Thapa Sagun, Kitrungrote Luppana, Damkliang Jintana
Faculty of Nursing, Prince of Songkla University, Songkhla, 90110, Thailand.
Department of Surgical Nursing, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Scand J Pain. 2018 Apr 25;18(2):195-201. doi: 10.1515/sjpain-2018-0019.
Chronic pain is the frequent and significantly challenging complications in persons with spinal cord injury (SCI). Socio-cultural background may lead people perceive and manage pain differently. The study aims to describe the chronic pain experience and pain management of SCI persons in Nepal.
A descriptive cross sectional study was conducted among purposively selected sample of 120 SCI persons with chronic pain living in the eight districts of Bagmati Zone of Nepal. The data were collected using the International Spinal Cord Injury Pain Basic Data Set Version 2 (ISCIPBDS-2) and Open-ended Pain Management Questionnaire. The data were analyzed using descriptive statistics and content analysis method.
The back (n=84), lower legs/feet (n=63) and buttocks/hips (n=51) was found as the common pain locations. In common, the onset of pain was found within the first 6 month of the injury. Overall pain intensity and pain interference were found to be at the moderate level. The SCI persons used pain medications and non-pharmacological pain management. Ibuprofen was the commonly used pain medication and commonly used non-pharmacological pain management methods included physical support (e.g. massage, exercise), relaxation (e.g. distraction, substance abuse), coping (e.g. acceptance, praying), and traditional herbs.
SCI persons had chronic pain experience which interfered with their daily living. They used pain medications and non-pharmacological pain management methods based on their beliefs, knowledge, and community resources in Nepal.
This study provides some evidence to help the team of rehabilitation professional to plan and help SCI persons with chronic pain. Based on these findings, chronic pain management intervention for SCI persons should be developed and supported continuously from hospital to home based community context of Nepal.
慢性疼痛是脊髓损伤（SCI）患者常见且极具挑战性的并发症。社会文化背景可能导致人们对疼痛的感知和处理方式有所不同。本研究旨在描述尼泊尔脊髓损伤患者的慢性疼痛经历及疼痛管理情况。
对尼泊尔巴格马蒂专区八个地区120名患有慢性疼痛的脊髓损伤患者进行了一项描述性横断面研究。使用国际脊髓损伤疼痛基础数据集第2版（ISCIPBDS - 2）和开放式疼痛管理问卷收集数据。采用描述性统计和内容分析法对数据进行分析。
发现背部（n = 84）、小腿/足部（n = 63）和臀部/髋部（n = 51）是常见的疼痛部位。一般来说，疼痛在受伤后的前6个月内出现。总体疼痛强度和疼痛干扰处于中等水平。脊髓损伤患者使用止痛药物和非药物疼痛管理方法。布洛芬是常用的止痛药物，常用的非药物疼痛管理方法包括身体支持（如按摩、锻炼）、放松（如分散注意力、药物滥用）、应对（如接受、祈祷）和传统草药。
脊髓损伤患者有慢性疼痛经历，这会干扰他们的日常生活。他们根据自己的信仰、知识和尼泊尔的社区资源使用止痛药物和非药物疼痛管理方法。
本研究为康复专业团队帮助脊髓损伤慢性疼痛患者制定计划提供了一些证据。基于这些发现，应在尼泊尔从医院到家庭社区环境中持续开展并支持针对脊髓损伤患者的慢性疼痛管理干预措施。
