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使用慢性疼痛应对量表评估老年人的疼痛应对策略。

Use of the chronic pain coping inventory to assess older adults' pain coping strategies.

作者信息

Ersek Mary, Turner Judith A, Kemp Carol A

机构信息

Pain and Palliative Care Research Department, Swedish Medical Center, Seattle, Washington, USA.

出版信息

J Pain. 2006 Nov;7(11):833-42. doi: 10.1016/j.jpain.2006.04.002.

Abstract

UNLABELLED

Little is known about the strategies that older adults use to cope with persistent pain. The purpose of this study was to describe strategies used by older, retirement community-dwelling adults to cope with persistent, noncancer pain, as assessed by the Chronic Pain Coping Inventory (CPCI), to examine the associations of these strategies with disability and depression, and to compare the 65-item and 42-item versions of the CPCI in this population. Two hundred fifty residents of 43 retirement communities in the Pacific Northwest completed baseline measures for a randomized controlled trial of a pain self-management intervention, including the CPCI and measures of demographics, comorbidity, pain-related disability, and depression. The most frequently reported strategies, as assessed by the CPCI, were Task Persistence, Pacing, and Coping Self-Statements. The least frequently used strategies were Asking for Assistance and Relaxation. Regression analyses demonstrated that coping strategies explained 26%, 19%, and 18% additional variance in physical disability, depression, and pain-related interference, respectively, after controlling for age, gender, comorbidity, and pain intensity. Internal consistency for most CPCI-65 and CPCI-42 subscales was adequate. This study clarifies strategies used by older adults to cope with persistent pain and provides preliminary validation of the CPCI in this population.

PERSPECTIVE

Findings from this study on pain coping strategies in older adults might suggest potentially useful coping strategies clinicians could explore with individual patients. Investigators can use study findings to design trials of interventions to help older adults cope more effectively with pain.

摘要

未标注

关于老年人应对持续性疼痛所采用的策略,我们知之甚少。本研究的目的是描述居住在退休社区的老年人用于应对持续性非癌性疼痛的策略(通过慢性疼痛应对量表(CPCI)进行评估),检验这些策略与残疾和抑郁之间的关联,并比较该人群中CPCI的65项版本和42项版本。太平洋西北地区43个退休社区的250名居民完成了一项疼痛自我管理干预随机对照试验的基线测量,包括CPCI以及人口统计学、合并症、疼痛相关残疾和抑郁的测量。根据CPCI评估,最常报告的策略是任务坚持、节奏调整和应对自我陈述。最不常用的策略是寻求帮助和放松。回归分析表明,在控制了年龄、性别、合并症和疼痛强度后,应对策略分别解释了身体残疾、抑郁和疼痛相关干扰中另外26%、19%和18%的方差。大多数CPCI - 65和CPCI - 42子量表的内部一致性良好。本研究阐明了老年人用于应对持续性疼痛的策略,并为该人群中的CPCI提供了初步验证。

观点

这项关于老年人疼痛应对策略的研究结果可能提示临床医生可与个体患者探讨的潜在有用的应对策略。研究人员可利用研究结果设计干预试验,以帮助老年人更有效地应对疼痛。

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