Effect of surgical treatment on mental health, disability and quality of life in active military and law enforcement personnel with non-specific chronic low back pain: A retrospective study

IF 1.5 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-04-22 DOI:10.1016/j.ijotn.2025.101183

Christos Karampalis , Stavros Stamiris , Athanasios Sarridimitriou , Dimitrios Stamiris , Elissavet Anestiadou , Panagiotis Kakoulidis , Pavlos Sarafis , Christiana Chatzianestiadou , Pavlos Christodoulou , Vasileios Vrangalas , Maria Malliarou

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引用次数: 0

Abstract

Background

Military and law enforcement personnel face an increased risk of chronic low back pain (CLBP), yet evidence on the outcomes of surgical treatment in these high-risk groups remains limited. This study aims to evaluate the effect of spinal fusion on quality of life (QOL), disability, and mental health in military and law enforcement personnel with CLBP.

Methods

The study included 39 patients who underwent spinal fusion for CLBP. Quality of life, disability, and mental health were assessed using the 36-Item Short Form Survey (SF-36), Oswestry Disability Index (ODI), and Depression-Anxiety-Stress Scale (DASS-21), respectively. Patients completed the questionnaires preoperatively and two years postoperatively. The primary outcome was the change in scores after surgery. Subgroup analyses were conducted based on sex, marital status, education level, smoking, alcohol consumption, and employment sector.

Results

Significant improvements were observed in seven of eight SF-36 subscales: Physical Health Role Limitation (p = 0.005), Emotional Health Role Limitation (p = 0.008), Energy (p = 0.004), Emotional Well-Being (p = 0.006), Social Function (p = 0.004), Physical Pain (p < 0.001), and General Health (p = 0.005). Physical (p = 0.002) and mental health components (p = 0.002) also improved. ODI decreased significantly (p = 0.014). Finally, improvement was observed only for the stress subcategory of the DASS-21 (p = 0.033). In subgroup analysis, Married patients showed greater improvements in emotional health (p = 0.008), while patients with lower educational levels experienced greater relief in physical pain (p = 0.028) and functionality (p = 0.010).

Conclusions

Spinal fusion in military and law enforcement personnel with CLBP led to significant improvements in QOL and disability, though mental health benefits are more limited.

查看原文本刊更多论文

外科治疗对现役军人和执法人员非特异性慢性腰痛的心理健康、残疾和生活质量的影响：一项回顾性研究

军事和执法人员面临慢性腰痛（CLBP）的风险增加，但这些高危人群的手术治疗结果的证据仍然有限。本研究旨在评估脊柱融合术对CLBP军人和执法人员生活质量（QOL）、残疾和心理健康的影响。方法39例CLBP患者行脊柱融合术。生活质量、残疾和心理健康分别采用36项短表调查（SF-36）、Oswestry残疾指数（ODI）和抑郁-焦虑-压力量表（DASS-21）进行评估。患者术前和术后2年分别完成问卷调查。主要结果是手术后评分的变化。根据性别、婚姻状况、教育程度、吸烟、饮酒和就业部门进行了分组分析。结果SF-36 8个分量表中有7个有显著改善：身体健康角色限制（p = 0.005）、情绪健康角色限制（p = 0.008）、精力（p = 0.004）、情绪健康（p = 0.006）、社会功能（p = 0.004）、身体疼痛(p <；0.001)和一般健康（p = 0.005）。身体（p = 0.002）和心理健康成分（p = 0.002）也有所改善。ODI显著降低（p = 0.014）。最后，仅在DASS-21的应力子类别中观察到改善（p = 0.033）。在亚组分析中，已婚患者在情绪健康方面表现出更大的改善（p = 0.008），而教育水平较低的患者在身体疼痛（p = 0.028）和功能方面表现出更大的缓解（p = 0.010）。结论脊柱融合术对军人和执法人员CLBP患者的生活质量和残疾有显著改善，但对心理健康的益处有限。

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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来源期刊

International Journal of Orthopaedic and Trauma Nursing NURSING-

CiteScore

2.60

自引率

14.30%

发文量