VA Connecticut Healthcare System & Yale University School of Medicine, West Haven, CT 06516, USA.
J Health Psychol. 2010 Jan;15(1):131-7. doi: 10.1177/1359105309345554.
Sickle cell disease is characterized by acute pain crises. Pain, chronic medical problems, utilization and coping were compared in younger vs older patients using questionnaires and medical record review. Groups reported similar pain intensity and medical conditions. The pattern of utilization differed such that older patients attended outpatient clinic, and younger patients went to the Emergency Department. Younger patients were more likely to cope by ignoring pain, or by using heat, cold or massage. Older patients were more likely to pray and hope. We conclude that age plays an important role in the utilization and coping of sickle cell patients.
镰状细胞病的特征是急性疼痛危象。本研究通过问卷调查和病历回顾，比较了年轻患者和老年患者的疼痛、慢性医疗问题、利用情况和应对方式。两组患者报告的疼痛强度和医疗状况相似。但利用情况存在差异，老年患者倾向于去门诊就诊，而年轻患者则倾向于去急诊。年轻患者更倾向于忽视疼痛或使用热、冷或按摩来应对，而老年患者则更倾向于祈祷和希望。我们得出结论，年龄在镰状细胞病患者的利用和应对方式中起着重要作用。
