Huang Ching-Ya, Rau Cheng-Shyuan, Lin Jo-Chien, Hsu Shiun-Yuan, Hsieh Ching-Hua
Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301.
Department of NeuroSurgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301.
Heliyon. 2024 Dec 27;11(1):e41555. doi: 10.1016/j.heliyon.2024.e41555. eCollection 2025 Jan 15.
Degenerative cervical diseases can severely affect patients' quality of life (QOL), mental health, and physical function. While surgical intervention is a common treatment, its impact on holistic well-being, including spiritual health, has not been thoroughly explored. This study aimed to evaluate the effects of surgery on QOL, pain-related disability, mental health, and spiritual well-being in patients with degenerative cervical diseases.
This prospective cohort study was conducted with a purposive sampling of thirty-five patients who were diagnosed with degenerative cervical diseases and consented to surgery. The outcomes were assessed using the 36-item Short Form Health Survey Quality of Life Scale (SF-36), Patient Health Questionnaire-9 (PHQ9), Pain Disability Questionnaire (PDQ), and Holistic Well-being Scale (HWS) scales before surgery and six months postoperatively. The study focused on measuring the changes in patients' physical and mental health, pain disability, and spiritual well-being, using paired sample t-tests.
Post-surgery, patients exhibited significant improvements in all domains of the SF-36 scores. Depression scores decreased as indicated by a reduction in PHQ-9 scores (from 18.54 to 15.00, P = 0.001). PDQ scores showed significant reductions in pain-related disability (from 79.00 to 50.26, P < 0.001). However, while there were improvements in emotional vulnerability (HWS score from 4.48 to 4.10, P = 0.020) and in the overall affliction score (from 4.45 to 4.11, P = 0.015), there were no significant changes in body irritability or spiritual disorientation within the affliction domain, nor in any of the items related to equanimity in holistic well-being.
Surgical intervention for degenerative cervical diseases significantly improves patients' QOL, mental health, and pain-related disability, but the impact on spiritual well-being is limited. This suggests that postoperative care should adopt a more holistic approach, integrating mental and spiritual support. Future research should include a more diverse sample, longer follow-up periods, and a combination of subjective and objective measures for a comprehensive assessment of outcomes.
退行性颈椎疾病会严重影响患者的生活质量（QOL）、心理健康和身体功能。虽然手术干预是一种常见的治疗方法，但其对包括精神健康在内的整体幸福感的影响尚未得到充分探讨。本研究旨在评估手术对退行性颈椎疾病患者的生活质量、疼痛相关残疾、心理健康和精神幸福感的影响。
本前瞻性队列研究采用目的抽样法，选取了35例被诊断为退行性颈椎疾病并同意手术的患者。在手术前和术后6个月，使用36项简短健康调查问卷生活质量量表（SF-36）、患者健康问卷-9（PHQ9）、疼痛残疾问卷（PDQ）和整体幸福感量表（HWS）对结果进行评估。该研究重点使用配对样本t检验来测量患者身心健康、疼痛残疾和精神幸福感的变化。
手术后，患者在SF-36评分的所有领域均表现出显著改善。PHQ-9评分降低表明抑郁评分下降（从18.54降至15.00，P = 0.001）。PDQ评分显示疼痛相关残疾显著降低（从79.00降至50.26，P < 0.001）。然而，虽然情绪易感性有所改善（HWS评分从4.48降至4.10，P = 0.020），总体痛苦评分也有所改善（从4.45降至4.11，P = 0.015），但在痛苦领域内，身体易怒或精神迷失方向方面没有显著变化，在整体幸福感的任何与平静相关的项目中也没有显著变化。
退行性颈椎疾病的手术干预显著改善了患者的生活质量、心理健康和疼痛相关残疾，但对精神幸福感的影响有限。这表明术后护理应采用更全面的方法，整合心理和精神支持。未来的研究应纳入更多样化的样本、更长的随访期，并结合主观和客观测量方法，以全面评估结果。
