Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지
DOI QR코드

DOI QR Code

The Determinants of the Quality of Life and Pain of Back Pain Patients

척추질환 환자의 삶의 질과 통증에 영향을 미치는 요인

  • Lee, Jin-Gyu (Ahnsei Hospital) ;
  • Jin, Ki-Mam (Department of Health Administration, Wonju Campus, Yonsei University)
  • 이진규 (안세병원) ;
  • 진기남 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2010.06.22
  • Accepted : 2010.09.09
  • Published : 2010.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: Because of the changing life style of Koreans, we have witnessed an increase of patients with back pain. The development of medical knowledge and technology has resulted in more numerous and better treatment methods. However, the outcomes of diverse treatments have been examined by using a few medicine-oriented measures like pain. This study aims at identifying the factors that influence the outcomes of back pain treatments by using two outcome measures (e.g., quality of life and pain). Methods: We used the questionnaire survey method for data collection. The questionnaires contained 5 categories (treatment methods, clinical conditions, exercise, quality of life and, socio-demographic characteristics). We interviewed 188 back pain patients. We used the regression analysis method to predict the quality of life or pain. Results: Surgery showed a statistically significant effect on the quality of life as well as pain. The illness period, age and exercise were turned out to be significant factors for both of the dependent variables. The social class and surgery methods showed a statistically significant effect solely on the quality of life. Conclusions: In choosing the surgical methods, doctors need to provide detailed explanations on the quality of life outcomes for each of the surgical methods to the patients.

