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65岁及以上社区居住患者的慢性疼痛和老年综合征

Chronic pain and geriatric syndromes in community-dwelling patients aged ≥65 years.

作者信息

Liberman Orly, Freud Tamar, Peleg Roni, Keren Ariela, Press Yan

机构信息

Nursing Department, Recanati School for Community Health Professions, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

J Pain Res. 2018 Jun 19;11:1171-1180. doi: 10.2147/JPR.S160847. eCollection 2018.

DOI:10.2147/JPR.S160847
PMID:29950889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6016537/
Abstract

BACKGROUND

In growing elderly populations, there is a heavy burden of comorbidity and a high rate of geriatric syndromes (GS) including chronic pain.

PURPOSE

To assess the prevalence of chronic pain among individuals aged ≥65 years in the Southern District of Israel and to evaluate associations between chronic pain and other GS.

METHODS

A telephone interview was conducted on a sample of older adults who live in the community. The interview included the Brief Pain Inventory and a questionnaire on common geriatric problems.

RESULTS

Of 419 elderly individuals who agreed to be interviewed 232 (55.2%) suffered from chronic pain. Of those who reported chronic pain, 136 participants (68.6%) noted that they had very severe or unbearable pain. There were statistically significant associations between the pain itself and decline in patient's functional status, increased falls, reduced mood, and cognitive decline.

CONCLUSION

The results of this study show that chronic pain is very common in older adults and that it is associated with other GS. There is a need to increase awareness of chronic pain in older adults and to emphasize the important role that it plays in their care.

摘要

背景

在不断增长的老年人口中,存在着沉重的合并症负担以及包括慢性疼痛在内的高老年综合征(GS)发生率。

目的

评估以色列南部地区65岁及以上人群中慢性疼痛的患病率,并评估慢性疼痛与其他老年综合征之间的关联。

方法

对居住在社区的老年人样本进行电话访谈。访谈包括简短疼痛量表和一份关于常见老年问题的问卷。

结果

在同意接受访谈的419名老年人中,232人(55.2%)患有慢性疼痛。在报告有慢性疼痛的人中,136名参与者(68.6%)指出他们有非常严重或难以忍受的疼痛。疼痛本身与患者功能状态下降、跌倒增加、情绪低落和认知能力下降之间存在统计学上的显著关联。

结论

本研究结果表明,慢性疼痛在老年人中非常普遍,并且与其他老年综合征相关。有必要提高对老年人慢性疼痛的认识,并强调其在老年人护理中所起的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89e/6016537/05160df2808c/jpr-11-1171Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89e/6016537/05160df2808c/jpr-11-1171Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89e/6016537/05160df2808c/jpr-11-1171Fig1.jpg

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