Hassanijirdehi Marzieh, Khak Mohammad, Afshari-Mirak Sohrab, Holakouie-Naieni Kourosh, Saadat Soheil, Taheri Taher, Rahimi-Movaghar Vafa
Tehran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, School of Public Health, Tehran, Iran.
Korean J Pain. 2015 Apr;28(2):129-36. doi: 10.3344/kjp.2015.28.2.129. Epub 2015 Apr 1.
Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community.
In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients' pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients' QoL.
The mean age of the participants was 45.91 ± 6.69 with mean injury time of 25.54 ± 5.91. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder.
Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient's daily living more than cervical pain.
疼痛是脊髓损伤（SCI）最重要的后果之一。它可能会影响生活的多个方面，尤其是生活质量（QoL）。因此，本研究旨在了解我们社区中脊髓损伤患者的疼痛及其相关因素和影响。
在一项横断面研究中，58名患有脊髓损伤的男性退伍军人被纳入我们中心进行定期随访。使用自我报告问卷收集人口统计学和与脊髓损伤相关的描述性信息。为了评估患者的疼痛性质以及疼痛对日常生活的影响，发放了一份包含腰椎、颈椎和肩部疼痛三个部分的问卷。还使用了欧洲生活质量问卷和一般健康问卷（GHQ）12来评估患者的生活质量。
参与者的平均年龄为45.91±6.69岁，平均受伤时间为25.54±5.91年。44名患者（75.9%）报告有疼痛，包括腰痛（63%）、颈痛（39%）和肩痛（51%）。疼痛的存在与较低的生活质量相关。腰痛患者报告大量疼痛影响他们的日常生活，并且在GHQ得分较低或患有焦虑/抑郁障碍的患者中这种影响更高。
肌肉骨骼疼痛是脊髓损伤退伍军人的常见主诉，并且与功能和总体健康状况呈负相关。腰痛和肩痛对患者日常生活的影响大于颈痛。
