Analiza kliničnih rezultatov po operativnem zdravljenju mehanične bolečine v križu : magistrsko delo

Koren, Anja (author), Vodičar, Miha (mentor), Pajnič, Manca (comentor), Slabe, Damjan (reviewer)

Uvod: Ob diagnosticiranih kroničnih mehaničnih bolečinah v križu je vse pogostejša metoda obravnave kirurško zdravljenje. Ocena kakovosti življenja posameznika je pred in po kirurškem zdravljenju mehanične bolečine v križu pomembno merilo izida samega zdravljenja, katerega glavni cilj je zmanjšati bolečino, doseči vrnitev k izvajanju vsakodnevnih življenjskih aktivnosti ter dvigniti kakovost življenja posameznika. Namen: Namen magistrskega dela je bil ugotoviti, ali obstajajo statistično značilne razlike vpliva bolečine na vsakodnevne življenjske aktivnosti po kirurškem zdravljenju kronične mehanične bolečine glede na spol in starost. Poleg tega smo želeli ugotoviti, kako se bolečina in vsakodnevne življenjske aktivnosti razlikujejo glede na preteklo obdobje od kirurškega zdravljenja. Metode dela: Izvedli smo retrospektivno panelno longitudialno raziskavo, v kateri smo preučevali paciente pred in po kirurškem zdravljenju mehanične bolečine v križu. V raziskavo smo vključili 35 posameznikov, pri katerih smo longitudialno spremljali kazalnike kakovosti življenja s pomočjo dveh standardiziranih, validiranih ter klinično uporabljenih anketnih vprašalnikov. Vprašalnike so pacienti na Ortopedski kliniki, Univerzitetnega kliničnega centra Ljubljana izpolnili pred operativnim posegom ter 3 mesece, 6 mesecev in 12 mesecev po kirurškem zdravljenju mehanične bolečine. Rezultati: Analiza je pokazala, da je kirurško zdravljenje mehanične bolečine učinkovito ter izboljša kakovost življenja pacientov, ne glede na starost in spol in ta učinek je dolgoročen. Poročanja o jakosti bolečine so se po operaciji zmanjšala, vendar neodvisno od časa, ki je pretekel od nje, saj so bila poročanja statistično značilno nižja le med obdobjem pred operacijo in po njej (p < 0,001), medtem ko statističnih razlik med posameznimi obdobji po posegu ni bilo (vsi p = 0,852; ne glede na uporabljen merski instrument). Povečanje sposobnosti izvajanja dnevnih aktivnosti se je sicer izkazalo kot trend, vendar brez statistično pomembne razlike (p = 0,651). Razprava in zaključek: Ugotovitve kažejo, da je za zdravljenje kronične mehanične bolečine pravilno indiciran operativni poseg učinkovit pri zmanjšanju bolečin ter izboljšanju kakovosti življenja pacienta, ne glede na starost, spol in preteklo obdobje od posega. Dejavnike, ki vplivajo na cilje okrevanja ter življenje po operaciji bi bilo smiselno dodatno raziskati tudi z drugih vidikov.

• Language: Slovenian
• Keywords: magistrska dela, zdravstvena nega, lumbalgija, načini zdravljenja, izidi zdravljenja, kakovost življenja
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Kuclar]
• Year: 2025
• Number of pages: 58 str., [8] str. pril.
• PID: 20.500.12556/RUL-175817
• UDC: 616-083
• COBISS.SI-ID: 256470275
• Publication date in RUL: 09.11.2025

Secondary language

• Language: English
• Title: Analysis of clinical results after operative treatment of mechanical low back pain : master thesis

Abstract

Introduction: Surgical treatment is an increasingly common method for managing diagnosed chronic mechanical low back pain. Assessing an individual's quality of life before and after surgical treatment of mechanical low back pain is an important outcome measure, with the main goals of treatment being pain reduction, restoration of the ability to perform everyday activities, and improvement of overall quality of life. Objective: The purpose of this master's thesis was to determine whether there are statistically significant differences in the impact of pain on daily living activities after surgical treatment of chronic mechanical low back pain based on gender and age. Additionally, we aimed to investigate how pain and daily living activities differ over time following surgical treatment. Methods: We conducted a panel retrospective longitudinal study in which we examined patients before and after surgical treatment of mechanical low back pain. The study included 35 individuals whose quality of life indicators were tracked longitudinally using two standardized, validated, and clinically applied survey questionnaires. Patients at the Orthopaedic Clinic of the University Medical Centre Ljubljana completed the questionnaires before surgery and at 3, 6, and 12 months after the surgical treatment of mechanical pain. Results: The analysis showed that surgical treatment of mechanical pain is effective and improves patients' quality of life, regardless of age and gender, and this effect is long-lasting. Reports of pain intensity decreased after surgery, but this was independent of the time elapsed since the procedure, as the reports were statistically significantly lower only between the preoperative and postoperative periods (p < 0.001), while there were no statistically significant differences between the individual postoperative time points (all p = 0.852; regardless of the measurement instrument used). An increase in the ability to perform daily activities was observed as a trend, but without statistical significance (p = 0.651). Discussion and Conclusion: The findings suggest that surgically indicated treatment of chronic mechanical pain is effective in reducing pain and improving patients’ quality of life, regardless of age, gender, or the time elapsed since surgery. It would be beneficial to further explore the factors influencing recovery goals and post-surgical life from additional perspectives.

• Keywords: master theses, nursing care, lumbalgia, treatment methods, treatment outcomes, quality of life