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慢性非特异性下腰痛患者健康相关生活质量和知识评估。

Assessment of health-related quality of life and patient's knowledge in chronic non-specific low back pain.

机构信息

Institute of Physiotherapy and Sports Science, Faculty of Health Sciences, University of Pécs, Vörösmarty u. 3., Pécs, H-7621, Hungary.

Department of Neurosurgery, Clinical Center, University of Pécs, Rét utca 2, Pécs, H-7623, Hungary.

出版信息

BMC Public Health. 2021 Apr 23;21(Suppl 1):1479. doi: 10.1186/s12889-020-09506-7.

Abstract

BACKGROUND

Chronic non-specific low back pain syndrome (cnsLBP) is a severe health problem in developed countries, which has an important effect on patients' quality of life and is highly determined by socio-demographic factors and low back pain specific knowledge. We examined patients' health-related quality of life according to the results of the Short Form Health Survey (SF-36), low back pain knowledge (LBPKQ) and the social determinants of the participants.

METHODS

We carried out our research in the first half of 2015 in Southern Transdanubia, Hungary. The examination included 1155 respondents living with chronic non-specific low back pain. The confidence interval of 95% was used, and the level of. significance was p < 0.05 using SPSS 22.0 software.

RESULTS

The SF-36 questionnaire is suitable for the examination of patients' health-related quality of life (Cronbach's Alpha> 0.76), as the LBPKQ's Cronbach's Alpha was 0.726 also, which showed good validity. Longer-term disease meant a lower health-related quality of life (p < 0.05). A greater decrease of function (Roland Morris scores (RM)) accounts for a lower HRQoL and higher knowledge level. We found significant differences in LBPKQ scores according to sociodemographic parameters. The general health status was positively correlated with LBPKQ (p = 0.024) adjusted for demographic and pain and functional status.

CONCLUSION

The negative effect of the symptoms on patients' quality of life is proved, which is determined by different socio-demographic parameters furthermore by knowledge. Above all could be useful information for professionals to adopt the right interventions.

摘要

背景

慢性非特异性下腰痛综合征(cnsLBP)是发达国家的严重健康问题,对患者的生活质量有重要影响,高度取决于社会人口学因素和下腰痛特定知识。我们根据简明健康调查量表(SF-36)、下腰痛知识问卷(LBPKQ)和参与者的社会决定因素的结果来检查患者的健康相关生活质量。

方法

我们于 2015 年上半年在匈牙利南特兰西瓦尼亚进行了这项研究。检查包括 1155 名患有慢性非特异性下腰痛的受访者。使用 SPSS 22.0 软件,置信区间为 95%,显著性水平为 p<0.05。

结果

SF-36 问卷适用于检查患者的健康相关生活质量(Cronbach's Alpha>0.76),因为 LBPKQ 的 Cronbach's Alpha 也为 0.726,表明具有良好的有效性。疾病持续时间越长,健康相关生活质量越低(p<0.05)。功能下降越大(Roland Morris 评分(RM))会导致较低的 HRQoL 和较高的知识水平。我们根据社会人口学参数发现 LBPKQ 评分存在显著差异。在调整人口统计学和疼痛及功能状况后,一般健康状况与 LBPKQ 呈正相关(p=0.024)。

结论

症状对患者生活质量的负面影响得到证实,这进一步取决于不同的社会人口学参数和知识。这些信息对专业人士采取正确的干预措施可能非常有用。

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