Morrissey Mary Beth, Viola Deborah, Shi Qiuhu
a Global Healthcare Innovation Management Center , Fordham University Graduate School of Business Administration , West Harrison , New York , USA.
J Soc Work End Life Palliat Care. 2014;10(1):8-33. doi: 10.1080/15524256.2013.877861.
Confronting the issue of pain among chronically ill older adults merits serious attention in light of mounting evidence that pain in this population is often undertreated or not treated at all (Institute of Medicine, 2011 ). The relationship between pain and chronic illness among adults age 50 and over was examined in this study through the use of longitudinal data from the University of Michigan Health and Retirement Study, sponsored by the National Institute on Aging and the Social Security Administration. Findings suggested positive associations between pain and chronic disease, pain and multimorbidity, as well as an inverse association between pain and education. Policy implications for workforce development and public health are many, and amplification of palliative social work roles to relieve pain and suffering among seriously ill older adults at all stages of the chronic illness trajectory is needed.
鉴于越来越多的证据表明，慢性病老年患者的疼痛往往治疗不足或根本未得到治疗（医学研究所，2011年），慢性病老年患者的疼痛问题值得认真关注。本研究利用美国国立衰老研究所和社会保障管理局资助的密歇根大学健康与退休研究的纵向数据，对50岁及以上成年人的疼痛与慢性病之间的关系进行了研究。研究结果表明，疼痛与慢性病、疼痛与多重疾病之间存在正相关，而疼痛与教育程度之间存在负相关。对劳动力发展和公共卫生的政策影响众多，需要扩大姑息性社会工作的作用，以减轻慢性病病程各阶段重症老年患者的疼痛和痛苦。
