School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
J Neurosci Nurs. 2012 Apr;44(2):98-104. doi: 10.1097/JNN.0b013e3182478e57.
This study was performed to assess disability on daily living activities, which developed secondary to low back pain, in patients with lumbar disc herniation and treated either conservatively or surgically. The study was performed between November 2008 and June 2009. Visual analogue scale (VAS) was used to measure the intensity of pain, and the Oswestry Disability Index (ODI) was used to assess the disability of the patients on daily living activities. Of the 112 patients, 55 were women and 57 were men. The mean age was 39.68 years for the conservative treatment group and 46.46 years the for surgical treatment group. In the pretreatment period, the patients who were selected for surgical treatment had higher VAS score and ODI than did the patients who were selected for conservative treatment. The disability areas that were reported in the pretreatment period were walking, sleeping, standing, and traveling for the surgical treatment group and self-care, sitting, and social life areas for the conservative treatment group. When the ODI and VAS score of the patients were statistically compared at the third month of posttreatment period, the scores were significantly low in the surgical treatment group. The disability areas that were reported at the third month of posttreatment period were weight lifting, self-care, and walking for the surgical treatment group and social life, sleeping, sitting, and standing for the conservative treatment group. This study found that patients with low back pain experience physical disabilities due to pain. Their daily living activities are affected by these disabilities and the intensity of pain affects the level of disability. Knowledge of the disability areas caused by low back pain plays an important role in the determination of nursing care and content of the education which will be offered to the patients. The use of scale on the patient's care is important to form a common language in nursing and to obtain evidence-based data related to the patients.
本研究旨在评估腰椎间盘突出症患者经保守或手术治疗后日常生活活动的残疾情况。该研究于 2008 年 11 月至 2009 年 6 月进行。使用视觉模拟评分(VAS)来衡量疼痛强度,使用 Oswestry 残疾指数(ODI)来评估患者日常生活活动的残疾程度。在 112 名患者中,女性 55 名,男性 57 名。保守治疗组的平均年龄为 39.68 岁,手术治疗组的平均年龄为 46.46 岁。在治疗前,选择手术治疗的患者的 VAS 评分和 ODI 均高于选择保守治疗的患者。在治疗前报告的残疾领域为手术治疗组的行走、睡眠、站立和旅行以及保守治疗组的自理、坐和社会生活领域。当在治疗后第三个月对患者的 ODI 和 VAS 评分进行统计学比较时,手术治疗组的评分显著降低。在治疗后第三个月报告的残疾领域为手术治疗组的举重、自理和行走以及保守治疗组的社会生活、睡眠、坐和站立。本研究发现,腰痛患者因疼痛而经历身体残疾。他们的日常生活活动受到这些残疾的影响,疼痛的强度影响残疾的程度。了解腰痛引起的残疾领域对确定护理和向患者提供的教育内容具有重要作用。在患者护理中使用量表对于形成护理中的共同语言和获得与患者相关的循证数据非常重要。
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