术后早期腰椎脱位手术患者的功能能力

A. Królikowska, Małgorzata Słomińska, J. Furtak
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摘要

介绍。腰椎间盘突出症的主要症状是疼痛,尤其妨碍患者的活动。功能能力应被理解为独立于他人满足基本需求的能力,例如:运动、营养、控制身体的生理活动或进行卫生活动。的目标。该研究的目的是评估腰椎手术后早期患者的功能。材料和方法。该研究包括52名在比得哥什第10军事临床医院神经外科与SP ZOZ综合诊所进行腰椎手术的成年患者。采用诊断调查方法,工具为:访谈问卷、VAS量表、Roland-Morris腰痛问卷、Oswestry问卷、Beck抑郁量表。结果。超过一半的受访患者在腰椎手术后感到疼痛的强度处于平均水平,非常强烈的疼痛影响近10%(平均4.44;SD 2.03)。根据Roland-Morris腰痛问卷,近60%的患者表现为中度残疾,35%表现为重度残疾(平均15.33;SD 3.85)。根据Oswestry问卷,53%的患者有中度残疾,31%的患者有重度残疾(平均54.7%,标准差11.3%)。83%的受访者没有表现出抑郁症状(平均6.98;SD 5.63)。结论。腰椎术后患者的功能能力较低,很大一部分受访者表现为中重度残疾。残疾程度随着疼痛的严重程度而增加。(JNNN 2022; 11 (4): 147 - 153)
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Functional Capacity of Patients Operated on Due to Lumbar Discopathy in the Early Postoperative Period
Introduction. The main symptom of lumbar disc herniation is pain, which particularly hinders the functioning of the patient. Functional capacity should be understood as the ability to be independent of other people in meeting basic needs, such as: movement, nutrition, controlling the body’s physiological activities or performing hygiene activities. Aim. The aim of the study was to assess the functioning of patients after lumbar spine surgery in the early postoperative period. Material and Methods. The study included a group of 52 adult patients after lumbar spine surgery performed at the Department of Neurosurgery of the 10th Military Clinical Hospital with the Polyclinic of the SP ZOZ in Bydgoszcz. The method of diagnostic survey was used, the tools were: interview questionnaire, VAS scale, Roland-Morris Low Back Pain Questionnaire, Oswestry Questionnaire and Beck Depression Scale. Results. More than half of the examined patients after lumbar spine surgery felt the intensity of pain at the average level, very strong pain affected nearly 10% (mean 4.44; SD 2.03). According to the Roland-Morris Low Back Pain Questionnaire, nearly 60% of patients showed a moderate level of disability and 35% a high level of disability (mean 15.33; SD 3.85). According to the Oswestry Questionnaire, 53% of patients had moderate disability, 31% had severe disability (mean 54.7%, SD 11.3%). 83% of respondents did not show symptoms of depression (mean 6.98; SD 5.63). Conclusions. The functional capacity of patients after surgery of the lumbar spine turned out to be low, a large part of the respondents showed a medium and high degree of disability. The degree of disability increased with the severity of pain. (JNNN 2022;11(4):147–153)
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