Institute of Nursing Science and Practice, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria.
Campus Großhadern, Hospital of the Ludwig-Maximilians-University, Marchioninistraße 15, 81377, Munich, Germany.
Qual Life Res. 2020 Jan;29(1):91-97. doi: 10.1007/s11136-019-02290-x. Epub 2019 Sep 21.
Quality of life is an essential outcome parameter in geriatric research and presents an important indicator for the evaluation of care treatments. The present study analyses potential impact factors on health-related quality of life (HRQOL) of nursing home residents (NHR) who are in pain.
Data came from the cRCT 'PIASMA'. Statistical analyses of 146 respondents were carried out by multiple linear regressions based on the EQ-5D index (Euroquol Quality of Life) as dependent variable. Potential impact factors were applied and categorised in five blocks: pain intensity and interference (according to the Brief Pain Inventory), intervention effect, sex and age, pain-related diagnoses, and scales regarding depressive symptoms and cognitive impairment (based on the Geriatric Depression Scale and the Mini-Mental State Examination).
On average, residents showed a pain intensity of 18.49, a pain interference of 29.61, a MMSE score of 22.84, a GDS score of 5.65 and an EQ-5D index of 0.52. Residents with more diagnoses, more depressive symptoms, and a higher pain interference showed a significantly reduced HRQOL.
Findings underline the importance of identifying and applying treatment options for both pain (especially interference) and depressive disorders to maintain HRQOL of NHR.
生活质量是老年医学研究中的一个重要的结果参数，是评估护理治疗的重要指标。本研究分析了患有疼痛的养老院居民（NHR）健康相关生活质量（HRQOL）的潜在影响因素。
数据来自 cRCT 'PIASMA'。对 146 名受访者进行了基于 EQ-5D 指数（Euroquol 生活质量）的多元线性回归分析，作为因变量。应用并将潜在影响因素分为五个块：疼痛强度和干扰（根据简明疼痛量表）、干预效果、性别和年龄、与疼痛相关的诊断以及抑郁症状和认知障碍的量表（基于老年抑郁量表和简易精神状态检查）。
平均而言，居民的疼痛强度为 18.49，疼痛干扰为 29.61，MMSE 评分为 22.84，GDS 评分为 5.65，EQ-5D 指数为 0.52。诊断更多、抑郁症状更多、疼痛干扰更严重的居民的 HRQOL 显著降低。
研究结果强调了识别和应用治疗疼痛（尤其是干扰）和抑郁障碍的重要性，以维持 NHR 的 HRQOL。
