Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health
Introduction: Degenerative cervical diseases can severely affect patients' quality of life (QOL), mental health, and physical function. While surgical intervention is a common treatment, its impact on holistic well-being, including spiritual health, has not been thoroughly explored. This study...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S240584402417586X |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841533329459904512 |
|---|---|
| author | Ching-Ya Huang Cheng-Shyuan Rau Jo-Chien Lin Shiun-Yuan Hsu Ching-Hua Hsieh |
| author_facet | Ching-Ya Huang Cheng-Shyuan Rau Jo-Chien Lin Shiun-Yuan Hsu Ching-Hua Hsieh |
| author_sort | Ching-Ya Huang |
| collection | DOAJ |
| description | Introduction: Degenerative cervical diseases can severely affect patients' quality of life (QOL), mental health, and physical function. While surgical intervention is a common treatment, its impact on holistic well-being, including spiritual health, has not been thoroughly explored. This study aimed to evaluate the effects of surgery on QOL, pain-related disability, mental health, and spiritual well-being in patients with degenerative cervical diseases. Methods: This prospective cohort study was conducted with a purposive sampling of thirty-five patients who were diagnosed with degenerative cervical diseases and consented to surgery. The outcomes were assessed using the 36-item Short Form Health Survey Quality of Life Scale (SF-36), Patient Health Questionnaire-9 (PHQ9), Pain Disability Questionnaire (PDQ), and Holistic Well-being Scale (HWS) scales before surgery and six months postoperatively. The study focused on measuring the changes in patients’ physical and mental health, pain disability, and spiritual well-being, using paired sample t-tests. Results: Post-surgery, patients exhibited significant improvements in all domains of the SF-36 scores. Depression scores decreased as indicated by a reduction in PHQ-9 scores (from 18.54 to 15.00, P = 0.001). PDQ scores showed significant reductions in pain-related disability (from 79.00 to 50.26, P < 0.001). However, while there were improvements in emotional vulnerability (HWS score from 4.48 to 4.10, P = 0.020) and in the overall affliction score (from 4.45 to 4.11, P = 0.015), there were no significant changes in body irritability or spiritual disorientation within the affliction domain, nor in any of the items related to equanimity in holistic well-being. Conclusion: Surgical intervention for degenerative cervical diseases significantly improves patients’ QOL, mental health, and pain-related disability, but the impact on spiritual well-being is limited. This suggests that postoperative care should adopt a more holistic approach, integrating mental and spiritual support. Future research should include a more diverse sample, longer follow-up periods, and a combination of subjective and objective measures for a comprehensive assessment of outcomes. |
| format | Article |
| id | doaj-art-b03e9cb7db2e42ce8c2b1c104c49cb2d |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-b03e9cb7db2e42ce8c2b1c104c49cb2d2025-01-17T04:51:37ZengElsevierHeliyon2405-84402025-01-01111e41555Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual healthChing-Ya Huang0Cheng-Shyuan Rau1Jo-Chien Lin2Shiun-Yuan Hsu3Ching-Hua Hsieh4Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301Department of NeuroSurgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301Department of NeuroSurgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301; Corresponding author.Introduction: Degenerative cervical diseases can severely affect patients' quality of life (QOL), mental health, and physical function. While surgical intervention is a common treatment, its impact on holistic well-being, including spiritual health, has not been thoroughly explored. This study aimed to evaluate the effects of surgery on QOL, pain-related disability, mental health, and spiritual well-being in patients with degenerative cervical diseases. Methods: This prospective cohort study was conducted with a purposive sampling of thirty-five patients who were diagnosed with degenerative cervical diseases and consented to surgery. The outcomes were assessed using the 36-item Short Form Health Survey Quality of Life Scale (SF-36), Patient Health Questionnaire-9 (PHQ9), Pain Disability Questionnaire (PDQ), and Holistic Well-being Scale (HWS) scales before surgery and six months postoperatively. The study focused on measuring the changes in patients’ physical and mental health, pain disability, and spiritual well-being, using paired sample t-tests. Results: Post-surgery, patients exhibited significant improvements in all domains of the SF-36 scores. Depression scores decreased as indicated by a reduction in PHQ-9 scores (from 18.54 to 15.00, P = 0.001). PDQ scores showed significant reductions in pain-related disability (from 79.00 to 50.26, P < 0.001). However, while there were improvements in emotional vulnerability (HWS score from 4.48 to 4.10, P = 0.020) and in the overall affliction score (from 4.45 to 4.11, P = 0.015), there were no significant changes in body irritability or spiritual disorientation within the affliction domain, nor in any of the items related to equanimity in holistic well-being. Conclusion: Surgical intervention for degenerative cervical diseases significantly improves patients’ QOL, mental health, and pain-related disability, but the impact on spiritual well-being is limited. This suggests that postoperative care should adopt a more holistic approach, integrating mental and spiritual support. Future research should include a more diverse sample, longer follow-up periods, and a combination of subjective and objective measures for a comprehensive assessment of outcomes.http://www.sciencedirect.com/science/article/pii/S240584402417586XDegenerative cervical diseaseSurgeryQuality of life (QOL)Mental healthPain reliefSpiritual health |
| spellingShingle | Ching-Ya Huang Cheng-Shyuan Rau Jo-Chien Lin Shiun-Yuan Hsu Ching-Hua Hsieh Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health Heliyon Degenerative cervical disease Surgery Quality of life (QOL) Mental health Pain relief Spiritual health |
| title | Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health |
| title_full | Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health |
| title_fullStr | Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health |
| title_full_unstemmed | Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health |
| title_short | Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health |
| title_sort | surgical interventions for degenerative cervical disease impact on patient quality of life mental health pain relief and spiritual health |
| topic | Degenerative cervical disease Surgery Quality of life (QOL) Mental health Pain relief Spiritual health |
| url | http://www.sciencedirect.com/science/article/pii/S240584402417586X |
| work_keys_str_mv | AT chingyahuang surgicalinterventionsfordegenerativecervicaldiseaseimpactonpatientqualityoflifementalhealthpainreliefandspiritualhealth AT chengshyuanrau surgicalinterventionsfordegenerativecervicaldiseaseimpactonpatientqualityoflifementalhealthpainreliefandspiritualhealth AT jochienlin surgicalinterventionsfordegenerativecervicaldiseaseimpactonpatientqualityoflifementalhealthpainreliefandspiritualhealth AT shiunyuanhsu surgicalinterventionsfordegenerativecervicaldiseaseimpactonpatientqualityoflifementalhealthpainreliefandspiritualhealth AT chinghuahsieh surgicalinterventionsfordegenerativecervicaldiseaseimpactonpatientqualityoflifementalhealthpainreliefandspiritualhealth |