Patient motivation and its influencing factors of posterior lumber interbody fusion surgery

Abstract

Objective To understand patient motivation and its influencing factors prior to posterior lumber interbody fusion surgery. Methods Using convenient sampling method, a total of 200 patients who will undergo posterior lumber interbody fusion surgery due to degenerative disc disease were selected from 3 ClassⅢ Grade A hospitals in Suzhou. General Condition Questionnaire, the Chinese version of Patient Activation Measure (PAM) , Hospital Anxiety and Depression Scale were used in the survey. Univariate analysis and multiple linear regression analysis were used to explore the influencing factors of patient motivation. The correlation between patient activation and anxiety and depression were analyzed by Spearman rank correlation. Results The median and interquartile range of PAM is 48.90 and 10.30. The univariate analysis showed that patient motivation was significantly influenced by patient gender, age, education, marital status, employment status, per-capita income, chronical disease, anxiety and depression (χ2/Z=-3.433, 29.882, 56.322, 8.852, -2.785, 54.092, -3.714, 13.031, 16.712; P<0.05) . Multiple linear regression analysis showed that marital status, education, depression, income, age were the main influencing factors (R2=0.396, P<0.05) . Conclusions Patient motivation needs to be further improved. Intervention strategies can be designed to motivate patients and improve post-operative outcomes. Key words: Questionnaires; Lumbar spinal fusion; Patient motivation; Influencing factors