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首页> 外文期刊>Disability and rehabilitation. >A prospective study of cognitive behavioural factors as predictors of pain, disability and quality of life one year after lumbar disc surgery.
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A prospective study of cognitive behavioural factors as predictors of pain, disability and quality of life one year after lumbar disc surgery.

机译：前瞻性研究认知行为因素，预测腰椎间盘突出症术后一年的疼痛，残疾和生活质量。

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PURPOSE: The primary aim of this study was to analyse the predictive value of cognitive and behavioural factors, in relation to pain, disability and quality of life (QoL) one year after lumbar disc surgery. METHOD: The study design was prospective. Fifty-nine patients scheduled for first time lumbar disc surgery were included. Pain, disability, QoL, coping, fear avoidance beliefs, expected outcome and sick leave were assessed preoperatively and 12 months after surgery. Multiple backward stepwise logistic regression analyses were performed to study the contribution of the preoperatively measured independent behavioural/cognitive factors (coping, fear avoidance beliefs and assessed chance to return to work within 3 months) to the dependent variables pain, disability and quality of life at 12 months after surgery. RESULTS: Low expectations on work return within 3 months after surgery was significantly predictive for residual leg pain, odds ratio (OR) = 8.2, back pain, OR = 9.7, disability, OR = 13.8 and sick leave, OR = 19.5. Low QoL, was best predicted by preoperatively high scores on fear avoidance beliefs OR = 6.6 and being a woman OR = 6.0. The regression model explained 26-40% of the variance in pain, disability, QoL and sick leave. CONCLUSIONS: Eliciting patients' expectations on work return after surgery could contribute to early identification of those who run the risk of developing long-term disability and sick-leave.
机译：目的：本研究的主要目的是分析腰椎间盘突出症手术一年后与疼痛，残疾和生活质量（QoL）有关的认知和行为因素的预测价值。方法：研究设计是前瞻性的。包括计划进行首次腰椎间盘手术的59例患者。术前和术后12个月评估疼痛，​​残疾，生活质量，应对，恐惧回避信念，预期结果和病假。进行了多个后向逐步逻辑回归分析，以研究术前测量的独立行为/认知因素（应付，恐惧回避信念和评估的3个月内重返工作机会）对因变量疼痛，残疾和生活质量的影响。手术后12个月。结果：术后3个月内对工作返回的期望值较低，可显着预测残余腿痛，优势比（OR）= 8.2，背痛或OR = 9.7，残疾，OR = 13.8和病假，OR = 19.5。低QoL最好通过术前对恐惧回避信念的高分OR = 6.6和女性OR = 6.0来预测。回归模型解释了疼痛，残疾，生活质量和病假中26-40％的差异。结论：提高患者对手术后工作回报的期望，可能有助于及早发现那些患有长期残疾和病假风险的人。

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