Jakobsson Ulf, Hallberg Ingalill Rahm, Westergren Albert
Department of Nursing, Faculty of Medicine, Lund University, Lund, Sweden.
J Clin Nurs. 2007 Mar;16(3A):95-104. doi: 10.1111/j.1365-2702.2006.01584.x.
The aim of the study was to investigate the quality of life and related factors among older people who are in pain and in need of help to manage daily living.
To intervene against the low quality of life in nursing care knowledge about factors affecting it is needed and this is especially important for vulnerable people such as those who suffer from pain and who are in need of help to manage daily living.
Five hundred and twenty-six people, aged 75-102 years participated in this study.
Those in pain reported a significantly higher degree of all complaints and lower quality of life in all measures compared with those not in pain. Overall quality of life was associated with mobility problems, sleeping problems and depressed mood, while health-related quality of life was associated with living in special accommodations, walking problems, mobility problems and fatigue.
Those in need of help to manage daily living and in pain seem to be at higher risk of lowered quality of life than those not in pain and the lower quality of life among those in pain is probably caused by the complex of complaints rather than pain per se.
Daily nursing care should identify and treat the complex of complaints related to pain as well as pain itself, to improve everyday life and quality of life for older people in pain.
本研究旨在调查处于疼痛中且需要帮助以管理日常生活的老年人的生活质量及相关因素。
为了干预护理中生活质量低下的情况，需要了解影响生活质量的因素，这对于诸如遭受疼痛且需要帮助以管理日常生活的弱势群体尤为重要。
526名年龄在75至102岁之间的人参与了本研究。
与无疼痛者相比，疼痛者在所有抱怨方面的程度显著更高，且在所有测量指标中生活质量更低。总体生活质量与行动问题、睡眠问题和情绪低落相关，而与健康相关的生活质量与居住在特殊住所、行走问题、行动问题和疲劳相关。
需要帮助以管理日常生活且处于疼痛中的人似乎比无疼痛者面临更高的生活质量降低风险，疼痛者生活质量较低可能是由一系列抱怨而非疼痛本身所致。
日常护理应识别并治疗与疼痛相关的一系列抱怨以及疼痛本身，以改善疼痛老年人的日常生活和生活质量。
