathy patients conditioned by their health status is a result of both their subjective perception of the disease and their objective health status. The aim of this study was to evaluate the quality of life of lumbar radiculopathy patients under conservative treatment by means of generic and another lumbar syndrome specific questionnaires.
A total of 50 patients (33 males, 17 females average age 46.1 years,) under conservative treatment in a hospital over four weeks were included in the study. They were interviewed using two questionnaires: the SF36 (Short form (36) Health Survey) generic questionnaire measuring eight domains of their quality of life summarized into two main ones (i.e. overall physical and overall mental health), and the lumbar syndrome specific North American Spine Society--Low Back Pain Outcome Instrument (NASS LBP), a questionnaire measuring four domains (functional limitations, motor and sensitive neurological symptoms, expectations from the treatment and satisfaction with it).
The values of physical health domain was low as 31.1 at the beginning of the treatment, were rising over the following six months and dropped insignificantly after four years (42.1/48.7 /47.0) The mental health values (47.2) did not alter as compared to that of the general population. A values of the quality of life stabilized within six months. The neurological symptoms domain did not correlate with other value scales and domains.
The quality of life of lumbar radiculopathy patients was impaired only from its physical aspect, but after conservative treatment it improved over the following six months. After four years there is an insignificant drop of all quality of life values, indicating a need for a longer term monitoring of their patients.
背景/目的：腰椎神经根病患者的生活质量受其健康状况影响，这是他们对疾病的主观认知和客观健康状况共同作用的结果。本研究的目的是通过通用问卷和另一种针对腰椎综合征的问卷来评估保守治疗下腰椎神经根病患者的生活质量。
共有50名患者（33名男性，17名女性，平均年龄46.1岁）在一家医院接受了四周的保守治疗并纳入研究。使用两份问卷对他们进行访谈：SF36（简短形式（36）健康调查）通用问卷，该问卷测量生活质量的八个领域，归纳为两个主要方面（即总体身体健康和总体心理健康）；以及针对腰椎综合征的北美脊柱协会——腰痛结局量表（NASS LBP），这是一份测量四个领域（功能受限、运动和感觉神经症状、对治疗的期望及满意度）的问卷。
治疗开始时身体健康领域的值较低，为31.1，在接下来的六个月中有所上升，四年后略有下降（42.1/48.7 /47.0）。心理健康值（47.2）与一般人群相比没有变化。生活质量值在六个月内稳定下来。神经症状领域与其他值量表和领域不相关。
腰椎神经根病患者的生活质量仅在身体方面受到损害，但经过保守治疗后，在接下来的六个月中有所改善。四年后，所有生活质量值均略有下降，表明需要对患者进行长期监测。
