Comparison of Postoperative and Preoperative Pain Levels in Patients Undergoing Spine Surgery
- VernacularTitle:Нурууны хагалгаанд орсон эмчлүүлэгчдийн өвдөлтийн түвшинг хагалгааны өмнөх өвдөлттэй харьцуулан судалсан дүн
- Author:
Baasanjargal N
1
;
2
;
Davaakhuu B
1
Author Information
1. Department of Adult Nursing, School of Nursing, MNUMS
2. The First Central Hospital of Mongolia
- Publication Type:Journal Article
- Keywords:
Pain;
Pre-operative;
Post-operative;
Patient
- From:
Mongolian Journal of Health Sciences
2026;91(1):97-101
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:According to the World Health Organization (2021), low back pain (LBP) affected approximately 619 million people worldwide in 2020, and the number of cases is projected to increase to 843 million by 2050, mainly due to population growth and aging. A study conducted in the Neurosurgery Department of the National Trauma and Orthopedic Research Center reported that over the past five years, the number of surgeries performed due to spinal disorders, particularly intervertebral disc herniation causing compression of the spinal cord and nerve roots has increased four to fivefold. Furthermore, this condition accounts for the majority of patients seeking treatment abroad. According to the 2023 statistical report of the State Central Hospital, a total of 477 surgeries were performed in the Neurosurgery Department. However, there are relatively few studies that have compared and evaluated pain levels before and after spinal surgery among patients. Therefore, this study was conducted to address this research gap.
Aim:To compare and examine the intensity of back pain before and after surgery among patients who have undergone spinal surgery.
Materials and Methods:This study employed a cross-sectional design using a quantitative research approach. A total of 123 patients who underwent spinal surgery at the Neurological Clinical Center of the State Central Hospital were randomly selected and included in the study. Pain intensity in patients undergoing spinal surgery was assessed using the Visual Analogue Scale (VAS) developed by Hayes and Patterson et al. A linear pain intensity assessment method was applied, and the study utilized a questionnaire consisting of 13 sociodemographic items.
Result:All participants (100%) reported pain prior to surgery. Assessment of pain intensity showed that 1.6% (n=2) had mild pain, 52.8% (n=65) had moderate pain, and 45.5% (n=56) had severe pain. On the third postoperative day, pain assessment indicated improvement, with 51.2% (n=63) reporting no pain and 48.8% (n=60) reporting mild pain. The mean pain intensity score decreased from 4.63±0.53 before surgery to 1.48±0.50 after surgery (p = 0.009). Analysis of factors affecting postoperative pain revealed a significant association with the type of surgical procedure performed (p<0.03).
Conclusion:Comparison of pain intensity before surgery and on the third postoperative day among patients who underwent spinal surgery demonstrated significant improvement. Preoperative pain intensity varied according to the surgical indication, while postoperative pain was significantly associated with the type of surgical procedure and body mass index (BMI).
- Full text:202609251745151046516_Нурууны_хагалгаанд_орсон_эмчлүүлэгчдийн_өвдөлтийн_түвшинг_ха.pdf
