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[慢性疼痛致残的影响：一项面对面访谈的横断面人群研究结果]

[Impact of disabling chronic pain: results of a cross-sectional population study with face-to-face interview].

作者信息

Cabrera-Leon Andrés, Cantero-Braojos Miguel Ángel

机构信息

Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria, ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, España; Centro de Investigación Biomédica en Red de Salud Pública y Epidemiología (CIBERESP), Madrid, España.

MenSana, Psicología y Salud, Granada, España.

出版信息

Aten Primaria. 2018 Nov;50(9):527-538. doi: 10.1016/j.aprim.2017.03.020. Epub 2017 Nov 16.

DOI:10.1016/j.aprim.2017.03.020
PMID:29102446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6839206/
Abstract

OBJECTIVE

To assess the impact of disabling chronic pain (DCP) on quality of life, work, consumption of medication and usage of health services.

DESIGN

Cross-sectional population study with face-to-face interview.

SETTING

Andalusian Health Survey (2011 edition).

PARTICIPANTS

6,507 people over the age of 16 (p=q=0.5; confidence level=95%; sampling error=1.49, design effect=1.52).

INTERVENTIONS

Not applicable.

MAIN MEASUREMENTS

Dependent variable: DCP: population limited in their activity by any of the CP specified in the survey.

INDEPENDENT VARIABLES

quality of life, absence from work, consumption of medication and utilization of health services.

RESULTS

Compared to a population without CP, DCP impact is 6 points less on the mental quality of life and 12 points on the physical one, medication consumption is triple, health services utilization is almost double, and long absence from work is triple. On the other hand, a population with nondisabling chronic pain (nDCP) presents similar results to a population without CP.

CONCLUSIONS

We have considered DCP as another CP category because of its huge impact, as is shown in our study, on the study variables. On the contrary, the population with nDCP does not obtain significant impact differences when compared to the population without CP. Therefore, we believe that Primary Care and Public Health should lead different prevention strategies for DCP as well as for the identification of the nDCP population to decrease its possible deterioration towards DCP.

摘要

目的

评估慢性失能性疼痛（DCP）对生活质量、工作、药物消耗及医疗服务利用的影响。

设计

采用面对面访谈的横断面人群研究。

地点

安达卢西亚健康调查（2011年版）。

参与者

6507名16岁以上人群（p = q = 0.5；置信水平 = 95%；抽样误差 = 1.49，设计效应 = 1.52）。

干预措施

不适用。

主要测量指标

因变量：DCP：在调查中被任何一种慢性疼痛限制活动的人群。自变量：生活质量、缺勤情况、药物消耗及医疗服务利用。

结果

与无慢性疼痛的人群相比，DCP对心理生活质量的影响低6分，对生理生活质量的影响低12分，药物消耗增加两倍，医疗服务利用几乎增加一倍，长期缺勤增加两倍。另一方面，患有非失能性慢性疼痛（nDCP）的人群与无慢性疼痛的人群结果相似。

结论

我们将DCP视为另一种慢性疼痛类别，因为如我们的研究所显示，它对研究变量有巨大影响。相反，与无慢性疼痛的人群相比，nDCP人群未出现显著的影响差异。因此，我们认为初级保健和公共卫生应针对DCP以及识别nDCP人群制定不同的预防策略，以减少其向DCP恶化的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee11/6839206/887a272f94af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee11/6839206/b6c5d151979c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee11/6839206/887a272f94af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee11/6839206/b6c5d151979c/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee11/6839206/887a272f94af/gr1.jpg

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