Lomber Disk Hernili hastalarda ağrı depresyon İlişkisi
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Tarih
2017
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Bel ağrısı yüksek insidansa sahip ve önemli derecede iş gücü kaybına ve sağlık harcamalarına yol açan ciddi bir sağlık problemidir. Kronik bel ağrısı olan kişilerin depresyona daha yatkın olduğu bildirilmiştir. Sunulan çalışmada lomber disk hernisi olan hastalarda ameliyat öncesi ve sonrası ağrı seviyeleri ile depresyon arasındaki ilişkinin ortaya çıkarılması amaçlanmıştır.Yöntem ve Gereçler: Retrospektif olarak gerçekleştirilen çalışmada, 2014-2015 yılları arasında hastanemize başvurup kronik bel ağrısı şikayeti olan ve lomber disk hernisi tanısı konulan hastaların ameliyat öncesi ve sonrası visual analog skala (VAS) ve Beck depresyon ölçeği (BDÖ) değerleri arşiv kayıtlarından incelendi. Çalışmaya manyetik rezonans görüntüleme (MRG) sonucunda nöral foramenlere basan sekestre ve eksturüde disk hernisi olan 40 hasta dahil edildi. Veriler SPSS 15.0 programında t- testi ile analiz edildi. Bulgular: Hastaların ameliyat sonrası VAS değerlerinin ameliyat öncesi döneme göre önemli derecede azaldığı (8.65± 1.34' den 2 ±1.34'e) belirlendi (p<0.001).Tartışma ve Sonuç: Bulgularımız lomber disk hernisili hastaların kronikleşen ağrılarının depresyona yatkınlığı artırdığını ancak cerrahi operasyonun hem altta yatan lomber patolojiyi hem de ağrıya bağlı depresyonu azalttığını göstermektedir
Introduction: Back pain is a serious health problem which has high incidence and causes dramatically labour loss and health care costs. It was reported that individuals with chronic back pain were more susceptibility to depression. In the present study, it was aimed to reveal the relationship between depression and pain levels before and after surgery in patients with lomber disc hernia.Methods: In the study carried out retrospectively, it was investigated values of visual analog scale and Beck depression inventory before and after surgery of patients diagnosed with lomber disc hernia and chronic back pain from archive records of our hospital between 2014 and 2015 years. The study was included 40 patients with extruded disc herniation and sequestration impressed neural foramens revealed with magnetic resonance imaging. Data were analyzed with t-test using SPSS 15.0 software.Results: Values of postoperative visual analog scale of the patients were significantly decreased (from 8.65± 1.34 to 2 ±1.34) compared to preooperative the values (p<0.001).DISCUSSION ANDConclusion: Our findings suggest that the chronic pains of patients with lomber disc hernia increased susceptibility to depression but surgical operation decreased both underlying lomber pathology and depression associated with chronic pain
Introduction: Back pain is a serious health problem which has high incidence and causes dramatically labour loss and health care costs. It was reported that individuals with chronic back pain were more susceptibility to depression. In the present study, it was aimed to reveal the relationship between depression and pain levels before and after surgery in patients with lomber disc hernia.Methods: In the study carried out retrospectively, it was investigated values of visual analog scale and Beck depression inventory before and after surgery of patients diagnosed with lomber disc hernia and chronic back pain from archive records of our hospital between 2014 and 2015 years. The study was included 40 patients with extruded disc herniation and sequestration impressed neural foramens revealed with magnetic resonance imaging. Data were analyzed with t-test using SPSS 15.0 software.Results: Values of postoperative visual analog scale of the patients were significantly decreased (from 8.65± 1.34 to 2 ±1.34) compared to preooperative the values (p<0.001).DISCUSSION ANDConclusion: Our findings suggest that the chronic pains of patients with lomber disc hernia increased susceptibility to depression but surgical operation decreased both underlying lomber pathology and depression associated with chronic pain
Açıklama
Anahtar Kelimeler
Beck Depresyon Ölçeği, Depresyon, Kronik Bel Ağrısı, Lomber Disk Hernisi, Visual Analog Skala, Beck Depression Inventory, Chronic Back Pain, Depression, Lomber Disc Hernia, Visual Analog Scale
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Ege Klinikleri Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
55
Sayı
2
