在资源匮乏环境下腰痛患者的健康相关生活质量：乌干达一家三级医院的横断面研究。
Health-related quality of life in patients with low back pain in a low resource setting: a cross-sectional study at a tertiary hospital in Uganda.
机构信息
Department of Orthopaedics, College of Health Sciences, Makerere University, Kampala, Uganda.
Upper West Regional Hospital, Ghana Health Services, Wa, Ghana.
出版信息
Afr Health Sci. 2023 Mar;23(1):565-574. doi: 10.4314/ahs.v23i1.59.
BACKGROUND
Low back pain is the leading global cause of years lost to disability. The study aimed to assess the health-related quality of life in patients with low back pain attending an outpatient clinic at a national referral hospital in Uganda.
METHODS
This was a hospital based cross-sectional study that involved 250 adult patients with low back pain. Data were collected using the modified short form-36 Health Survey questionnaire. Data were summarised using descriptive statistics. Analysis of Variance, the F-test and linear regression analysis were used for inferential statistics.
RESULT
Majority of participants were female (66.4%) with a mean age of 60 years (SD 12.9, range 20- 87) and 44.6% were manual labourers. 70% of participants had had low back pain for more than one year and 74% had neuropathic symptoms. The total quality of life of participants was poor with a mean score of 31.9 (SD 15.6). The factors that significantly influenced quality of life included performing manual work (p=0.01), being unemployed (p=0.027) and weakness in the lower limbs (p=0.01).
CONCLUSION
Patients with low back pain had a poor quality of life that was significantly influenced by being unemployed, doing manual work and clinical features of nerve compression.
背景
腰痛是全球导致残疾年数最多的主要原因。本研究旨在评估在乌干达一家国家转诊医院的门诊就诊的腰痛患者的健康相关生活质量。
方法
这是一项基于医院的横断面研究，涉及 250 名腰痛的成年患者。使用改良的简短 36 健康调查问卷收集数据。使用描述性统计对数据进行总结。方差分析、F 检验和线性回归分析用于推断性统计。
结果
大多数参与者为女性（66.4%），平均年龄为 60 岁（SD 12.9，范围 20-87），44.6%为体力劳动者。70%的参与者腰痛持续一年以上，74%有神经症状。参与者的总体生活质量较差，平均得分为 31.9（SD 15.6）。显著影响生活质量的因素包括从事体力劳动（p=0.01）、失业（p=0.027）和下肢无力（p=0.01）。
结论
腰痛患者的生活质量较差，这明显受到失业、从事体力劳动和神经压迫的临床特征的影响。
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