Relationship of anxiety-related symptoms with pain, disability and postoperative period after degenerative lumbar spinal stenosis surgery

Goktug Ulku; Muhammed Erkan Emrahoğlu; Elif Figen Emrahoğlu; Habibullah Dolgun; Erhan Türkoğlu

Makale detayları

Relationship of anxiety-related symptoms with pain, disability and postoperative period after degenerative lumbar spinal stenosis surgery

Yazarlar:

Goktug Ulku | Muhammed Erkan Emrahoğlu | Elif Figen Emrahoğlu | Habibullah Dolgun | Erhan Türkoğlu

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 1, pp.73-85

Belge Tipi:

Makale

Yayın Tarihi:

1/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001318838

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: This study investigates the anxiety symptom levels of patients who underwent surgery due to degenerative lumbar spinal stenosis DLSS, and the relationship between anxiety symptoms and postoperative pain, disability, and time elapsed after surgery was investigated. Materials and methods: The research study group comprises 71 patients, and the control group comprises 65 healthy individuals. In the study, the pain, disability, and anxiety symptom levels of the patients were evaluated. Postoperative State Anxiety Inventory SAI and Trait Anxiety Inventory TAI scores of DLSS patients and healthy individuals were compared. The variability of the anxiety scores of the individuals in the study group was analyzed in separate groups divided according to gender, postoperative period, pain, and disability scores. Patients were divided into two groups: painful VAS 6 and pain-free VAS 7, according to Visual Analogue Scale VAS scores representing pain levels. Results: The results show that the patients anxiety symptom levels are higher than the healthy controls and that anxiety scores increase even more in patients with high pain and disability scores. Higher pain and disability scores were associated with higher SAI scores. Moreover, it was found that both the painful early postoperative and painful late postoperative groups had higher SAI scores compared to the pain-free early postoperative and pain-free late postoperative groups. Conclusion: These findings emphasize the importance of considering pain, physical disabilities, and anxiety symptoms together in supporting the postoperative recovery process. It can be said that holistic approaches focusing on pain, physical disabilities and anxiety can positively affect recovery. More extensive and prospective studies are needed to elucidate the causal relationship between these concepts.

 Purpose: This study investigates the anxiety symptom levels of patients who underwent surgery due to degenerative lumbar spinal stenosis DLSS, and the relationship between anxiety symptoms and postoperative pain, disability, and time elapsed after surgery was investigated. Materials and methods: The research study group comprises 71 patients, and the control group comprises 65 healthy individuals. In the study, the pain, disability, and anxiety symptom levels of the patients were evaluated. Postoperative State Anxiety Inventory SAI and Trait Anxiety Inventory TAI scores of DLSS patients and healthy individuals were compared. The variability of the anxiety scores of the individuals in the study group was analyzed in separate groups divided according to gender, postoperative period, pain, and disability scores. Patients were divided into two groups: painful VAS 6 and pain-free VAS 7, according to Visual Analogue Scale VAS scores representing pain levels. Results: The results show that the patients anxiety symptom levels are higher than the healthy controls and that anxiety scores increase even more in patients with high pain and disability scores. Higher pain and disability scores were associated with higher SAI scores. Moreover, it was found that both the painful early postoperative and painful late postoperative groups had higher SAI scores compared to the pain-free early postoperative and pain-free late postoperative groups. Conclusion: These findings emphasize the importance of considering pain, physical disabilities, and anxiety symptoms together in supporting the postoperative recovery process. It can be said that holistic approaches focusing on pain, physical disabilities and anxiety can positively affect recovery. More extensive and prospective studies are needed to elucidate the causal relationship between these concepts.

 Purpose: This study investigates the anxiety symptom levels of patients who underwent surgery due to degenerative lumbar spinal stenosis DLSS, and the relationship between anxiety symptoms and postoperative pain, disability, and time elapsed after surgery was investigated. Materials and methods: The research study group comprises 71 patients, and the control group comprises 65 healthy individuals. In the study, the pain, disability, and anxiety symptom levels of the patients were evaluated. Postoperative State Anxiety Inventory SAI and Trait Anxiety Inventory TAI scores of DLSS patients and healthy individuals were compared. The variability of the anxiety scores of the individuals in the study group was analyzed in separate groups divided according to gender, postoperative period, pain, and disability scores. Patients were divided into two groups: painful VAS 6 and pain-free VAS 7, according to Visual Analogue Scale VAS scores representing pain levels. Results: The results show that the patients anxiety symptom levels are higher than the healthy controls and that anxiety scores increase even more in patients with high pain and disability scores. Higher pain and disability scores were associated with higher SAI scores. Moreover, it was found that both the painful early postoperative and painful late postoperative groups had higher SAI scores compared to the pain-free early postoperative and pain-free late postoperative groups. Conclusion: These findings emphasize the importance of considering pain, physical disabilities, and anxiety symptoms together in supporting the postoperative recovery process. It can be said that holistic approaches focusing on pain, physical disabilities and anxiety can positively affect recovery. More extensive and prospective studies are needed to elucidate the causal relationship between these concepts.

