Barrett Helen, McClelland Joan M, Rutkowski Susan B, Siddall Philip J
Pain Management & Research Centre, University of Sydney, Royal North Shore hospital, St Leonards, NSW, Australia.
Arch Phys Med Rehabil. 2003 Jun;84(6):789-95. doi: 10.1016/s0003-9993(02)04944-4.
To determine characteristics of pain, the relation between pain and mood, the effect of pain on activities, and the perceived difficulty in coping with pain in patients hospitalized for treatment of complications associated with spinal cord injury (SCI).
Cohort survey.
Hospital inpatient unit in Australia.
Consecutive sample of patients (N=88) admitted to a hospital spinal injuries unit with complications after SCI. Two eligible patients declined to participate.
Face-to-face interview with questionnaire.
Pain severity, global self-rated health, mood (Kessler Mood Inventory), and interference with activities (Von Korff disability scale).
Sixty-six (75%) of the 88 subjects experienced pain, with an average time of onset +/- standard deviation of 8.02+/-12.4 years; 27% of those with pain described it as severe or excruciating. Subjects with pain were less likely to rate their global health as excellent or very good when compared with those who did not have pain (22% vs 44%, respectively). Patients with pain had significantly greater levels of psychologic distress than did people with SCI and no pain.
Pain is a common problem in people admitted to hospital with SCI for treatment of other complications. It has a significant impact on activities and is associated with a reduction in global self-rated health and higher levels of psychologic distress.
确定脊髓损伤（SCI）相关并发症住院患者的疼痛特征、疼痛与情绪的关系、疼痛对活动的影响以及应对疼痛时感知到的困难。
队列研究。
澳大利亚的医院住院部。
连续抽样选取入住医院脊髓损伤科且患有SCI后并发症的患者（N = 88）。两名符合条件的患者拒绝参与。
通过问卷调查进行面对面访谈。
疼痛严重程度、总体自评健康状况、情绪（凯斯勒情绪量表）以及对活动的干扰（冯·科夫残疾量表）。
88名受试者中有66名（75%）经历过疼痛，疼痛平均发作时间±标准差为8.02±12.4年；疼痛患者中27%将其描述为重度或极重度。与无疼痛的患者相比，有疼痛的受试者将其总体健康评为优秀或非常好的可能性较小（分别为22%和44%）。有疼痛的患者比无疼痛的SCI患者心理困扰水平显著更高。
因其他并发症入住医院的SCI患者中，疼痛是一个常见问题。它对活动有显著影响，并与总体自评健康状况下降和更高水平的心理困扰相关。
