ปัจจัยทำนายคุณภาพชีวิตผู้ป่วยกระดูกสันหลังเสื่อม
Keywords:
spinal degenerative disorders, quality of life, pain, disability, depressionAbstract
Abstract: Objective: To determine the predicting factors among number of degenerative level, pain, disability, depression, and quality of life of person with spinal degenerative disorders.
Design: Correlational predictive research.
Methods: The sample consisted of 84 individuals who had spinal degenerative disorders receiving conservative treatment at Orthopedics Department, University hospital, in Bangkok. Number of level spine pathology, pain level assessing by Visual analog scale, and disability level using Neck disability index and Oswestry disability index were collected. The Center for Epidemiological Studies Depression Scale was utilized to assess depression. The EQ-5D-5L was used to determine quality of life. Weighted Lease Square Regression analysis with Enter method was conducted to analyze the power of predictors in this study.
Main findings: The majority of sample is female (73.6%) and have more than 1 level or multilevel of spine pathology (63.1%). The average age was 63.82 years (SD = 10.13). Moderate pain (= 48.25, SD = 24.26) and mild disability levels (= 31.93, SD = 15.46) were reported with no depression (= 13.44, SD = 8.51). The average quality of life score was 66.24 (SD = 17.77). Variances of quality of life predictors were accounted for 26.5% (R2 = .265, F = 7.118, p<.05). Particularly, pain and depression are significant predictors of quality of life (β = -.273, -.262, p<.05, respectively)
Conclusion and Recommendation: Nurse should assess and manage depression and pain in persons with degenerative disc disorders receiving conservative treatment because they have significant impact on quality of life.
Keywords: disorders, quality of life, pain, disability, depression
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