ArticleHeliyon2025
Surgical interventions for degenerative cervical disease: Impact on patient quality of life, mental health, pain relief, and spiritual health.
Article in Heliyon, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
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.
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