 Amaç: Bu çalışmada dejeneratif lomber spinal stenoz DLSS nedeniyle ameliyat geçiren hastaların anksiyete ilişkili semptom düzeyleri ve bu durumun ameliyat sonrası ağrı, engellilik ve ameliyattan sonra geçen süre ile ilişkisi araştırılmıştır. Gereç ve yöntem: Araştırma çalışma grubu 71 hastadan, kontrol grubu ise 65 sağlıklı bireyden oluşmaktadır. Çalışmada hastaların ağrı, sakatlık ve anksiyete ilişkili semptom düzeyleri değerlendirilmiştir. DLSS hastalarının ve sağlıklı bireylerin Postoperatif Durumluk Anksiyete Envanteri DAE ve Süreklilik Anksiyete Envanteri SAE puanları karşılaştırılmıştır. Çalışma grubundaki bireylerin anksiyete puanlarının değişkenliği cinsiyete, ameliyat sonrası geçmiş olan süreye, ağrıya ve sakatlık puanlarına göre ayrı gruplar halinde analiz edilmiştir. Hastalar ağrı düzeylerini temsil eden Görsel Analog Skala VAS puanlarına göre ağrılı VAS 6 ve ağrısız VAS 7 olmak üzere iki gruba ayrılmıştır. Bulgular: Sonuçlar hastaların anksiyete semptom düzeylerinin sağlıklı kontrollerden daha yüksek olduğunu ve yüksek ağrı ve sakatlık puanına sahip hastalarda anksiyete puanlarının daha da arttığını göstermektedir. Daha yüksek ağrı ve sakatlık puanları daha yüksek DAE puanlarıyla ilişkilendirildi. Dahası hem ağrılı erken postoperatif hem de ağrılı geç postoperatif gruplarının ağrısız erken postoperatif ve ağrısız geç postoperatif gruplarına kıyasla daha yüksek DAE puanlarına sahip olduğu bulundu. Sonuç: Bu bulgular, postoperatif iyileşme sürecini desteklemede ağrı, fiziksel sakatlıklar ve anksiyete semptomlarının birlikte ele alınmasının önemini vurgulamaktadır. Ağrıya, fiziksel sakatlıklara ve anksiyeteye odaklanan bütünsel yaklaşımların iyileşmeyi olumlu yönde etkileyebileceği söylenebilir. Bu kavramlar arasındaki nedensel ilişkiyi açıklamak için daha kapsamlı ve prospektif çalışmalara ihtiyaç vardır.

Makale detayları

Relationship of anxiety-related symptoms with pain, disability and postoperative period after degenerative lumbar spinal stenosis surgery

Yazarlar:

Goktug Ulku | Muhammed Erkan Emrahoğlu | Elif Figen Emrahoğlu | Habibullah Dolgun | Erhan Türkoğlu

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 1, pp.73-85

Belge Tipi:

Makale

Yayın Tarihi:

1/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001318838

pISSN:

1308-0865

Anxiety

disability

pain

spinal stenosis

surgeryAnksiyete

engellilik

ağrı

spinal stenoz

ameliyat

Sayı

Makale detayları

Yazarlar: Goktug Ulku | Muhammed Erkan Emrahoğlu | Elif Figen Emrahoğlu | Habibullah Dolgun | Erhan Türkoğlu

Yayıncı: Pamukkale University

Ana Başlıklar: Cerrahi (Diğer)

Dergi: Pamukkale Tıp Dergisi Vol.18 Issue 1, pp.73-85

Belge Tipi: Makale

Yayın Tarihi: 1/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001318838

pISSN: 1308-0865

Sayı

Yazarlar:

Goktug Ulku | Muhammed Erkan Emrahoğlu | Elif Figen Emrahoğlu | Habibullah Dolgun | Erhan Türkoğlu

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer)

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 1, pp.73-85

Belge Tipi:

Makale

Yayın Tarihi:

1/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001318838

pISSN:

1308-0865