Bir halk sağlığı sorunu: Kronik bel ağrısı, ağrı, depresyon, anksiyete ve uyku bozukluğu ilişkisi

Öz

Amaç: Kronik bel ağrısı (KBA) sık görülen ve bir halk sağlığı sorunu olan kas iskelet sistemi bozukluğudur. KBA hastaları kuvvetsizlik, uyuşma, yaşam kalitesinde azalma, fonksiyonellikte azalma, depresyon ve anksiyete gibi psikolojik bozukluklar ve uyku bozukluğuna neden olan ağrı gibi semptomlardan şikayetçidir. Bu çalışmanın amacı, KBA ile hastalarda yaşam kalitesi, anksiyete, depresyon ve uyku bozuklukları arasındaki ilişkiyi ortaya koymaktır. Yöntemler: Yetmiş-üç KBA olan hasta ve 73 sağlıklı kontrol bu anket bazlı kesitsel çalışmaya dahil edildi. Çalışma grubunda Kısa form McGill ağrı anketi, Roland-Morris özürlülük anketi, Kısa Form-36 S(F-36), Beck depresyon ve anksiyete ölçekleri ve Pittsburgh uyku kalitesi indeksi, SF-36, Beck depresyon ve anksiyete ölçekleri ve Pittsburgh uyku kalitesi indeksi ise kontrol grubunda uygulanmıştır. Yaşam kalitesi, depresyon, anksiyete ve uyku bozuklukları ilişkisi her iki grupta araştırılmıştır. Bulgular: İki grup demografik özellikler açısından farklılık göstermemiştir (P<0,05). SF-36 altgruplarında canlılık ve mental sağlık dışındaki alt gruplarda anlamlı farklılık saptanmıştır (P<0,001). Depresyon, anksiyete ve Pittsburgh uyku kalitesi skorları iki grup arasında herhangi bir farklılık gösterilmemiştir (P>0,05). Sonuç: KBA yaşam kalitesini negatif olarak etkilemektedir. KBA hastalara yaklaşımda gözönünde bulundurulması gereken bir durumdur.

Anahtar Kelimeler

• Kronik bel ağrısı
• Uyku bozuklukları
• Yaşam kalitesi

A public health concern: Chronic low back pain and the relationship between pain, quality of life, depression, anxiety, and sleep quality

Abstract

Aim: Chronic low back pain (CLBP) is a common condition of the musculoskeletal system and a public health concern. CLBP patients suffer from conditions such as muscle weakness and numbness, resulting in diminished quality of life (QoL), poor functioning, psychological disorders and sleep disorders related to disabling pain. The aim of the current study was to reveal relationship between CLBP and patients’ health related QoL, anxiety, depression, and sleep disturbances. Methods: Seventy-three patients with CLBP and 73 healthy controls participated in this questionnaire-based cross-sectional study. The Short form McGill Pain Questionnaire, Roland-Morris disability, Short form-36 (SF-36), Beck Depression (BDI) and anxiety inventory (BAI) and the Pittsburgh Sleep Quality Index (PSQI) were used in the study group, and SF-36, BDI, BAI and PSQI were used in the control group. The relationships between QoL, depression, anxiety, and sleep disorders were examined in the two groups. Results: Two groups did not differ in terms of demographic characteristics (P>0.05). In the sub-scales of SF-36, except vitality and mental health, a significant difference was detected between the study and control groups (P<0.001). The depression, anxiety and PSQI scores did not differ between the two groups (P>0.05). Conclusion: CLBP affects QoL negatively. This should be considered when managing CLBP.

Keywords

• Chronic low back pain
• sleep disorder
• quality of life

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