Sensory Symptoms and effects on Health-related Quality of Life of Patients Undergoing Lumbar Spine Surgery

Xin Yi Cai, Jiann Her Lin, Wen Cheng Huang, Jau Ching Wu, Pin Yuan Chen, Hsiao Yean Chiu

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Patients with lumbar degenerative spine diseases (LDSDs) commonly report sensory symptoms before and after lumbar spine surgery. Aim: To explore the changing patterns of sensory symptoms—namely pain, numbness, stinging, itching, and burning—and investigate the influences of sensory symptom changes on the health-related quality of life (HRQoL) of patients who experienced lumbar spine surgery. Methods: All sensory symptoms (i.e., pain, numbness, paresthesia) were measured using a visual analog scale. The Chinese versions of the Oswestry Disability Index, Pittsburgh Sleep Quality Index, Clinically Useful Depression Outcome Scale, and EuroQol-five dimensions (EQ-5D) Scale were used to assess patients 1 week prior to surgery and 6 weeks and 6 months after surgery. A generalized estimating equation was used for data analysis. Results: A total of 101 patients with mean age of 58.38 years were included. All sensory symptoms declined significantly over time (all p <. 05) with the exception of itching (feeling on toes and thighs). Patients experiencing moderate-to-severe pain had poorer QoL over time, even after controlling for other sensory symptoms and potential confounders. Conclusions: Sensory symptoms gradually declined after surgery, but itching symptom did not. Moderate-to-severe pain was the only sensory symptom that influenced HRQoL over time in patients with LDSDs.

Original languageEnglish
Pages (from-to)216-221
Number of pages6
JournalPain Management Nursing
Volume24
Issue number2
DOIs
Publication statusAccepted/In press - 2022

ASJC Scopus subject areas

  • Advanced and Specialised Nursing

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