Bettiol Camila Helen de Oliveira, Dellaroza Mara Solange Gomes, Lebrão Maria Lúcia, Duarte Yeda Aparecida, Santos Hellen Geremias Dos
Universidade Estadual de Londrina, Londrina, Brasil.
Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2017 Sep 28;33(9):e00098416. doi: 10.1590/0102-311X00098416.
: The objective was to identify predictors of pain in the elderly. This was a longitudinal population-based study using home interviews with elderly residing in the city of São Paulo, Brazil, and participating in the SABE Study in 2006 and 2010. Analysis of predictors of pain used hierarchical logistic regression, based on a theoretical-conceptual model with distal, intermediate, and proximal variables. Accumulated pain incidence was 27.9%. After adjustments, predictors of pain in the elderly were: 0 to 3 years of schooling (OR = 2.21; 95%CI: 1.18-4.15), arterial hypertension (OR = 1.98; 95%CI: 1.24-2.88), unsatisfactory family Apgar (OR = 2.31; 95%CI: 1.15-4.64), and bad/fair self-rated health (OR = 2.23; 95%CI: 1.3-3.69). Identification of these predictors can serve as an alert to health teams providing care to the elderly and may suggest possible measures in the prevention and detection of pain in order to avoid its chronification and consequences.
目的是确定老年人疼痛的预测因素。这是一项基于人群的纵向研究，通过对居住在巴西圣保罗市并参与2006年和2010年SABE研究的老年人进行家庭访谈。基于包含远端、中间和近端变量的理论概念模型，使用分层逻辑回归分析疼痛的预测因素。累积疼痛发生率为27.9%。调整后，老年人疼痛的预测因素为：受教育年限0至3年（比值比=2.21；95%置信区间：1.18-4.15）、动脉高血压（比值比=1.98；95%置信区间：1.24-2.88）、家庭阿普加评分不满意（比值比=2.31；95%置信区间：1.15-4.64）以及自我健康评价差/一般（比值比=2.23；95%置信区间：1.3-3.69）。识别这些预测因素可作为对为老年人提供护理的卫生团队的警示，并可能提示预防和检测疼痛的可能措施，以避免其慢性化及其后果。
