Herrero-Sánchez María Dolores, García-Iñigo María Del Carmen, Nuño-Beato-Redondo Blanca Soledad, Fernández-de-Las-Peñas César, Alburquerque-Sendín Francisco
Cien Saude Colet. 2014 Jun;19(6):1881-8. doi: 10.1590/1413-81232014196.04632013.
The scope of this paper was to study the relationship between pain intensity, health-related quality of life, disability, sleep quality and demographic data in elderly people with total knee arthroplasty (TKA). 24 subjects who had been subjected to TKA the previous month (4 females; 66 ± 9years) and 21 comparable controls (8 male; 70 ± 9years) participated in the study. Intensity of pain, and highest and lowest pain intensity experienced in the preceding week were collected. The Western Ontario and McMaster Universities index function, quality of life (Medical Outcomes Study Short Form 36), and Pittsburgh Sleep Quality Index were assessed. Age, gender, weight, height, body mass index were also collected. Individuals with TKA presented worse physical function (P < 0.01), social role (P = 0.01), physical performance (P < 0.01), pain (P = 0.04), disability (P = 0.04) and sleep quality (P = 0.03) than the controls. Higher intensity of pain was associated with lower physical function, social role, mental health, vitality and general health, and with higher disability and sleep quality. Disability and sleep quality were negatively associated with several quality of life domains. The associations between the intensity of pain, disability, quality of life and sleep reveal the multidimensional experience of TKA.
本文旨在研究全膝关节置换术（TKA）老年患者的疼痛强度、健康相关生活质量、残疾程度、睡眠质量与人口统计学数据之间的关系。24名上个月接受TKA手术的受试者（4名女性；年龄66±9岁）和21名可比对照组（8名男性；年龄70±9岁）参与了研究。收集了疼痛强度以及前一周经历的最高和最低疼痛强度。评估了西安大略和麦克马斯特大学指数功能、生活质量（医学结局研究简表36）和匹兹堡睡眠质量指数。还收集了年龄、性别、体重、身高、体重指数。与对照组相比，TKA患者的身体功能（P<0.01）、社会角色（P=0.01）、身体表现（P<0.01）、疼痛（P=0.04）、残疾程度（P=0.04）和睡眠质量（P=0.03）更差。更高的疼痛强度与更低的身体功能、社会角色、心理健康、活力和总体健康相关，且与更高的残疾程度和睡眠质量相关。残疾程度和睡眠质量与几个生活质量领域呈负相关。疼痛强度、残疾程度、生活质量和睡眠之间的关联揭示了TKA的多维度体验。
