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Objective: Disc herniation affects a person in all aspects of life, physically, mentally and socially. In performing activities of daily living movement is limited; patients are often dependent on the help of others; the thinking and behavior of the patient are changing. At least one year Original Article 44 Clinical Social Work and Health Intervention Clinical Social Work and Health Intervention Vol. 8 No. 3 2017 Introduction In the last two decades, the concept of the quality of life is thought to apply more to the individual, not so much on economic or social conditions. It has become the major research of the quality of life associated with healthy subjects (HRQOL = Health-Related-Quality of Life) (Chisholm, Healey, Knapp 1997; Draper, J 2005). Health Related Quality of Life – HRQOL thus the quality of life that is affected by health involves subjective perception of health for an individual, but also the perception of vital functions in health including physical and emotional spheres (Lebow et al. 2012). WHO defines health as a state of complete physical, mental emotional and social well-being, not just the absence of disease. This definition implies that the measurement of health status and effects of the provision of healthcare must include not only the severity of the disease, but also an estimate of well-being. And, it is an estimate of well-being as it relates to an assessment of measuring actual quality of life. According to the WHO, this quality is considered to be a situation that is perceived individually by a certain culture; the system of value in relation to expectations; interests; evaluation after intervertebral discs surgery the overall assessment of the perception of quality of life should be change. Design: We sought to ascertain the perception of quality in daily activities of life in areas of bio psycho social needs after disc herniation surgery. Results: For diagnostic purposes evaluating the quality of life of patients after disc herniation surgery we used the questionnaire SF 36 (36-Item Heath Survey Short Form 36 Health Subject Questionnaire). Respondents were patients after disc herniation surgery n = 86 from neurosurgery clinics in Slovakia, n = 86. Conclusions: We can state that for patients after disc herniation surgery quality of life only slightly improved: with restricted movement in the damaged area; problems with lifting heavy objects; persistent back pain. Our study of n = 86 respondents showed that: In our study n = 86 respondents showed that 84% of respondents stated that despite successful disc herniation surgery their normal daily activities are causing problems. 95% report that they still experience difficulties in carrying out daily activities and 33% of patients still suffer from severe pain preventing them from doing normal activities. We found that 68% of respondents indicate that their normal daily activities cause problems because of their lingering emotional conditions, including anxiety, fear, depression and other conditions. Negative feelings such as anxiety, depression, sadness, exhaustion, fatigue was confirmed by 52% of patients. Although nearly half, 48% do experience a positive emotional condition. Conversations with respondents reveal that the social support and social contacts after spinal surgery are still rated relatively restrictive in intensity and frequency. The most effective social support respondents receive is from their families who often insure that rehabilitation and other services continue to be available. 45 Original Articles Clinical Social Work and Health Intervention Vol. 8 No. 3 2017 criteria. Also, it is influenced by individual mental health; social relationships; physical health; degree of independence (Dzuka,2004). Gurkova, 2011 defines this is primarily a subjective feeling of well-being that include physical, mental, emotional, social and spiritual dimension: Degeneration of intervertebral discs is associated with a sedentary work, total physical activity, turning, lifting, stretching, vibration while driving, improper posture and bad formula at work. So poor work factors increase the burden and stress that is placed on the back (Hakkinen et al., 2005 Kagaya et.al 2005 Heider et.al. 2007). Information on working conditions report that 30% of employed workers in Europe suffer from back pain which belongs at the top of the list of work-related disabilities. Other studies report increases in a variety of injuries including back injuries related to manual work and lifting heavy loads. Trouble-free life with no restrictions are causing sudden instant discomfort and the feeling of strong pain. It starts the cycle of neurology; neurosurgery; rehabilitation; examinations; difficulties in walking; dependency on others. Frustration occurs with chaos in the head, fear, anxiety, restrictions in daily activities of living. Design: For diagnosis mapping of quality of life after disc herniation surgery we used questionnaire SF 36 Short Form 36 Health Subject Questionnaire (SF-36) by Ware and Sherbourne (1992). Results: In research participation n = 86 respondents (38% women and 62% men). The age limit of the respondents ranged from 18 to 61 and above. The largest sample consisted of respondents aged 31-50 years which was 64%. The research sample consisted of patients at least one year after surgery on intervertebral discs in the neurosurgery clinic of a Hospital in Slovakia. Methods For diagnosis mapping quality of life after surgery of disc herniation we used questionnaire SF 36 (Short Form 36 Health Subject Questionnaire) questionnaire Short Form 36 (SF-36) Ware and Sherbourne (1992. The questionnaire contains 36 questions focused on the last four weeks, divided into 8 dimensions. For each dimension there can be a T score between 0-100, which expresses the degree of health and the affect on normal patient activities, where zero corresponds to a lower health status and 100 to the best health status. Dimensions are: objective physical functions (PF), social functions (SF), limitations in physical roles (RP), the limitations in emotional roles (RE), managing emotions and subjective well-being (MH), vitality (VT), pain (BP), subjective assessment of the health (GH), perceived health change (CH). In addition to basic dimensions questionnaire allows the evaluation of summary dimensions: perceived physical health (SPH), perceived mental health (SMH), perceived health status (PHS). We used the Chisquare test for the comparison of qualitative variables finding the frequency of occurrence.

Perception of Quality of Life at Patients after Surgery of Disc Herniation (Original research paper)