Chen Meng, Peng Da-Yong, Hou Wen-Xiu, Li Yang, Li Jing-Kun, Zhang Hao-Xuan
Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Department of Orthopedic Surgery, Shangdong Provincial Qianfoshan Hospital, Shandong University, Jinan, China.
Front Surg. 2023 Jan 6;9:939591. doi: 10.3389/fsurg.2022.939591. eCollection 2022.
In the present work, we aimed to explore the correlated factors of quality of life in patients receiving lumbar fusion for lumbar degenerative disc disease (DDD) in China.
A total of 180 patients treated with lumbar fusion were included in the present study. Their general demographic characteristics, Visual Analog Scale (VAS) scores, Japanese Orthopedic Association (JOA) scores, Simplified Coping Style Questionnaire (SCSQ), Social Support Questionnaire (SSQ), and Medical Outcomes Study Short Form 36 (MOS SF-36) were collected and evaluated preoperatively and at 1 year postoperatively.
There were significant improvements in scores of VAS, JOA, and quality of life of patients from preoperation to 1-year postoperation after lumbar fusion. Marital status, with or without children, education level, economic pressure, and social support had significant predictive effects on the physical health of patients undergoing lumbar fusion. Marital status, education level, and economic pressure had significant predictive effects on the mental health of patients undergoing lumbar fusion.
Factors correlated with the physical health of patients after lumbar fusion included positive coping style, negative coping style, social support, age, education level (high school college), disease duration (5-10), suffering from other diseases (combined with two or more other disease) and the number of surgical segments (double and three or more). Factors correlated with the mental health included negative coping style, social support, age, education level (middle school and high school college) and the number of surgical segments (double and three or more). The results verify that these factors were correlated to the patient's quality of life after lumbar fusion. Emphasizing and selectively intervening these correlated factors can further improve the quality of life in patients receiving lumbar fusion for lumbar degenerative disc disease.
在本研究中，我们旨在探讨中国腰椎退行性椎间盘疾病（DDD）患者接受腰椎融合术后生活质量的相关因素。
本研究共纳入180例行腰椎融合术的患者。收集并评估他们术前及术后1年的一般人口统计学特征、视觉模拟评分（VAS）、日本骨科学会（JOA）评分、简易应对方式问卷（SCSQ）、社会支持问卷（SSQ）以及医学结局研究简明健康调查量表（MOS SF - 36）。
腰椎融合术后患者从术前到术后1年，VAS、JOA评分及生活质量均有显著改善。婚姻状况、有无子女、教育程度、经济压力和社会支持对接受腰椎融合术患者的身体健康有显著预测作用。婚姻状况、教育程度和经济压力对接受腰椎融合术患者的心理健康有显著预测作用。
与腰椎融合术后患者身体健康相关的因素包括积极应对方式、消极应对方式、社会支持、年龄、教育程度（高中及大专）、病程（5 - 10年）、患有其他疾病（合并两种或以上其他疾病）以及手术节段数（两节及三节或以上）。与心理健康相关的因素包括消极应对方式、社会支持、年龄、教育程度（初中、高中及大专）以及手术节段数（两节及三节或以上）。结果证实这些因素与腰椎融合术后患者的生活质量相关。强调并选择性干预这些相关因素可进一步提高腰椎退行性椎间盘疾病接受腰椎融合术患者的生活质量。
