Factors Predicting the Recovery of Physical Function in Patients undergoing Cervical Spine Surgery
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Abstract
This cross-sectional descriptive study aimed to study the effects of pain, anxiety, knowledge about cervical spine surgery, and predictive factors influencing activities in daily living. Multistage random sampling was used to recruit 58 participants. Data collection tools were the questionnaire with the Visual Analog Scale, which was in line with an international standard tool; the State Anxiety Inventory, with the coefficient alpha at .87; the questionnaire on knowledge about cervical spine surgery, with the Content Validity Index (CVI) = .89, KR-20 at .77; and the Barthel Activity of Daily Living Index, with the coefficient alpha at .90. Data were analyzed using descriptive statistics and analytical statistics with multiple regression analysis.
The findings revealed that preoperative neck and arm pain and preoperative anxiety among the sample group were moderate, with a low level of knowledge about cervical spine surgery. Furthermore, the results found that preoperative neck and arm pain and preoperative anxiety could together predict the physical recovery at 22.80% with a statistical significance of R2 = .228, p-value < .05, and postoperative neck and arm pain and postoperative anxiety (before returning home) could together predict the physical recovery at 43.30% with a statistical significance of R2 = .433, p-value < .001.
The recommendation of this study is that the effective reduction of pre-and postoperative pain and anxiety in the period before returning home will enhance the physical recovery of patients who have undergone cervical spine surgery.
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