요통 및 좌골신경통 환자의 자각적 통증 및 장애정도와 수면장애 및 피로감의 관계
Self-reported Pain Intensity and Disability Related to Sleep Disturbance and Fatigue in Patients with tow-Back Pain
이경석, 도재원, 배학근, 윤일규,
소속 상세정보
이경석 ( )
순천향대학교 의과대학 천안병원
도재원 ( )
순천향대학교 의과대학 천안병원
배학근 ( )
순천향대학교 의과대학 천안병원
윤일규 ( )
순천향대학교 의과대학 천안병원
KMID : 0359819990280040470
Abstract
결론
환자가 주관적으로 호소하는 통증의 강도나 주관적으로 느끼는 장애정도는 결국 수면장애
와 피로감, 그리고 입맛과 소화장애로 표현되는 마음의 불편과 밀접한 관련이 있었다. 따라
서 상응하는 비정상적인 진찰 소견이 없이 환자가 호소하는 통증이나 장애의 정도에 현혹되
어 진단을 하거나 치료방향을 결정해서는 안된다. 한편 요통 환자를 진찰할 때는 수면장애
여부와 피로감을 물어 환자의 심리상태를 미리 평가함이 정확한 진단과 치료계획 수립에 매
우 중요하리라 본다.
#초록#
Low back pain is one of the most common symptoms in medical practice. Differential
diagnosis of back pain is complicated, however. Self-reported pain intensity and
disability may affect on the decision for diagnosis or therapy. Exaggerated symptoms
may cause unnecessary investigations or even surgical interventions Self-reported pain
intensity and disability are not in proportion to the objective physical findings. We
investigated the relationship between self-reported pain intensity or disability and sleep
disturbance or fatigue.
The study was conducted as a survey using a questionnaire from November 1997 to
March 1998. The survey included consecutive 358 patients who visited the neurosurgical
out-patient department complaining of low back pain. Pain intensity was measured by
visual analog scale, and disability was assessed by Waddell's chronic disability index.
By multiple regression analysis, self-reported pain intensity corresponded best with the
sleep disturbance Age and fatigue were also related to the pain intensity. There was no
good agreement between pain intensity and region or duration of the pain, appetite or
indigestion. Disability corresponded best with the sleep disturbance. Fatigue, appetite,
and indigestion were also related to the disability. There was no good relationship
between disability and region or duration of the pain. or age.
Sell-reported pain intensity and disability are related to the psychological distress
represented as sleep disturbance. fatigue poor appetite or indigestion. Inquiring about
sleep or fatigue is important to understand the underlying psychological condition. which
may exaggerate pain intensity and disability.
키워드
Low back pain; Sleep disturbance; Fatigue; Pain intensity; Disability; Spine;
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