Keywords

References

  1. Korean Society of Spine Surgery. [cited 2010 May 20]. Available from: http://www.spine.or.kr. (Korean)
  2. Kang IO, Seo SR. Back pain surgery trend. Health Insur Forum 2006; 5(2): 116-139. (Korean)
  3. Kang SY. Rehabilitation of low back pain. J Korean Med Assoc 1992; 35(8): 968-975. (Korean)
  4. Jin GW. A Study on the Pain, Depression, Life Satisfaction of the Chronic Low Back Pain Patients [dissertation]. Seoul: Hanyang University; 2008. (Korean)
  5. Park KS, Ryoo EN, Choi MH. The effect of balance taping therapy on pain of the lower back pain patient. J Korean Acad Adult Nurs 2005; 17(1): 77-87. (Korean)
  6. Kim YS. The Study of Correlational Relationship among the Chronic Low Back Pain Which the Patients Can Perceive, the Support of the Family and the Quality of Life [dissertation]. Seoul: Kyung Hee University; 2003. (Korean)
  7. Park HS, Son JT. A study on the relationship between optimism and depression in chronic low-back pain patients. J Korean Acad Psychiatr Ment Health Nurs 2001; 10(2): 125-136. (Korean)
  8. Oh HJ. The relationship between pain level and perceived family support and quality of life in musculoskeletal patients with chronic pain. Korean J Rehabil Nurs 1998; 1(1): 93-109. (Korean)
  9. Kumari AK, Krishnamoorthy K, Harichandrakumar K, Das L. Health Related Quality of Life, an appropriate indicator to assess the impact of morbidity management and disability prevention activities towards elimination of lymphatic filariasis. Filaria J 2007; 6: 8. https://doi.org/10.1186/1475-2883-6-8
  10. Engel GL. The biopsychosocial model and the education of health professionals. Ann N Y Acad Sci 1978; 310: 169-187. https://doi.org/10.1111/j.1749-6632.1978.tb22070.x
  11. Bentsen SB, Wahl AK, Strand LI, Hanestad BR. Relationships between demographic, clinical and pain variables and health-related quality of life in patients with chronic low back pain treated with instrumented fusion. Scand J Caring Sci 2007; 21(1): 134-143. https://doi.org/10.1111/j.1471-6712.2007.00440.x
  12. Rabini A, Aprile I, Padua L, Piazzini DB, Maggi L, Ferrara PE, et al. Assessment and correlation between clinical patterns, disability and health-related quality of life in patients with low back pain. Eura Medicophys 2007; 43(1): 49-54.
  13. Zhu K, Devine A, Dick IM, Prince RL. Association of back pain frequency with mortality, coronary heart events, mobility, and quality of life in elderly women. Spine (Phila Pa 1976) 2007; 32(18): 2012-2018. https://doi.org/10.1097/BRS.0b013e318133fb82
  14. Kothe R, Kohlmann T, Klink T, Rüther W, Klinger R. Impact of low back pain on functional limitations, depressed mood and quality of life in patients with rheumatoid arthritis. Pain 2007; 127(1-2): 103-108. https://doi.org/10.1016/j.pain.2006.08.011
  15. Horng YS, Hwang YH, Wu HC, Liang HW, Mhe YJ, Twu FC, et al. Predicting health-related quality of life in patients with low back pain. Spine (Phila Pa 1976) 2005; 30(5): 551-555. https://doi.org/10.1097/01.brs.0000154623.20778.f0
  16. Ernst ME, Iyer SS, Doucette WR. Drug-related problems and quality of life in arthritis and low back pain sufferers. Value Health 2003; 6(1): 51-58. https://doi.org/10.1046/j.1524-4733.2003.00202.x
  17. Keeley P, Creed F, Tomenson B, Todd C, Borglin G, Dickens C. Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain. Pain 2008; 135(1-2): 142-150. https://doi.org/10.1016/j.pain.2007.05.015
  18. Koleck M, Mazaux JM, Rascle N, Bruchon-Schweitzer M. Psycho-social factors and coping strategies as predictors of chronic evolution and quality of life in patients with low back pain: a prospective study. Eur J Pain 2006; 10(1): 1-11. https://doi.org/10.1016/j.ejpain.2005.01.003
  19. Bentsen SB, Hanestad BR, Rustoen T, Wahl AK. Quality of life in chronic low back pain patients treated with instrumented fusion. J Clin Nurs 2008; 17(15): 2061-2069. https://doi.org/10.1111/j.1365-2702.2008.02232.x
  20. Nickel R, Egle UT, Eysel P, Rompe JD, Zöllner J, Hoffmann SO. Health-related quality of life and somatization in patients with long-term low back pain; a prospective study with 109 patients. Spine (Phila Pa 1976) 2001; 26(20): 2271-2277. https://doi.org/10.1097/00007632-200110150-00020
  21. Manniche C, Asmussen K, Lauritsen B, Vinterberg H, Karbo H, Abildstrup S, et al. Intensive dynamic back exercise with or without hyperextension in chronic back pain after surgery for lumbar disc protrusion. A clinical trial. Spine(Phila Pa 1976) 1993; 18(5): 560-567. https://doi.org/10.1097/00007632-199304000-00007
  22. Lee SJ. The Effect of Exercise after Surgery on Self- Efficacy and Activities of Daily Living of Spine Surgery Patients [dissertation]. Gwangju: Chonnam National University; 2004. (Korean)
  23. Tavafian SS, Jamshidi A, Mohammad K, Montazeri A. Low back pain education and short term quality of life: a randomized trial. BMC Musculoskelet Disord 2007; 8: 21. https://doi.org/10.1186/1471-2474-8-21
  24. Jin KN, Song HJ, Sin MJ. Health-related quality of life: definitions and sub-domains. Korean J Health Sci 2001; 11: 64-78. (Korean)
  25. Calin A, Edmunds L, Kennedy LG. Fatique in ankylosing spondylitis-Why is it ignored? J Rheumatol 1993; 20(6): 991-995.
  26. Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B, et al. Outcome measures for low back pain research. A proposal for standardized use. Spine (Phila Pa 1976) 1998; 23(18): 2003-2013. https://doi.org/10.1097/00007632-199809150-00018
  27. Song JS, Park WS, Choi HS, Seo JC, Kwak YH, Kim SA et al. Pesticide exposure of alpine agricultural workers in Gangwon-do and the measurement of their health status measured by SF-12. Korean J Pestic Sci 2005; 9(4): 287-291. (Korean)
  28. Son DK. Determinants of Health in Rural Area in Korea. [dissertation]. Wonju: Yonsei University; 2007. (Korean)
  29. Luo X, Lynn George M, Kakouras I, Edwards CL, Pietrobon R, Richardson W, et al. Reliability, validity, and responsiveness of the short form 12-item survey (SF-12) in patients with back pain. Spine (Phila Pa 1976) 2003; 28(15): 1739-1745.
  30. Sharp K, Ross CE, Cockerham WC. Symptoms, beliefs, and the use of physician services among the disadvantaged. J Health Soc Behav 1983; 24(3): 255-263. https://doi.org/10.2307/2136575
  31. Wright JD, Joyner LM. Health behavior among the homeless and the poor. In: Gochman DS, editor. Handbook of Health Behavior Research. 1st ed. New York: Springer; 1997. p.199-227.
  32. Cho BH. Sociology of Disease and Medicine. Seoul: Jipmoondang Co.; 2006, p. 80-88. (Korean)
  33. Robert SA, House JS. Socioeconomic inequalities in health: integrating individuals, community-, and societallevel theory and research. In: Albrecht GL, Fitzpatrick R, Scrimshaw SC, editors. The Handbook of Social Studies in Health and Medicine. London: Sage Publications Ltd; 2000. p.115-135.

Cited by

  1. 불쾌증상이론을 융합한 간경변증 환자의 삶의 질 예측요인 vol.13, pp.4, 2010, https://doi.org/10.14400/jdc.2015.13.4.271