Introduction. Osteoarthritis of the musculoskeletal system is accompanied with chronic pain which is the main factor in mood lowering, causing anxiety. Rehabilitation conducted in the framework of spa therapy and outpatient care aims at eliminating or reducing pain and improving physical fitness. Pain relief is an expected phenomenon because it improves the quality of life. Aim of the study. The aim of the study was to evaluate the effect of rehabilitation in the spa and in outpatient clinic on the level of pain and anxiety in patients with degenerative joints and disc disease. Material and methods. The study included a comprehensive treatment conducted in the spa and in outpatient clinic. Observation included 120 persons with disorders of the musculoskeletal system treated in the spa Przerzeczyn-Zdrój. The second group of patients was treated in the rehabilitation clinic. The examinations were performed before and after treatment. The scope of the observations included self-evaluation of anxiety treated as a state and a trait, the level of intensity of pain, medical history, and sociodemographic background interview. In the observations, there were VAS scale and State Trait Anxiety Inventory STAI used. Result. As a result of the spa therapy and therapy performed in an outpatient clinic, there was an improvement in lowering the level of pain and anxiety noted. Conclusions. 1. Spa therapy and treatment performed in an outpatient clinic reduce the level of pain and anxiety in patients with degenerative disease of the musculoskeletal system. 2. It was found that the therapy conducted in the spa was more effective in lowering the level of pain and anxiety. This trial is registered with NCT03405350.

中文翻译：

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评估四肢骨关节炎患者的疼痛强度和焦虑状态（状态和特质）

引言。肌肉骨骼系统的骨关节炎伴有慢性疼痛，这是情绪降低的主要因素，引起焦虑。在水疗治疗和门诊护理的框架内进行的康复旨在消除或减轻疼痛并改善体质。缓解疼痛是一种预期现象，因为它可以改善生活质量。研究的目的。该研究的目的是评估水疗中心和门诊诊所的康复对退行性关节和椎间盘疾病患者疼痛和焦虑水平的影响。材料与方法。该研究包括在水疗中心和门诊进行的综合治疗。观察对象包括120名在Przerzeczyn-Zdrój温泉浴场治疗过的肌肉骨骼系统疾病的人。第二组患者在康复诊所接受治疗。在治疗之前和之后进行检查。观察范围包括作为状态和特质的焦虑自我评估，疼痛程度，病史和社会人口统计学背景访谈。在观察中，使用了VAS量表和状态特质焦虑量表STAI。结果。通过水疗疗法和在门诊诊所进行的疗法，减轻了所指出的疼痛和焦虑的程度得到了改善。结论。1.在门诊诊所进行的水疗疗法和治疗可减少患有肌肉骨骼系统退行性疾病的患者的疼痛和焦虑程度。2.发现在水疗中心进行的疗法在减轻疼痛和焦虑方面更有效。该试用版已在NCT03405350中注册。