Abstract
Background
Pain self-efficacy and gender may influence disability in patients with musculoskeletal
disorders. The direct and interactive influence of pain self-efficacy and gender on
postoperative disability with degenerative cervical myelopathy (DCM) is unclear.
Aim
This study aimed to determine the effects of age, pain, and pain self-efficacy on
disability postoperatively in patients with DCM, and explore whether these effects
differ by gender.
Method
A total of 180 participants who underwent DCM surgery were consecutively recruited.
The following were evaluated: (1) demographic/descriptive data (age, gender, diagnosis,
surgery date, procedure); (2) numerical rating scale pain and dysesthesia intensity;
(3) Neck Disability Index; and (4) Pain Self-Efficacy Questionnaire. Hierarchical
multiple regression analysis and simple slope analysis determined the effect of patients’
biologic and psychosocial factors, and their interaction in terms of disability.
Results
The responses of 82 participants were analyzed. The hierarchical multiple regression
final model analysis determined 57.1% participant disability variance; gender (B = 3.388; p < .01); pain (B = 3.574; p < .01); pain self-efficacy (B = −0.229; p < .01); age and gender (B = −0.201; p < .05); pain and gender (B = −3.749; p < .01); pain self-efficacy and gender (B = −0.304; p < .01) were significantly associated with disability. Simple slope test indicated
that women showed weaker pain associations and stronger age and pain self-efficacy
associations with disability than men.
Conclusions
Pain self-efficacy improvement should be focused on after surgery in patients with
DCM, especially women.
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Article info
Publication history
Published online: January 06, 2023
Accepted:
December 11,
2022
Received in revised form:
December 3,
2022
Received:
March 13,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
