Vallerand April Hazard, Fouladbakhsh Judith, Templin Thomas
Department of Adult Health, Wayne State University College of Nursing, Detroit, MI 48202, USA.
Appl Nurs Res. 2005 May;18(2):90-6. doi: 10.1016/j.apnr.2004.07.003.
Pain is a common problem that affects the functional status and quality of life of people in all communities. This study explored the occurrence of pain and the pain self-treatment modalities used by 723 community residents. Mean worst pain scores were moderate to severe and interfered with all activities at a low-to-moderate level. Participants reported taking nonopioid analgesics (75%), opioid analgesics (15%), adjuvant analgesics (11.6%), and herbal products and supplements (29%); 68% used nonpharmacological modalities. Current regimens were reported to relieve only 45% of pain. Twenty-eight percent of participants reported that they had not informed their primary care practitioner of their self-treatment choices. Knowledge of self-treatment choices is imperative in planning treatment regimens for pain or other health problems to prevent potential interactions or side effects.
疼痛是一个普遍问题,影响着所有社区人群的功能状态和生活质量。本研究探讨了723名社区居民的疼痛发生情况以及他们所采用的疼痛自我治疗方式。平均最严重疼痛评分处于中度至重度,对各项活动有低至中度的干扰。参与者报告称服用非阿片类镇痛药的比例为75%,阿片类镇痛药为15%,辅助镇痛药为11.6%,草药产品和补充剂为29%;68%的人使用非药物治疗方式。据报告,当前治疗方案仅能缓解45%的疼痛。28%的参与者表示他们未将自己的自我治疗选择告知其初级保健医生。在规划疼痛或其他健康问题的治疗方案时,了解自我治疗选择对于预防潜在的相互作用或副作用至关重要。