Agnus Tom Aleena, Rajkumar Eslavath, John Romate, Joshua George Allen
Department of Psychology, Central University of Karnataka, Kalaburagi, India.
Health Psychol Behav Med. 2022 Jan 5;10(1):124-144. doi: 10.1080/21642850.2021.2022487. eCollection 2022.
Chronic low back pain (CLBP) is a prominent medical condition that can affect an individual at some point in their life time which could lead to poor quality of life (QOL). Low back pain has affected approximately 577 million individuals globally by 2017. The aim of the current systematic review is to synthesise the existing evidence on the factors influencing the QOL in individuals with CLBP and to identify strategies to improve their QOL.
PubMed, ScienceDirect, PsychNet and Google Scholar were used to extract studies reporting quantitative relationships between QOL and its possible determinants in individuals having CLBP and the intervention strategies to improve QOL.
10,851 studies were initially identified and twenty-six studies which met the inclusion criteria were selected for the review. 21 studies reported relationship between QOL and potential determinants and five studies assessed the influence of interventions on QOL. Determinants were classified as kinesiophobia, fear avoidance belief, or pain belief; occupation-related factors; pain and disability; activity; personal factors including age, gender, employment status; and other psychological factors including anxiety, quality of sleep, and health locus of control. Intervention strategies including MBSR, Pilates method and Back School Programme improved QOL in individuals with CLBP.
Psychosocial factors as well as the physical status of the individual contributed to the QOL in individuals having CLBP.
慢性下腰痛（CLBP）是一种常见的医学状况，可能在个体生命中的某个阶段出现，进而导致生活质量（QOL）下降。截至2017年，全球约有5.77亿人受到下腰痛的影响。本系统评价的目的是综合现有证据，探讨影响CLBP患者生活质量的因素，并确定改善其生活质量的策略。
通过PubMed、ScienceDirect、PsychNet和谷歌学术搜索，提取有关CLBP患者生活质量与其可能的决定因素之间定量关系的研究，以及改善生活质量的干预策略。
初步检索到10851项研究，最终纳入26项符合纳入标准的研究进行综述。21项研究报告了生活质量与潜在决定因素之间的关系，5项研究评估了干预措施对生活质量的影响。决定因素分为运动恐惧、恐惧回避信念或疼痛信念；职业相关因素；疼痛和残疾；活动；个人因素，包括年龄、性别、就业状况；以及其他心理因素，包括焦虑、睡眠质量和健康控制点。干预策略，包括正念减压疗法（MBSR）、普拉提方法和腰背学校计划，可改善CLBP患者的生活质量。
社会心理因素以及个体的身体状况对CLBP患者的生活质量有影响。
