Shade Marcia Y, Herr Keela, Kupzyk Kevin
University of Nebraska Medical Center College of Nursing, Omaha, Nebraska; University of Iowa College of Nursing, Iowa City, Iowa.
University of Iowa College of Nursing, Iowa City, Iowa.
Pain Manag Nurs. 2019 Jun;20(3):232-238. doi: 10.1016/j.pmn.2019.03.001. Epub 2019 May 10.
Pain impacts the lives of millions of community-dwelling older adults. An important characteristic of pain is "pain interference" which describes the influence of pain on function. A description of pain interference is limited in rural settings where the number of older adults is expected to increase, and health disparities exist.
The purpose of this study was to describe pain interference and analgesic medication use, highlighting those that may be potentially inappropriate in a sample of rural community-dwelling older adults.
This secondary analysis was from a cross sectional study.
Data were analyzed from a sample of 138 rural community-dwelling older adults.
Statistical analyses were performed on demographics, health characteristics, pain interference, and potentially inappropriate analgesic medication data.
Pain interference with work activity was reported by 76% of older adults overall, with 23% reporting moderate and 4% extreme interference, and 41% reported sleep difficulty due to pain. Higher pain interference was significantly associated with higher body mass index, more health providers, and the daily use of non-steroidal anti-inflammatory drugs (NSAIDs). Older women experienced more sleep difficulties due to pain. Over-the-counter analgesics were used most frequently by rural older adults to manage pain. Of most risk was the daily use of NSAIDs, in which only 30% used medications to protect the gastrointestinal system.
Older adults in rural settings experience pain interference and participate in independent-medicating behaviors that may impact safety.
疼痛影响着数百万居家社区老年人的生活。疼痛的一个重要特征是“疼痛干扰”，它描述了疼痛对功能的影响。在农村地区，对疼痛干扰的描述有限，而农村地区老年人数量预计会增加，且存在健康差异。
本研究的目的是描述疼痛干扰和镇痛药的使用情况，重点关注农村居家社区老年人样本中可能存在潜在不适当的情况。
本二次分析来自一项横断面研究。
对138名农村居家社区老年人的样本数据进行了分析。
对人口统计学、健康特征、疼痛干扰和潜在不适当的镇痛药数据进行了统计分析。
总体上，76%的老年人报告疼痛干扰工作活动，其中23%报告中度干扰，4%报告重度干扰，41%报告因疼痛导致睡眠困难。较高的疼痛干扰与较高的体重指数、更多的医疗服务提供者以及每日使用非甾体抗炎药（NSAIDs）显著相关。老年女性因疼痛经历更多睡眠困难。农村老年人最常使用非处方镇痛药来控制疼痛。最有风险的是每日使用NSAIDs，其中只有30%的人使用药物来保护胃肠道系统。
农村地区的老年人经历疼痛干扰，并参与可能影响安全的自我用药行为。
