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Patienters skattning av hindrande smärta och self-efficacy före och efter diskbråcksoperation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
2010 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Patients’ estimation of obstructive pain and self-efficacy before and after herniated disc surgery (English)
Abstract [en]

Objectives: The purpose of the study was to examine if a pre- and post-operative difference could be seen in self-reported pain disability and self-efficacy among patients undergoing surgery as treatment for spinal disc herniation in order to improve process of rehabilitation.

Method: A quantitative and descriptive design was used. 10 patients awaiting surgical treatment for spinal disc herniation were included at Akademiska sjukhuset (The Academic Hospital) in Uppsala. Participation was voluntary and the selection was made by convenience. Data was collected using The Pain Disability Index and Self-Efficacy Scale by which the patient would estimate how hindered they felt because of their pain in everyday activities and their self-efficacy to perform everyday activities. This was done the day before surgery and two weeks after surgery. The data was analyzed with Wilcoxon’s signed rank test and statistical significance was set to p<0,05.

Results: The majority of patients reported an improvement after herniated disc surgery regarding PDI and self-efficacy. Statistically significant differences were established regarding both PDI (p=0,012) and Self-Efficacy Scale (p=0,009) in patients (n=10) before and after herniated disc-surgery.

Conclusion: The study showed that the majority of the patients reported an improvement in both PDI and Self-Efficacy Scale after surgery. However, no conclusion could be made through this study due to the low number of participants (n=10).

Abstract [sv]

Syfte: Syftet med studien var att undersöka om skillnad förelåg i diskbråcksopererade patienters skattning av hindrande smärta i vardagen och self-efficacy pre- och postoperativt för att bidra till en förbättrad rehabiliteringsprocess.

Metod: Metoden som användes hade en kvantitativ och deskriptiv design. 10 patienter med planerad diskbråcksoperation inkluderades på Akademiska sjukhuset i Uppsala. Deltagandet var frivilligt och urvalet skedde genom bekvämlighetsurval. Patienterna skattade hur hindrande smärtan var i vardagliga aktiviteter och hur stor tilltron till egen förmåga var genom instrumenten Pain Disability Index (PDI) och Self-Efficacy Scale dagen innan operation och två veckor postoperativt efter diskbråcksoperation. Data analyserades med Wilcoxons teckenrangtest med signifikansnivå satt till p<0,05.

Resultat: Studien visade att majoriteten av patienterna upplevde en förbättring avseende PDI och Self-Efficacy efter diskbråcksoperation. Statistiskt signifikant skillnad förelåg gällande pre- och postoperativ skattning av både PDI (p=0,012) och Self-Efficacy Scale (p=0,009) hos patienterna (n=10).

Konklusion: Studien visade att majoriteten av patienterna postoperativt skattade en förbättring både med PDI och Self-Efficacy Scale. Resultaten får betraktas som preliminära på grund av det låga deltagarantalet samt att 2 veckor postoperativt är alltför kort tid efter det kirurgiska ingreppet.

Place, publisher, year, edition, pages
2010. , p. 20
Keywords [en]
pain, disability, self-efficacy, disc, hernia, surgery
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-143564OAI: oai:DiVA.org:uu-143564DiVA, id: diva2:391732
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-02-09 Created: 2011-01-21 Last updated: 2011-02-09Bibliographically approved

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