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ÖMPSQ-短评分与慢性疼痛的决定因素:一项中年出生队列的横断面研究结果。

ÖMPSQ-Short Score and determinants of chronic pain: cross-sectional results from a middle-aged birth cohort.

机构信息

Center for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland -

Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland -

出版信息

Eur J Phys Rehabil Med. 2018 Feb;54(1):34-40. doi: 10.23736/S1973-9087.17.04439-2. Epub 2017 Sep 7.

Abstract

BACKGROUND

The Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) was developed to identify patients at risk of developing work disability due to pain. So far, neither the ÖMPSQ or its short version (ÖMSPQ-short) have been tested in population-based samples.

AIM

We examined the associations between several well-known determinants for chronic pain and ÖMPSQ-Short Score.

DESIGN

Cross-sectional study.

SETTING

All measurements and tests were made at the University of Oulu.

POPULATION

Subjects belonging to the Northern Finland Birth Cohort 1966 answered a questionnaire at the age of 46 years (N.=5637).

METHODS

The questionnaire included the ÖMPSQ-short as well as questions about smoking, education, location, number of pain sites, and physical activity. In addition, body weight and height were measured in order to calculate the Body Mass Index.

RESULTS

In multivariate logistic regression analysis, reporting 4-5 pain sites (females OR 3.4; males 3.0), ≥6 pain sites (females OR 12.4; males 7.4) and current smoking (females 1.8; males 2.6) were associated with being classified into the ÖMPSQ high risk group. In females, also obesity (OR 1.6) and less than 9 years of education (2.7) were associated with higher ÖMPSQ Score. The frequency of physical activity was not associated with the ÖMPSQ Score.

CONCLUSIONS

High number of pain sites and smoking among both genders, and obesity and low education level among females is associated with higher ÖMPSQ scores. Therefore, the ÖMPSQ-short may be a working instrument for also screening the general population.

CLINICAL REHABILITATION IMPACT

Results of this study may improve the detection of patients at high risk of developing work disability due to pain.

摘要

背景

Örebro 肌肉骨骼疼痛筛查问卷(ÖMPSQ)旨在识别因疼痛而有发展为工作残疾风险的患者。迄今为止,ÖMPSQ 及其简短版本(ÖMSPQ-short)尚未在基于人群的样本中进行测试。

目的

我们研究了几种已知的慢性疼痛决定因素与 ÖMPSQ-Short 评分之间的关联。

设计

横断面研究。

地点

所有测量和测试均在奥卢大学进行。

人群

属于芬兰北部出生队列 1966 的受试者在 46 岁时回答了一份问卷(N=5637)。

方法

问卷包括 ÖMPSQ-short 以及关于吸烟、教育、地点、疼痛部位数量和身体活动的问题。此外,还测量了体重和身高,以计算体重指数。

结果

在多变量逻辑回归分析中,报告 4-5 个疼痛部位(女性 OR 3.4;男性 3.0)、≥6 个疼痛部位(女性 OR 12.4;男性 7.4)和当前吸烟(女性 1.8;男性 2.6)与被归类为 ÖMPSQ 高风险组相关。在女性中,肥胖(OR 1.6)和受教育程度低于 9 年(OR 2.7)也与更高的 ÖMPSQ 评分相关。身体活动的频率与 ÖMPSQ 评分无关。

结论

男女两性疼痛部位较多和吸烟,以及女性肥胖和受教育程度较低与更高的 ÖMPSQ 评分相关。因此,ÖMPSQ-short 可能是筛查一般人群的有效工具。

临床康复影响

本研究的结果可能会提高对因疼痛而发展为工作残疾高风险患者的检测能力。

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