Investigating the Quality of Life in Patients with Lumbar Spine Pain based on the Type of Treatment among Military Personnel Referring to Valiasr Hospital

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Mashayekhian Mohammad; Ebadi Abbas; Daneshyar Saeid

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Journal Paper

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Journal: Journal of Police Medicine Year:2024 | Volume:13 | Issue:1 Page(s): 1-13

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Title

Investigating the Quality of Life in Patients with Lumbar Spine Pain based on the Type of Treatment among Military Personnel Referring to Valiasr Hospital

Author(s)

Mashayekhian Mohammad | Ebadi Abbas | Daneshyar Saeid | Issue Writer Certificate

Keywords

Low Back Pain

Diskectomy

Pain

Military Personnel

Abstract

Aims: According to the type of activity in different parts of the work environment, military employees are subject to burnout and suffering from back Pain. Considering its importance, this study evaluated the quality of life in patients with lumbar spine Pain based on the type of treatment (surgical and non-surgical) in Military Personnel referred to Valiasr Hospital. Materials and Methods: In this cohort study, the samples were selected from among the Military Personnel patients who were referred to the physical medicine clinic, Pain clinic, and spine surgery clinic of Valiasr Hospital in 2021 with chronic back Pain. Sampling was done non-randomly and among the eligible patients and after obtaining the patients' consent, they were included in the study. The samples were divided into two non-surgical treatment groups and a surgical group, and at the beginning of the research and also one year after the start of the treatment, quality of life, Pain intensity, and Oswestry questionnaires were completed by the researcher and through interviews with the patients. Data were analyzed by paired and independent t-tests, Wilcoxon, ANOVA, and Kruskal-Wallis. Findings: In this study, 230 patients with an average age of 43. 3±8. 2 years were included in the study. In terms of gender ratio, the percentage of patients were female and 84% were male. Also, the average height in the patients of both studied groups was 169. 72±8. 60 cm and the average weight in both groups was 74. 25±8. 330 kg, which statistically did not have a significant difference between the two groups (p=0. 537). In terms of the indicators examined in the treatment of patients, the quality of life in both groups increased statistically significantly after treatment, and this increase was greater in the non-surgical group than in the surgical group. Also, both groups had a decrease in disability and Pain intensity, which was statistically significant (p<0. 001). By comparing the amount of changes between the two groups, it was found that the decrease in disability and increase in quality of life was greater in the non-surgical group and the reduction in Pain score was greater in the surgical group (p<0. 05). Conclusion: Both surgical and non-surgical treatment methods are significantly effective in improving the performance of patients with chronic back Pain, but non-surgical treatments are more effective than surgical treatments in improving the quality of life and reducing Pain in patients with chronic back Pain.

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