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慢性下背痛患者的生活质量和精神困扰:一项横断面研究。

Quality of Life and Mental Distress in Patients with Chronic Low Back Pain: A Cross-Sectional Study.

机构信息

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

Nursing Institute "Professor Radivoje Radić", Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

出版信息

Int J Environ Res Public Health. 2022 Aug 26;19(17):10657. doi: 10.3390/ijerph191710657.

Abstract

The aim of this study was to examine the levels of health-related quality of life (HRQoL), pain intensity, and mental distress in participants with chronic low back pain (CLBP), and to examine the differences in the HRQoL of participants with respect to mental distress and the correlations of the examined variables. Data were collected from 148 patients using the SF-36 Health Status Questionnaire (SF-36), the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) questionnaire, and the visual-analog pain scale (VAS). The results indicate poorer self-assessment of physical health (M = 28.1) compared to mental health (M = 39.4). Participants with higher levels of mental distress reported significant emotional limitations ( = 0.003), lower energy ( < 0.001), poorer psychological health ( < 0.001) and social functioning ( < 0.001), more pain ( = 0.007), and, ultimately, poorer general health ( < 0.001). The level of mental distress was related to the level of HRQoL, while a correlation with the level of pain of the participants was not found. The study results indicate a connection between the presence of mental distress and almost all aspects of HRQoL in participants with CLBP.

摘要

本研究旨在探讨慢性下背痛(CLBP)患者的健康相关生活质量(HRQoL)水平、疼痛强度和精神困扰,并探讨患者的 HRQoL 与精神困扰的差异以及检查变量之间的相关性。使用 SF-36 健康状况调查问卷(SF-36)、常规评估结果测量量表(CORE-OM)问卷和视觉模拟疼痛量表(VAS)从 148 名患者中收集数据。结果表明,与心理健康(M = 39.4)相比,患者的身体健康自我评估较差(M = 28.1)。精神困扰程度较高的患者报告存在显著的情绪限制( = 0.003)、能量较低( < 0.001)、心理健康( < 0.001)和社会功能较差( < 0.001)、更多的疼痛( = 0.007),最终总体健康状况较差( < 0.001)。精神困扰程度与 HRQoL 水平相关,而与患者疼痛水平无关。研究结果表明,CLBP 患者存在精神困扰与 HRQoL 的几乎所有方面都存在关联。

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