Chen Yi-Wen, Camp Pat G, Coxson Harvey O, Road Jeremy D, Guenette Jordan A, Hunt Michael A, Reid W Darlene
Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Heart Lung Innovation, University of British Columbia, Vancouver, British Columbia, Canada.
Arch Phys Med Rehabil. 2017 Aug;98(8):1535-1543. doi: 10.1016/j.apmr.2016.10.016. Epub 2016 Nov 17.
To determine comorbidities that cause pain and the potential contributors to pain in individuals with chronic obstructive pulmonary disease (COPD).
Prospective cross-sectional survey study.
Pulmonary rehabilitation programs of 6 centers.
A convenience sample of individuals with COPD (N=137) who attended pulmonary rehabilitation programs. In total, 100 (73%) returned the survey packages. Of those responders, 96 participants (70%) were included in the analyses.
Not applicable.
Pain was measured using the Brief Pain Inventory. The questionnaire used to obtain information about health conditions that might contribute to pain and a medication record asked, in lay terms, about comorbidities that cause pain. The health conditions that cause pain were then validated by health professionals. Demographics, fatigue, dyspnea, quality of life, and self-efficacy were also measured using questionnaires.
Pain was reported in 71% (68/96) of participants. Low back pain was the most common location (41%). Arthritis (75%), back problems (47%), and muscle cramps (46%) were the most common comorbidities that caused pain. Lower self-efficacy, and renting rather than home ownership increased the likelihood of pain (P<.05). Pain severity and Brief Fatigue Inventory scores contributed to pain interference scores (P<.05).
Pain was highly prevalent in pulmonary rehabilitation program participants with COPD. The most common causes of pain were musculoskeletal conditions. Pain severity and higher levels of fatigue contributed to how pain interfered with daily aspects of living. The assessment and management of pain need to be addressed within the overall care of individuals with COPD.
确定导致慢性阻塞性肺疾病（COPD）患者疼痛的合并症以及疼痛的潜在影响因素。
前瞻性横断面调查研究。
6个中心的肺康复项目。
参加肺康复项目的COPD患者便利样本（N = 137）。总共100名（73%）返还了调查问卷包。在这些应答者中，96名参与者（70%）纳入分析。
不适用。
使用简明疼痛量表测量疼痛。用于获取可能导致疼痛的健康状况信息的问卷以及用药记录，以通俗易懂的语言询问导致疼痛的合并症。然后由健康专业人员对导致疼痛的健康状况进行验证。还使用问卷测量人口统计学、疲劳、呼吸困难、生活质量和自我效能。
71%（68/96）的参与者报告有疼痛。腰痛是最常见的部位（41%）。关节炎（75%）、背部问题（47%）和肌肉痉挛（46%）是导致疼痛的最常见合并症。自我效能较低以及租房而非自有住房会增加疼痛的可能性（P <.05）。疼痛严重程度和简明疲劳量表得分对疼痛干扰得分有影响（P <.05）。
在参加肺康复项目的COPD患者中，疼痛非常普遍。疼痛最常见的原因是肌肉骨骼疾病。疼痛严重程度和较高水平的疲劳会影响疼痛对日常生活的干扰程度。在COPD患者的整体护理中需要关注疼痛的评估和管理。
