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Predictors of health-related quality of life and disability in patients with chronic nonspecific low back pain
Zalika Klemenc-Ketiš, 2011, izvirni znanstveni članek

Opis: Background: The quality of life in patients with chronic low-back pain is lower in comparison with that in general population. This seriously affects the functional ability and working status of young and adult population. The aim of this study was to determine the level of disability and the health-related quality of life in patients with chronic non-specific low back pain. Methods: We performed a cross-sectional study in 187 patients (45.5 % of men, mean age 50.1 years) with chronic non-specific low back pain attending physical therapy program. We used Visual Analog Pain Scale (VAS), Euroqol questionnaire (EQq), and Oswestry Disability Index (ODI). Results: Mean ODI score SD was 14.6 9.0. Mean score of EQ-5D was 3.6 1.6 points and of EQ-VAS 55.4 18.3 points. Mean score on VAS was 6.0 2.1 points. An independent factor associated with lower quality of life on EQ-VAS was higher level of chronic pain. Independent factors associated with a lower quality of life on EQ-5D were the presence of anxiety and depression, higher level of chronic pain, and the presence of chronic disease. Independent factors associated with greater disability measured on ODI were the presence of signs of anxiety and depression, higher level of chronic pain, and the presence of any chronic disease. Conclusions: Chronic low back pain can be the cause of greater disability and lower quality of life, especially in patients with somatic and mental co-morbidities, in female patients and in patients with higher levels of chronic pain. Doctors should focus on active search for signs of depression and anxiety and better pain management in patients with chronic low back pain, especially if somatic co-morbidities exist.
Ključne besede: quality of life, disability evaluation, low back pain, pain measurement
Objavljeno: 28.03.2017; Ogledov: 759; Prenosov: 36
.pdf Celotno besedilo (423,26 KB)
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4.
Disability in patients with chronic non-specific low back pain
Zalika Klemenc-Ketiš, 2011, izvirni znanstveni članek

Opis: Aim: To validate the Slovene version of the Oswestry Disability Index. Method: A case series study of 129 adult patients with non-specific chronic low back pain attending a 10-day physical therapy programme. Visual Analog Pain Scale (VAS), Euroqol questionnaire (EQq), and Oswestry Disability Index (ODI) were used at the beginning and at the end of the physical therapy programme. Results: Cronbach's a of the Slovene ODI was 0.876 at the beginning of the physical therapy programme and 0.901 at the end of the programme. All items of the questionnaire loaded on the same factor. A significant positive correlation existed between the Slovene ODI and VAS, EQ-5D and EQ-VAS at the beginning of the physical therapy programme (r=0.630, p<0.001; r=0.657, p<0.001; r=-0.510, p<0.001, respectively), as well as at the end of the programme (r=0.491, p<0.001; r=0.725, p<0.001; r=-0.648, p<0.001, respectively). The difference between ODI scores obtained at the first and at the second interview was 2.7 ± 5.2 (p<0.001), and the difference between ODI disability scores was 5.4 ± 10.5 (p<0.001). The effect size of the Slovene ODI questionnaire was 0.30. Conclusions: The Slovene ODI questionnaire is a reliable and valid instrument for assessing outcomes of physical therapy in patients with chronic non-specific low back pain.
Ključne besede: disability evaluation, low back pain, physical therapy, validation studies, questionnaire
Objavljeno: 05.04.2017; Ogledov: 775; Prenosov: 120
.pdf Celotno besedilo (152,66 KB)
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Psychosocial factors in the development of low back pain among professional drivers
Friderika Kresal, Tine Bertoncel, Maja Meško, 2017, izvirni znanstveni članek

Opis: Background and purpose: Professional drivers as a group are exposed to high risk of developing low back pain due to ergonomic factors and work conditions. The purpose of the study was to examine to what extent the low back pain occurs among Slovene professional drivers as a result of the development of various psychosocial factors. Methodology: The study involved 275 respondents (professional bus drivers, car/van drivers, international truck/ lorry drivers, and ambulance car drivers). Hypotheses were tested using multivariate statistical method (regression analysis) and analysis of variance. Data were collected by structured questionnaire comprised of three parts: socio-demographic data, basic psychosocial factors causing low back pain, and incidence, duration and severity of low back pain as a result of psychosocial risk factors, was implemented. Results: The results of quantitative survey suggest that low back pain is mostly caused by lifting and carrying heavy loads, inadequate working conditions, poor physical fitness, regular nights out, shift work, and stress. Only the impact of gender on low back pain distress among professional drivers was confirmed, predominantly among bus drivers and lorry drivers on international routes. Low back pain occurrence was less common, albeit not statistically significant, among professional drivers of vans and passenger cars. Conclusion: Our study suggests that psychosocial factors are also important cause for the development of low back pain among professional drivers and can limit the quality of their social and professional lives.
Ključne besede: low back pain, psychosocial factors, professional drivers, prevention, Slovenia
Objavljeno: 18.01.2018; Ogledov: 342; Prenosov: 175
.pdf Celotno besedilo (629,96 KB)
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