Correlation of Low Back Pain With Functional Status, General Health Perception, Social Participation, Subjective Happiness, and Patient Satisfaction
Correlation of Low Back Pain With Functional Status, General Health Perception, Social Participation, Subjective Happiness, and Patient Satisfaction
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腰痛与功能状态、总体健康认知、社会参与、主观幸福感和患者满意度的相关性
作者：
Yoshiaki Takeyachi;S. Konno;K. Otani;Kazuya Yamauchi;Ichiro Takahashi;Y. Suzukamo;S. Kikuchi
研究设计.一项横断面和流行病学研究调查了腰痛。Objective.根据提出的腰痛相关模型，评估包括坐骨神经痛在内的腰痛结局指标之间的相关性。背景数据摘要。各种结果测量用于腰痛研究：疼痛，功能状态，一般健康状况和患者满意度。这些措施之间的相互关系尚不清楚。方法.在这项研究中，816名受试者（369名男性和447名女性;平均年龄62岁）接受了成人医学检查。对患者进行了访谈，内容包括个人背景、腰痛和坐骨神经痛的严重程度、功能状态、一般健康感知、社会参与、主观幸福感和患者满意度。这些措施之间的相关性进行了系统的分析，使用路径分析的基础上腰痛相关模型假设，腰痛和坐骨神经痛恶化功能状态和一般健康感知，然后影响社会参与，主观幸福感，和病人的满意度。结果功能状态的限制被认为是最密切相关的腰痛的严重程度。身体健康状况的下降与功能受限的关系最为密切。社会参与、主观幸福感和患者满意度与身体健康状况密切相关。有一个显着的相关性结果之间的措施，身体健康，这是一致的腰痛相关模型。结论.在这项研究中，有关身体健康的结果措施被发现是相关的显着，与提出的腰痛相关模型一致。
Study Design. A cross-sectional and epidemiologic study investigated low back pain. Objective. To assess the correlation among outcome measures for low back pain, including sciatica, according to a proposed low back pain–related model. Summary of Background Data. Various outcome measures are used in low back pain research: pain, functional status, generic health status, and patient satisfaction. Correlation among these measures has been unclear. Methods. For this study, 816 subjects (369 men and 447 women; average age, 62 years) who underwent an adult medical examination. The patients were interviewed concerning their personal background, severity of low back pain and sciatica, functional status, general health perception, social participation, subjective happiness, and patient satisfaction. The correlation among these measures was analyzed systematically using path analysis based on a low back pain–related model hypothesizing that low back pain and sciatica worsen functional status and general health perception and then affect social participation, subjective happiness, and patient satisfaction. Results. Restriction of functional status was found to be the most closely correlated with severity of low back pain. A decrease in physical health was most closely correlated with restriction of function. Social participation, subjective happiness, and patient satisfaction were closely correlated with physical health status. There was a significant correlation among outcome measures concerning physical health, which was consistent with a low back pain–related model. Conclusions. The outcome measures concerning physical health in this study were found to be correlated significantly, consistent with the proposed low back pain–related model.