Bel fıtığına bağlı bel ağrısının uyku, yaşam kalitesi ve depresyon belirtileri üzerine olan etkileri

Ümit Ali Malçok
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引用次数: 1

Abstract

Introduction: This study aims to evaluate the relationship between herniated disc-related low back pain and depression, sleep, and quality of life.Methods: A control group consisting of 28 patients with herniated disc-related pain and 28 healthy volunteers were included in the study. Beck Depression Inventory (BDI) and Quality of Life Index (SF-36) are applied to all groups. Pain severity was evaluated with the Visual Analogue Scale (VAS). Sleep parameters were analyzed with an actigraphy device.Results: Depression and quality of life scores differed between the two groups, and they were observed as significantly higher in the group with herniated disc. Moreover, there was a positive correlation between pain severity and depression. On the other hand, there was a negative correlation between pain intensity and sleep efficiency. Subjects with low back pain had worse sleep quality and lower sleep efficiency (mean 71.7%) than the control group. The logistic regression analysis found a significant relationship between depression and VAS pain variables (p=0.030; 95% CI: 0.021-0.823).Conclusions: Our study's results reveal a relationship between pain and depression in herniated disc patients. Moreover, it was concluded that the deteriorated sleep quality due to low back pain also increased the severity of depression. This relationship related to the unpleasant consequences of chronic pain should be taken into account when planning the medical treatment and follow-up of patients with herniated disc, and also when explaining their expectations from surgical treatment.Keywords: Herniated disc, pain, sleep, depression, actigraphy.
前言:本研究旨在评估椎间盘突出相关腰痛与抑郁、睡眠和生活质量的关系。方法:将28例腰椎间盘突出相关疼痛患者和28例健康志愿者作为对照组。各组采用贝克抑郁量表(BDI)和生活质量指数(SF-36)。用视觉模拟量表(VAS)评估疼痛严重程度。用活动记录仪分析睡眠参数。结果:两组患者抑郁和生活质量评分存在差异,椎间盘突出组抑郁和生活质量评分明显高于对照组。此外,疼痛严重程度与抑郁之间存在正相关。另一方面,疼痛强度与睡眠效率呈负相关。与对照组相比,腰痛患者的睡眠质量和睡眠效率较差(平均71.7%)。logistic回归分析发现抑郁与VAS疼痛变量之间存在显著相关(p=0.030;95% ci: 0.021-0.823)。结论:我们的研究结果揭示了椎间盘突出患者疼痛和抑郁之间的关系。此外,由于腰痛导致的睡眠质量恶化也增加了抑郁症的严重程度。在规划椎间盘突出患者的医疗和随访时,以及在解释他们对手术治疗的期望时,应考虑到这种与慢性疼痛不良后果相关的关系。关键词:椎间盘突出,疼痛,睡眠,抑郁,活动图。
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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