Article

We examined the significance of life dissatisfaction in pre-operative
and early recovery phases with respect to functional ability, pain and coping on
2-year follow-up of patients with lumbar spinal stenosis (LSS). METHODS: Patients
(n=90, mean age, 62 years, men 40%) with symptomatic LSS underwent decompressive
surgery. Data collection took place with the same set of questionnaires before
surgery and 3 months, 6 months and 2 years postoperatively.
Life dissatisfaction
was assessed with the four-item life satisfaction (LS) scale. In addition, a life
dissatisfaction burden, comprising the sum of preoperative, 3-month and 6-month
LS scores, was calculated. Physical functioning (Oswestry disability index), pain
(VAS and pain drawing) and coping (sense of coherence, SOC) were assessed.
Logistic regression analysis was used to examine life dissatisfaction as a
predictor of the 2-year functional ability, pain and coping (SOC). RESULTS: In
these analyses, pain was not predicted by either pre-operative life
dissatisfaction or life dissatisfaction burden. However, both disability and poor
coping on 2-year follow-up were independently associated with both pre-operative
and early recovery phase life dissatisfaction. CONCLUSIONS: Our results show the
importance of both pre-operative and early post-operative well-being regarding
subsequent functioning. Thus, monitoring of the subjective well-being throughout
the pre-operative and post-operative period may indicate those patients at risk of poorer post-operative recovery.
CI - (c) 2011 Informa UK, Ltd.

Langue : ANGLAIS