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A predictive model for disability in patients with lumbar disc herniation.
1Department of Nursing, Chang Gung Memorial Hospital, 230, Fu-Hsing 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan. conico70@adm.cgmh.org.tw
Summary
Pain, fatigue, and depression significantly predict disability in lumbar disc herniation patients. Addressing these factors is crucial for managing daily function and social interaction impairments in individuals with this condition.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Clinical Psychology
Background:
- Lumbar disc herniation significantly impacts patients' daily activities and social interactions.
- Existing research lacks predictive models for disability in lumbar disc herniation.
- This study aimed to identify key factors predicting disability in this patient population.
Purpose of the Study:
- To explore and identify predictive factors for disability in patients diagnosed with lumbar disc herniation.
- To understand the causal relationships between various factors and disability levels.
- To inform clinical practice for better patient management.
Main Methods:
- A cohort of 216 patients with lumbar disc herniation was recruited from orthopedic outpatient clinics.
- Data collected included pain, fatigue, depression, disability, and demographic information.
- Hierarchical multiple regression and path analysis were employed to verify the model and investigate causal pathways.
Main Results:
- Pain level was the strongest predictor of disability (β=0.746).
- Fatigue (β=0.138) and depression (β=0.100) also significantly predicted disability.
- Pain influenced fatigue and depression; fatigue and pain were influenced by age and prior surgery.
Conclusions:
- Regular assessment and treatment of pain and depression are recommended for healthcare providers.
- Interventions targeting pain and depression can help reduce or prevent disability in lumbar disc herniation patients.
- Proactive management is advised, even for patients appearing to function well.
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