DOI QR코드

DOI QR Code

Pain, Disability, Emotional Status and Educational Needs between Acute and Chronic Low Back Pain Groups

급·만성 요통 환자군의 통증, 기능장애, 정서 상태 및 교육 요구

  • Ahn, Ji-Hye (Department of Nursing, College of Nursing, The Catholic University of Korea) ;
  • Kim, Hee-Seung (Department of Nursing, College of Nursing, The Catholic University of Korea) ;
  • Kim, Hye-Jin (Department of Nursing, University of Ulsan)
  • Received : 2018.12.31
  • Accepted : 2019.02.21
  • Published : 2019.02.28

Abstract

Purpose: This study aimed to identify pain, disability, anxiety, depression and educational needs between acute and chronic low back pain groups. Methods: A total of 153 patients aged 18 to 64, recruited from S-neurosurgical clinic for low back pain in Gyeonggi-do. Out of 153 subjects, 70 were Acute Low Back Pain (ALBP) group and 83 were Chronic Low Back Pain (CLBP) group. The collected data was analyzed using the SAS System V 9.4 program by chi-square test/Fisher's exact test and t-test. Results: The pain and disability scores were higher in ALBP group while the depression score was higher in CLBP group. The educational needs score in the area for the time for lumbar operation was higher in CLBP group. In the Low Back Pain (LBP) treatment management, ALBP group visited clinic (60.0%) most frequently and CLBP group visited both clinic & traditional medicine (66.3%) regularly. Conclusion: In order to minimize the progression from acute to chronic LBP, it is necessary for patients who visited the clinic to be accompanied with an education program that reflects educational needs of patients and with proven alternative therapy.

