身体疼痛和活力是短期 36 项基本研究中慢性下腰痛患者残疾的关键因素：一项为期五年的队列研究。
Bodily pain and vitality are the key factors in the disability of chronic low back pain patients under Short Form 36 base study: a five-year cohort study.
机构信息
Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan (R.O.C.).
Chang Gung University College of Medicine, No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City, Taiwan (R.O.C.).
出版信息
Health Qual Life Outcomes. 2024 Oct 15;22(1):88. doi: 10.1186/s12955-024-02302-6.
BACKGROUND
Chronic low back pain (CLBP), a significant cause of disability, is expected to increase with aging. Short Form 36 (SF-36) indicated higher baseline component scores predict CLBP disability at shorter follow-ups, with unexplored five-year associations. The study aimed to test the associations of the physical and mental subscales of the SF-36 at baseline with disability at the five-year follow-up point among patients with CLBP.
METHODS
Patients aged between 20 and 65 years with CLBP were enrolled at baseline and followed at the five-year point. The Oswestry Disability Index (ODI), the physical functioning (PF) subscale of the SF-36, and self-reported total months of disability (TMOD) over the past five years were used as the indices of disability. The four physical and mental subscales of the SF-36 were used as independent factors, respectively. Multiple linear regression was used to compare the associations of the physical and mental subscales at baseline with disability at follow-up.
RESULTS
Two hundred twenty-five patients with CLBP were enrolled at baseline and 111 participated in followed at the five-year point. Among the SF-36 subscales, the scores of bodily pain (BP), vitality (VT), and social functioning (SocF) at baseline were significantly correlated with the three indices of disability at follow-up. After controlling for demographic and clinical variables, BP and VT at baseline were most strongly associated with the ODI and TMOD at follow-up among the four physical and mental subscales, respectively. PF at baseline was most strongly associated with itself at follow-up among the four physical subscales.
CONCLUSION
Our results demonstrated that both the physical and mental subscales of the SF-36 at baseline could predict disability at the five-year follow-up point among patients with CLBP. The BP and VT subscales were independent factors associated with disability among the physical and mental subscales, respectively.
背景
慢性下腰痛（CLBP）是导致残疾的一个重要原因，预计随着年龄的增长而增加。简明 36 项健康调查（SF-36）表明，基线较高的组成部分分数可预测 CLBP 在更短的随访时间内的残疾，但其五年的关联尚未得到探索。本研究旨在测试 CLBP 患者基线时 SF-36 的身体和心理分量表与五年随访时残疾的相关性。
方法
招募了 20 至 65 岁之间患有 CLBP 的患者作为基线组，并在五年时进行随访。Oswestry 残疾指数（ODI）、SF-36 的身体功能（PF）分量表和过去五年自我报告的残疾总月数（TMOD）被用作残疾的指标。SF-36 的四个身体和心理分量表分别作为独立因素。使用多元线性回归来比较基线时身体和心理分量表与随访时残疾的相关性。
结果
共有 225 名 CLBP 患者被纳入基线组，111 名患者参加了五年随访。在 SF-36 分量表中，基线时的身体疼痛（BP）、活力（VT）和社会功能（SocF）得分与随访时的三个残疾指标显著相关。在校正人口统计学和临床变量后，BP 和 VT 与四个身体和心理分量表中的 ODI 和 TMOD 分别具有最强的相关性。PF 与自身在四个身体分量表中的相关性最强。
结论
我们的结果表明，CLBP 患者基线时的 SF-36 身体和心理分量表都可以预测五年随访时的残疾。BP 和 VT 分量表是身体和心理分量表中与残疾相关的独立因素。
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