Walker J M, Akinsanya J A, Davis B D, Marcer D
Department of Nursing, Health and Community Studies, Bournemouth Polytechnic, Poole, Dorset, England.
J Adv Nurs. 1990 Oct;15(10):1154-61. doi: 10.1111/j.1365-2648.1990.tb01707.x.
This study is designed to identify factors which influence quality of life for elderly people suffering from painful conditions. It is based upon a theoretical model of control in which mood state is used as the indicator of coping. One hundred and ninety elderly patients took part in semi-structured interviews about their pain and coping experiences, and data were also collected from their nurses in the community. Multivariate statistical analysis revealed that the key determinants of mood were having regrets about the past, being occupied, perceived level of pain control, additional personal problems (notably bereavement) and feeling informed about the painful condition. Active personal coping strategies were identified as more therapeutic than passive strategies. Nurses' data revealed that pain complaints were associated with perceived exaggeration. Few nurses used formal pain assessment. Recommendations for the management of persistent pain in the community are given.
本研究旨在确定影响患有疼痛性疾病的老年人生活质量的因素。它基于一个控制理论模型，其中情绪状态被用作应对的指标。190名老年患者参与了关于他们疼痛和应对经历的半结构化访谈，同时还从社区护士那里收集了数据。多变量统计分析表明，情绪的关键决定因素包括对过去感到遗憾、有事可做、对疼痛控制的感知水平、其他个人问题（尤其是丧亲之痛）以及对疼痛状况的了解程度。积极的个人应对策略被认为比被动策略更具治疗效果。护士提供的数据显示，疼痛投诉与感知到的夸大有关。很少有护士使用正式的疼痛评估方法。文中给出了社区持续性疼痛管理的建议。
