Predictors of Return to Work After Lumbar Discectomy: Insights from a Comprehensive Study and Comparative Analysis

Öz

This retrospective study delves into the multifaceted realm of lumbar disc herniation (LDH) and its impact on patients' ability to return to work (RTW) post-surgery. LDH, a common source of pain and disability, predominantly affects individuals in their working years, making RTW a pivotal indicator of surgical effectiveness. Analyzing data from 106 patients who underwent single-level LDH surgery between 2019 and 2023, this study explored various factors influencing RTW. Results were multifaceted, revealing significant improvements in postoperative pain levels, validating the efficacy of surgical interventions. Nevertheless, no statistically significant differences in RTW were observed based on gender, LDH level, or occupation, although a trend toward longer RTW times for female patients and lower self-efficacy scores for manual workers emerged. However, this study introduced an additional dimension by assessing the influence of occupational status, highlighting potential disparities among occupational groups in self-efficacy beliefs related to RTW. The utilization of the Return-to-Work Self-efficacy Questionnaire (RTWE-SE-19) provided insights into patients' confidence levels regarding their ability to return to work. Generally, patients exhibited moderate to high self-efficacy scores, reflecting their positive beliefs in RTW capabilities. In essence, this study contributes to the growing body of knowledge surrounding LDH and RTW by emphasizing the multifactorial nature of this issue. It underscores the significance of surgical pain relief and the need for further investigation into the nuanced influences of gender, occupation, and psychological factors on postoperative RTW. Ultimately, these insights pave the way for tailored interventions and improved RTW outcomes for LDH surgery patients

Anahtar Kelimeler

• Lumbar Disc Herniation
• Return to Work
• Surgical Outcomes
• Self-Efficacy Occupational Status

Kaynakça

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