痴呆对居家老年人日常疼痛感知的影响：一项基于人群的研究。
Effects of dementia on perceived daily pain in home-dwelling elderly people: a population-based study.
作者信息
Mäntyselkä Pekka, Hartikainen Sirpa, Louhivuori-Laako Kirsti, Sulkava Raimo
机构信息
Department of Public Health and General Practice, University of Kuopio, Unit of General Practice, Kupio University Hospital, Kuopio, Finland.
出版信息
Age Ageing. 2004 Sep;33(5):496-9. doi: 10.1093/ageing/afh165. Epub 2004 Jul 22.
BACKGROUND
Pain is a significant problem in the elderly, but the impact of dementia on perceived pain has not been studied in population-based study settings.
OBJECTIVES
To analyse the prevalence of daily pain and analgesic use among home-dwelling older people with and without dementia.
DESIGN
A cross-sectional population-based survey.
SETTING
Population of Kuopio city, Finland.
SUBJECTS
523 home-dwelling subjects aged 75 years and older.
METHODS
Structured clinical examination and interview.
RESULTS
Prevalence rates for any pain, any daily pain, pain every day interfering with routine activities, and daily pain at rest were significantly lower in those subjects with dementia (43%, 23%, 19% and 4%, respectively) compared to those subjects without dementia (69%, 40%, 36% and 13%, respectively). The subjects with dementia were less likely to use analgesics (33%) than the non-demented (47%).
CONCLUSION
Dementia was related to a lower prevalence of reported pain and analgesic use among home-dwelling elderly people.
背景
疼痛是老年人面临的一个重要问题，但在基于人群的研究环境中，痴呆症对疼痛感知的影响尚未得到研究。
目的
分析有无痴呆症的居家老年人日常疼痛和使用镇痛药的患病率。
设计
一项基于人群的横断面调查。
地点
芬兰库奥皮奥市的人群。
研究对象
523名75岁及以上的居家受试者。
方法
结构化临床检查和访谈。
结果
与无痴呆症的受试者（分别为69%、40%、36%和13%）相比，痴呆症患者中任何疼痛、任何日常疼痛、每天干扰日常活动的疼痛以及静息时的日常疼痛的患病率显著较低（分别为43%、23%、19%和4%）。与非痴呆症患者（47%）相比，痴呆症患者使用镇痛药的可能性较小（33%）。
结论
痴呆症与居家老年人报告的疼痛和镇痛药使用患病率较低有关。
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