References

  1. Ministry of Health and Welfare. Announcement of results of the actual condition survey of disabled people in 2014[Internet]. Seoul: Ministry of Health and Welfare; 2015[cited 2015 April 20]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=318756&page=1
  2. Ministry of Employment and Labor. Excessive heavy workload bring musculo skeletal disorders[internet]. Seoul: Ministry of Employment and Labor; 2016[cited 2016 Oct 20]. Available from http://www.moel.go.kr/news/enews/report/enewsView.do?news_seq=7107
  3. Nam KC, Jang SW, Jhun HJ, Park JT. Estimated number of Korean workers with back pain and population-based associated factors of back pain: Data from the fourth Korea national health and nutrition examination survey. Korean Journal of Occupational and Environmental Medicine. 2009;21(4):365-377.
  4. Perrot S, Allaert FA, Concas V, Laroche F. "When will I recover?" A national survey on patients' and physicians' expectations concerning the recovery time for acute back pain. European Spine Journal. 2009;18(3):419-429. https://doi.org/10.1007/s00586-008-0868-6 https://doi.org/10.1007/s00586-008-0868-6
  5. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain. Pain. 2000;85(3):317-332. https://doi.org/10.1016/S0304-3959(99)00242-0 https://doi.org/10.1016/S0304-3959(99)00242-0
  6. Chung EJ, Hur YG, Lee BH. A Study of the relationship among fear-avoidance beliefs, pain and disability index in patients with low back pain. Journal of Exercise Rehabilitation. 2013;9(6):532-535. https://doi.org/10.12965/jer.130079 https://doi.org/10.12965/jer.130079
  7. Kim SH. Comparison among pain, lumbar disability, back performance and psychological factors in patients with chronic low back pain by pain location and pain duration [master's thesis]. Seoul: Sahmyook University; 2015. 91 p.
  8. Hyoung HK. Effects of a strengthening program for lower back in older women with chronic low back pain. Journal of Korean Academic Nursing. 2008;38(6):902-913. https://doi.org/10.4040/jkan.2008.38.6.902 https://doi.org/10.4040/jkan.2008.38.6.902
  9. Bener A, Verjee M, Dafeeah EE, Falah O, Al-Juhaishi T, Schlogl J, et al. Psychological factors: Anxiety, depression, and somatization symptoms in low back pain patients. Journal of Pain Research. 2013;6:95-101. https://doi.org/10.2147/JPR.S40740 https://doi.org/10.2147/JPR.S40740
  10. Bean DJ, Johnson MH, Kydd RR. Relationships between psychological factors, pain, and disability in complex regional pain syndrome and low back pain. Clinical Journal of Pain. 2013;30(8):647-653. https://doi.org/10.1097/AJP.0000000000000007 https://doi.org/10.1097/AJP.0000000000000007
  11. Davison SN, Jhangri GS. The impact of chronic pain on depression, sleep, and the desire to withdraw from dialysis in hemodialysis patients. Journal of Pain and Symptom Management. 2005;30(5): 465-473. https://doi.org/10.1016/j.jpainsymman.2005.05.013 https://doi.org/10.1016/j.jpainsymman.2005.05.013
  12. Shaw WS, Hartivigsen J, Woiszwillo MJ, Linton SJ, Reme SE. Psychological distress in acute low back pain: A review of measurement scales and levels of distress reported in the first 2 months after pain onset. Archives of Physical Medicine and Rehabilitation. 2016;97(9):1573-1587. https://doi.org/10.1016/j.apmr.2016.02.004 https://doi.org/10.1016/j.apmr.2016.02.004
  13. Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Medical Clinics of North America. 2014;98(4):777-789. https://doi.org/10.1016/j.mcna.2014.03.005 https://doi.org/10.1016/j.mcna.2014.03.005
  14. Turk DC, Okifuji A. Psychosocial factors in chronic pain: Evolution and revolution. Journal of Consulting and Clinical Psychology. 2002;70(3):678-690. https://doi.org/10.1037//0022-006X.70.3.678 https://doi.org/10.1037/0022-006X.70.3.678
  15. Shin IH, Cho KS. Effects of the back pain management program on patients with chronic low back pain. Journal of Muscle and Joint Health. 2014;21(2):114-124. http://doi.org/10.5953/JMJH.2014.21.2.114 https://doi.org/10.5953/JMJH.2014.21.2.114
  16. Kwak HW, Kim NH. Analyses of studies on exercise therapy for middle-age women with chronic low back pain in Korea. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(6):389-399. http://doi.org/10.5762/KAIS.2016.17.6.389 https://doi.org/10.5762/KAIS.2016.17.6.389
  17. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149 https://doi.org/10.3758/BRM.41.4.1149
  18. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine. 2005;30(11):1331-1334. https://doi.org/10.1097/01.brs.0000164099.92112.29 https://doi.org/10.1097/01.brs.0000164099.92112.29
  19. Fairbank JC, Pynsent PB. The oswestry disability index. Spine. 2000;25(2):2940-2952. https://doi.org/10.1097/00007632-200011150-00017 https://doi.org/10.1097/00007632-200011150-00017
  20. Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural adaptation of the Korean version of the owestry disability index (ODI). Korean Society of Spine Surgery. 2005;12(2):146-152. https://doi.org/10.4184/jkss.2005.12.2.146 https://doi.org/10.4184/jkss.2005.12.2.146
  21. Roland M, Fairbank J. The Roland-Morris disability questionnaire and the oswestry disability questionnaire. Spine. 2000;25(24):3115-3124. https://doi.org/10.1097/00007632-200012150-00006 https://doi.org/10.1097/00007632-200012150-00006
  22. Tamiya N, Araki S, Ohi G, Inagaki K, Urano N, Hirano W, et al. Assessment of pain, depression, and anxiety by visual analogue scale in Japanese women with rheumatoid arthritis. Scandinavian Journal of Caring Sciences. 2002;16(2):137-141. https://doi.org/10.1046/j.1471-6712.2002.00067.x https://doi.org/10.1046/j.1471-6712.2002.00067.x
  23. Kim SK, Kim HS, Chung SS. Degrees of low back pain, knowledge of and educational needs for low back pain in patients with chronic low back pain. Journal of Muscle and Joint Health. 2017;24(1):56-65. https://doi.org/10.5953/JMJH.2017.24.1.56 https://doi.org/10.5953/JMJH.2017.24.1.56
  24. Kwon YJ. Prevalence of low back pain and use of complementary and alternative therapy in workers [master's thesis]. Suwon: Kyounggi University; 2011. 52p.
  25. Westrom KK, Majers MJ, Evans RL, Bronfort G. Individualized chiropractic and integrative care for low back pain: The design of a randomized clinical trial using a mixed-methods approach. Trials. 2010;11:24. https://doi.org/10.1186/1745-6215-11-24 https://doi.org/10.1186/1745-6215-11-24
  26. Mehling WE, Gopisetty V, Bartmess-LeVasseur E, Acree M, Pressman A, Godberg H et al. The prognosis of acute low back pain in primary care in the U.S.A 2-year prospective cohort study. Spine. 2012;37(8):678-684. https://doi.org/10.1097/BRS.0b013e318230ab20 https://doi.org/10.1097/BRS.0b013e318230ab20
  27. Ryu JM, Kim MH, Kim JY. Influence of neuroticism and pain anxiety on pain intensity - A study on patients with degenerative spondylitis and arthritis -. The Korean Journal of Health Psychology. 2017;22(2):375-395.
  28. Won JI. Comparison of the relationship between impairment, disability and psychological factors according to the difference of duration of low back pain. Korean Research Society of Physical Therapy. 2011;18(3):76-84.
  29. Kim KA, Chu SH. Mediating effect of coping strategies in the relationship between pain beliefs and depression, pain disability among chronic back pain patient. The Journal of the Korea contents Association. 2017;17(10):206-215. https://doi.org/10.5392/JKCA.2017.17.10.206 https://doi.org/10.5392/JKCA.2017.17.10.206
  30. Newcomer KL, Shelerud RA, Vickers Douglas KS, Larson DR, Crawford BJ. Anxiety levels, fear-avoidance beliefs, and disability levels at baseline and at 1 year among subjects with acute and chronic low back pain. The Journal of Injury Function and Rehabilitation. 2010;2(6):514-520. https://doi.org/10.1016/j.pmrj.2010.03.034 https://doi.org/10.1016/j.pmrj.2010.03.034