• Pain Manag Nurs · Jun 2023

    Influence of Pain Self-Efficacy and Gender on Disability in Postoperative Cervical Myelopathy.

    • Yu Kondo, Daisuke Higuchi, Takahiro Miki, Yuta Watanabe, and Tsuneo Takebayashi.
    • Department of Rehabilitation, Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan. Electronic address: y.kondo.reha@gmail.com.
    • Pain Manag Nurs. 2023 Jun 1; 24 (3): 335341335-341.

    BackgroundPain self-efficacy and gender may influence disability in patients with musculoskeletal disorders. The direct and interactive influence of pain self-efficacy and gender on postoperative disability with degenerative cervical myelopathy (DCM) is unclear.AimThis study aimed to determine the effects of age, pain, and pain self-efficacy on disability postoperatively in patients with DCM, and explore whether these effects differ by gender.MethodA total of 180 participants who underwent DCM surgery were consecutively recruited. The following were evaluated: (1) demographic/descriptive data (age, gender, diagnosis, surgery date, procedure); (2) numerical rating scale pain and dysesthesia intensity; (3) Neck Disability Index; and (4) Pain Self-Efficacy Questionnaire. Hierarchical multiple regression analysis and simple slope analysis determined the effect of patients' biologic and psychosocial factors, and their interaction in terms of disability.ResultsThe responses of 82 participants were analyzed. The hierarchical multiple regression final model analysis determined 57.1% participant disability variance; gender (B = 3.388; p < .01); pain (B = 3.574; p < .01); pain self-efficacy (B = -0.229; p < .01); age and gender (B = -0.201; p < .05); pain and gender (B = -3.749; p < .01); pain self-efficacy and gender (B = -0.304; p < .01) were significantly associated with disability. Simple slope test indicated that women showed weaker pain associations and stronger age and pain self-efficacy associations with disability than men.ConclusionsPain self-efficacy improvement should be focused on after surgery in patients with DCM, especially women.Copyright © 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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