Quality of life and functional outcome after lumbar disc herniation surgery

Abstract

Abstract Introduction: Low back pain is one of the most common diseases that the general population of adults faces various physical, mental, economic and social problems. Patients underwent lumbar disc surgery. Due to the fact that patients experience various degrees of disability during this period, the present study was conducted to determine the Quality of life and functional outcome in patients with lumbar disc herniation undergoing Lumbar disc surgery with foraminotomy approach. Method: This study was a descriptive study before and after the intervention. The study population included patients undergoing lumbar disc surgery who referred to Kashani Educational-Medical Center in Isfahan in 2021 who were included in the study by census. 120 people were included in the study by census method. They were followed up for one year. Three months after surgery, 116 patients, six months later, 112 patients, and one year later, 104 patients remained in the study. Patients were assessed preoperatively,3, 6 and 12 months postoperatively by standard questionnaires:SF12, Austrian Functional Disability Questionnaire, European Quality of Life Questionnaire and DASS. the date were analyzed in SPSS22. Result: all physical and mental dimensions of quality of life, except for three mental dimensions (SF, RE, MH) before surgery and 12 months after surgery were significantly different (P < 0.05). The preoperative and 12 months postoperative functional incapacity index showed a significant difference. The EQ-5D index improved after 12 months and was significantly different from before surgery(P < 0.05). depression and anxiety after 12 months did not show a significant difference compared to before surgery (P < 0.05). the results revealed that there was a significant relationship between ODI and body mass index (P = 0.002), and age (P = 0.01), as well as between depression and gender (P = 0.003). The individuals at older ages and with higher body mass index (overweight and obese) showed higher degrees of disability. Women showed more incidence of depression compared to men. Conclusion: According to the present study results, it can be stated that in today's world, the physical aspects and physical ability of patients cannot solely reflect improvement of disease status in patients.