Primary Health Care Center Bordeta-Magraners, Catalan Institute of Health, 25001 Lleida, Spain.
Nursing and Physiotherapy Faculty, University of Lleida, 25198 Lleida, Spain.
Int J Environ Res Public Health. 2019 Aug 9;16(16):2843. doi: 10.3390/ijerph16162843.
Chronic joint pain is associated to an increase in the consumption of medication and decrease in life quality in elderly people, which requires developing non-pharmacological treatments. The aim of this study was to evaluate the effectivity of a group intervention, based on animal-assisted therapy and applied to elderly people with chronic joint pain and polymedication, regarding the decrease of chronic pain, use of analgesics and improvement of life quality. A randomized controlled trial, two arms and open-label was conducted in a Primary Health Center. Twelve weekly sessions of kinesitherapy; in the EG, these exercises were performed with the additional assistance of the therapy dog. A total of 52 participants (22 Control Group (CG), 30 EG), average age 77.50 (±7.3), women 90.4%. A significant reduction on post-intervention values of pain β = -0.67(-1.27, -0.08), = 0.03 and pain induced insomnia β = -0.53(-1.01, -0.05), = 0.03 was found in EG for increasing baseline values. Animal-assisted therapy leads to an additional reduction in the perception of pain and pain induced insomnia in individuals with higher baseline severity. The presence of the dog improves the attachment to intervention and the satisfaction of the participants.
慢性关节疼痛与老年人药物消耗增加和生活质量下降有关,因此需要开发非药物治疗方法。本研究旨在评估基于动物辅助治疗的小组干预对慢性关节疼痛和多药治疗的老年人的有效性,该干预措施可降低慢性疼痛、减少镇痛药使用并改善生活质量。在一家初级保健中心进行了一项随机对照试验,分为两组,开放标签。在 EG 中,除了进行常规的运动疗法外,每周还进行 12 次动物辅助疗法。共有 52 名参与者(CG 对照组 22 名,EG 实验组 30 名),平均年龄为 77.50(±7.3)岁,女性占 90.4%。对于基线值较高的患者,EG 组在干预后疼痛值显著降低(β = -0.67[-1.27, -0.08], = 0.03)和疼痛引起的失眠(β = -0.53[-1.01, -0.05], = 0.03)。动物辅助疗法可使基线严重程度较高的患者的疼痛和疼痛引起的失眠感知进一步降低。狗的存在可以提高对干预措施的依恋和参与者的满意度。