Bol i funkcionalna onesposobljenost posle lumbalne mikrodiskektomije i njihova povezanost sa polom, depresijom i očekivanjima oporavka
English
Sažetak
Uvod/Cilj. Među raznim činiocima koji mogu uticati na kontinuirani postoperativni bol u leđima i/ili bol u nozi bolesnika nakon lumbalne mikrodiskektomije, kao i na njihovu funkcionalnu onesposobljenost, nalaze se pol i prisustvo depresije i pesimizma. Cilj rada bio je da se utvrdi povezanost između ovih činilaca. Metode. Istraživanjem je obuhvaćeno 198 pacijenata (95 muškaraca i 103 žena), prosečne starosti 50,20 ± 10,26 godina, kojima je urađena mikrodiskektomija. Za ispitivanja su korišćeni sledeći upitnici: Upitnik za procenu bola i njegovog intenziteta i karaktera – PainDETECT Test; Upitnik za funkcionalnu onesposobljenost – Oswestry Low Back Pain Disability Questionnaire; Upitnik za prisustvo i stepen depresije – Bekova skala depresije II; Upitnik za procenu ličnih očekivanja (pesimističnih/optimističnih) rezultata tretmana. Ispitivanja su izvedena nakon mikrodiskektomije u terminima: neposredno pre rehabilitacionog tretmana, mesec dana kasnije, a zatim tri i šest meseci nakon mikrodiskektomije. Rezultati. Značajne negativne uticaje na bol i funkcionalnu onesposobljenost imali su depresija (p < 0,01) i pesimizam (p < 0,01). Subjektivni osećaj bola bio je veći kod žena nego kod muškaraca (p < 0,01), dok su muškarci imali veći stepen funkcionalne onesposobljenosti nego žene (p < 0,01). Zaključak. Bol i funkcionalna onesposobljenost bolesnika nakon lumbalne mikrodiskektomije su značajno uzajamno povezani sa polom, depresijom i pesimizmom. Senzacija bola bila je veća kod žena, dok su muškarci imali viši stepen funkcionalne onesposobljenosti. Globalno, intenzitet bola i funkcionalna onesposobljenost su značajno veći kod bolesnika sa višim stepenom depresije i pesimizma i njihovim registrovanjem je moguće predvideti postoperativne terapijske rezultate.
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