在腰部减压队列中的焦虑,睡眠障碍和临床结果之间的相关性
Fatima N Anwar1, Andrea M Roca1, Srinath S Medakkar1
1Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison St. Suite #300, Chicago, IL 60612, United States.
腰椎病理患者的焦虑和睡眠障碍与抑郁,疼痛和残疾有显著的相关性. 这些发现强调了腰部减压手术后心理和身体健康的相互联系.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 患者报告的结果
- 心理健康 心理健康
背景情况:
- 腰椎病理经常导致焦虑和睡眠障碍.
- 这些症状与手术前和手术后其他患者报告结果 (PROM) 之间的关系尚未得到充分探索.
研究的目的:
- 分析患者报告的焦虑,睡眠障碍和PROM之间的相关性.
- 为了研究这些关联在腰部减压手术前后.
主要方法:
- 对接受选择性,初级腰部减压的患者的回顾性分析.
- 提取了人口,外科及PROM数据 (PROMIS-焦虑症,PROMIS-睡眠障碍,PROMIS-身体功能,PHQ-9,VAS-背部,VAS-腿部,ODI).
- 在多个时间点计算了焦虑,睡眠障碍和其他PROM之间的皮尔森相关系数.
主要成果:
- 在所有时间点中,焦虑与睡眠障碍,抑郁症 (PHQ-9),背痛 (VAS-Back) 和残疾 (ODI) 有显著的正相关性.
- 焦虑与身体功能负相关 (PROMIS-PF) 手术后长达一年.
- 睡眠障碍也与抑郁症,疼痛,残疾有显著的相关性,与身体功能有负相关性.
结论:
- 腰部前后减压,患者报告的焦虑和睡眠障碍与抑郁负担,疼痛,残疾和身体功能有显著联系.
- 需要进一步的研究来确定因果关系和开发干预措施,以提高术后的生活质量.
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