Correlates and Predictors of Low Back Pain Disability and its Impact on Health- Related Quality of Life in a Family Practice Clinic in Calabar, South- South Nigeria

I. Okokon, E. John, N. Udonwa, Afiong Oku, U. Asibong, U. Ogbonna
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引用次数: 3

Abstract

Background: Non-specific low back pain is a common health problem incurring immense health and social costs with concomitant disability, which has assumed significant public health importance in our setting. The impact from this condition is multi-factorial, and includes pain, activity limitations and impairment of quality of life. This study therefore aimed to examine the level of low back pain disability, its correlates and predictors, and the impact on selfperceived quality of life. It also sought to determine the predictors of health-related quality of life among low back pain patients in a Family Practice setting in Calabar, Nigeria. Method: This was a cross-sectional analytical study involving 350 consecutively selected patients with nonspecific low back pain. Standardized questionnaires were used including: the Oswestry Disability Index (ODI) questionnaire, the 12-item General Health Questionnaire (GHQ-12), the Short-form 36 (SF-36) questionnaire and the Visual Analogue Pain Scale. These were used to assess low back pain disability, psychological distress, healthrelated quality of life and pain intensity respectively. Result: The mean age of the respondents was 36.16 ± 9.93 years. Majority (70.6%) were females and had chronic pain lasting more than three months. Most of the respondents (88.9%) characterized their pain as severe. The mean health-related quality of life score was 45.82 ± 4.3. Factors associated with severe disability were: psychological distress and pain intensity. Significant correlations were observed between disability, pain intensity and psychological distress using Pearson’s correlation analysis. Independent risk factors for disability were psychological distress and those with chronic pain lasting more than 3 months. Overweight and obese subjects were more likely to have poor health-related quality of life when compared with those with normal body mass index (X2=8.81, P<0.05). The significant predictors of poor health-related quality of life using logistic regression were overweight/obesity and those with severe disability. Conclusion: This study identified significant correlations between low back pain disability, pain intensity and psychological distress. These correlations could be informative and should guide family physicians in the management of the index problem in our environment. The perception of quality of life in individuals with low back pain should also raise awareness of issues connected to the problem and encourage more research into this area.
南-南尼日利亚卡拉巴一家家庭诊所中腰痛残疾的相关因素和预测因素及其对健康相关生活质量的影响
背景:非特异性腰痛是一种常见的健康问题,伴随残疾产生巨大的健康和社会成本,在我们的环境中具有重要的公共卫生意义。这种情况的影响是多因素的,包括疼痛、活动限制和生活质量的损害。因此,本研究旨在检查腰痛残疾的水平,其相关因素和预测因素,以及对自我感知生活质量的影响。该研究还试图确定尼日利亚卡拉巴尔一家家庭诊所中腰痛患者健康相关生活质量的预测因素。方法:这是一项横断面分析研究,涉及350例连续选择的非特异性腰痛患者。采用标准化问卷,包括:Oswestry残疾指数(ODI)问卷、一般健康问卷(GHQ-12)、简易36 (SF-36)问卷和视觉模拟疼痛量表。这些分别用于评估腰痛残疾、心理困扰、健康相关生活质量和疼痛强度。结果:调查对象平均年龄36.16±9.93岁。大多数(70.6%)为女性,慢性疼痛持续3个月以上。大多数受访者(88.9%)认为他们的疼痛很严重。健康相关生活质量平均得分为45.82±4.3。与严重残疾相关的因素有:心理困扰和疼痛强度。通过Pearson相关分析,观察到残疾、疼痛强度和心理困扰之间存在显著相关。残疾的独立危险因素是心理困扰和慢性疼痛持续3个月以上。与体重指数正常的受试者相比,超重和肥胖受试者更容易出现健康相关生活质量差(X2=8.81, P<0.05)。使用logistic回归分析,与健康相关的生活质量差的重要预测因子是超重/肥胖和严重残疾。结论:本研究发现腰痛残疾、疼痛强度和心理困扰之间存在显著相关性。这些相关性可以提供信息,并应指导家庭医生在我们的环境指数问题的管理。对腰痛患者生活质量的认识也应该提高人们对相关问题的认识,并鼓励对这一领域进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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