Khan Fary, Pallant Julie
Department of Rehabilitation Medicine, University of Melbourne, Royal Melbourne Hospital, Melbourne, Australia.
J Pain. 2007 Aug;8(8):614-23. doi: 10.1016/j.jpain.2007.03.005. Epub 2007 May 31.
This cross-sectional study describes chronic pain in 94 persons with multiple sclerosis residing in the community. The characteristics of chronic pain, pain-related disability, pain treatments, barriers to health care, and impact on quality of life were examined. Sixty-four percent of participants reported chronic pain; of these, 60% had dysesthetic pain and 70% had episodic increases in pain. The mean numerical pain intensity rating score was moderate (5). Chronic Pain Grade was used to classify severity of pain, using scores for items for pain intensity and pain-related disability. Those in the higher pain grades had more disability and recorded more health care visits (P = .06) (not significant because of small sample size). Effective pain management techniques included analgesic medication and physical measures as reported by 54% and 44% participants, respectively. Participants' perceived barriers to health care included environmental and personal factors. Those with multiple sclerosis and pain, compared with those with no pain, showed a significant difference in the domain of psychological well-being scores (P = .01) on the Assessment of Quality of Life scale. Additionally, the domains of independent living (P = .009) and total scores (P = .04) showed better quality of life in participants with lower pain grades. Improved understanding of chronic pain in this population may facilitate early identification for timely intervention and minimize pain-related disability.
This article describes chronic pain in persons with multiple sclerosis living in the community. The information regarding pain prevalence, pain-related disability, and impact on quality of life provides insight into the complex multidimensional pain experience. Improved understanding of pain and early intervention may contribute to the overall well-being and decrease pain-related disability in this population.
这项横断面研究描述了居住在社区中的94名多发性硬化症患者的慢性疼痛情况。研究考察了慢性疼痛的特征、与疼痛相关的残疾、疼痛治疗、医疗保健障碍以及对生活质量的影响。64%的参与者报告有慢性疼痛；其中，60%有感觉异常性疼痛，70%有疼痛发作性加重。疼痛强度数字评分的平均得分中等（5分）。使用疼痛强度和与疼痛相关的残疾项目得分的慢性疼痛分级来对疼痛严重程度进行分类。疼痛分级较高的患者残疾程度更高，就诊次数更多（P = 0.06）（由于样本量小不显著）。有效的疼痛管理技术包括分别有54%和44%的参与者报告使用的止痛药物和物理措施。参与者认为的医疗保健障碍包括环境和个人因素。在生活质量评估量表上，患有多发性硬化症且有疼痛的患者与无疼痛的患者相比，在心理健康评分领域存在显著差异（P = 0.01）。此外，在独立生活领域（P = 0.009）和总分（P = 0.04）方面，疼痛分级较低的参与者生活质量更好。更好地了解该人群的慢性疼痛可能有助于早期识别以便及时干预，并将与疼痛相关的残疾降至最低。
本文描述了居住在社区中的多发性硬化症患者的慢性疼痛情况。有关疼痛患病率、与疼痛相关的残疾以及对生活质量影响的信息，有助于深入了解复杂的多维度疼痛体验。更好地理解疼痛并进行早期干预，可能有助于该人群的整体健康，并减少与疼痛相关的残疾。
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