Köppen Philipp Johannes, Dorner Thomas Ernst, Stein Katharina Viktoria, Simon Judit, Crevenna Richard
Centre for Public Health, Department of Social and Preventive Medicine, Medical University Vienna, Vienna, Austria.
Landesklinikum Hochegg, Grimmenstein, Austria.
Wien Klin Wochenschr. 2018 Jan;130(1-2):23-30. doi: 10.1007/s00508-017-1309-5. Epub 2018 Jan 10.
Chronic pain poses a large burden for the healthcare system and the individuals concerned. The impact of health literacy (HL) on health status and health outcomes is receiving more and more attention. The aim of this study was to evaluate the association of HL with chronic pain intensity and pain perception.
A total of 121 outpatients suffering from chronic pain (pain duration >3 months) were evaluated. The HL was measured using the health literacy screening questions. Pain intensity was measured with a Visual Analogue Scale (VAS) and pain perception with the short-form McGill Pain Questionnaire (SF-MPQ).
Individuals with low HL had significantly higher VAS values (Pearson correlation coefficient= -0.270, p = 0.003). Stepwise regression analysis showed that HL has a significant association with pain intensity (odds ratio [OR] = 2.31; 95% confidence interval [CI] 1.11-4.83), even after controlling for age and sex (OR = 2.27; 95% CI 1.07-4.82), but no longer after controlling for education (OR = 2.10; 95% CI 0.95-4.64).
Individuals with a higher HL showed less pain intensity, which seems to be caused by a better pain management; therefore, supporting the development of HL in patients with chronic pain could be seen as an important objective of integrated care.
慢性疼痛给医疗系统和相关个人带来了沉重负担。健康素养（HL）对健康状况和健康结果的影响正受到越来越多的关注。本研究的目的是评估HL与慢性疼痛强度及疼痛感知之间的关联。
对总共121名患有慢性疼痛（疼痛持续时间>3个月）的门诊患者进行了评估。使用健康素养筛查问题来测量HL。用视觉模拟量表（VAS）测量疼痛强度，用简短麦吉尔疼痛问卷（SF-MPQ）测量疼痛感知。
HL较低的个体VAS值显著更高（Pearson相关系数=-0.270，p = 0.003）。逐步回归分析表明，即使在控制了年龄和性别之后，HL与疼痛强度仍存在显著关联（优势比[OR]=2.31；95%置信区间[CI]1.11 - 4.83），但在控制了教育程度之后不再显著（OR = 2.10；95% CI 0.95 - 4.64）。
HL较高的个体疼痛强度较低，这似乎是由于更好的疼痛管理所致；因此，支持慢性疼痛患者的HL发展可被视为综合护理的一个重要目标。
