만성요통 환자에서 마약성 진통제 투약 전·후의 통증, 일상생활 기능장애와 삶의 질의 변화

Abstract

ABSTRACT

Pain, Functional Status and Quality of Life in Patients with Chronic Back Pain Before and After Medication with Narcotic Analgesics

Oh, Ju-Sim Advisor : Prof. Ryu, so Yeon, M.D, Ph.D. Department of Public Health, Graduate School of Health Science, Chosun University

Objectives: This study aimed to identify changes in pain, functional status and quality of life in patients with chronic back pain before and after medication with narcotic analgesics. Methods: The subjects of this study were 140 outpatients who had chronic back pain, and were considered to prescribe the narcotic analgesics from December 10, 2014 to May 6, 2015. After a four-week medication period, this study measured changes in pain, functional disorder and quality of life using VAS, K-ODI and SF-12. For statistical tests in changes before and after medication, a paired t-test was conducted and to compare changes according to the characteristics of the subjects, a t-test and ANOVA were conducted. Results: The mean scores of pain, functional status and quality of life before medication were 7.8±0.8, 70.1±14.4, and 23.9±11.1, respectively. After 4-week medication, the mean scores of pain, functional status and quality of life were 3.4±1.7, 38.0±16.9, and 56.9±16.4, respectively. Changes in the scores for pain, functional disorder and quality of life were statistically significant. Changes in pain, functional disorder and quality of life according to the characteristics of the subjects were not statistically significant. Conclusion: Patients with chronic back pain could have better functional status as the pain was controlled after medication with narcotic analgesics and positive changes were found in the quality of life of the patients. Thus, for effective pain control which can increase the value of life in patients with pain, the use of narcotic analgesics should be considered after active consultation with doctor.

Key words: Chronic back pain, Functional status, Narcotic analgesics, Quality of life