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.
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Article info
Publication history
Published online: November 14, 2022
Accepted:
September 3,
2022
Received in revised form:
August 23,
2022
Received:
May 12,
2022
Publication stage
In Press Corrected ProofFootnotes
Cai and Lin contributed equally to the work and should be considered co–first authors.
Identification
Copyright
© 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
