族裔内慢性疼痛的差异及相关因素：探索性、比较性设计。
Intra-Ethnic Differences in Chronic Pain and the Associated Factors: An Exploratory, Comparative Design.
机构信息
Assistant Professor, Department of Nursing, Towson University, Towson, MD, USA.
Associate Professor, College of Nursing & The Research Institute of Nursing Science, Seoul National University, Seoul, South Korea.
出版信息
J Nurs Scholarsh. 2020 Jul;52(4):389-396. doi: 10.1111/jnu.12564. Epub 2020 May 15.
PURPOSE
To describe and compare the levels of pain severity and pain interference, pain catastrophizing, and associated factors between elderly Koreans living in South Korea and Korean Americans living in the United States with chronic pain.
METHODS
An exploratory, comparative design was used for this study. A total of 270 individuals (138 Koreans living in South Korea and 132 Korean Americans living in the United States), aged more than 65 years, with self-reported chronic pain, and defined as at least 3 months of persistent musculoskeletal pain, is included. Outcome variables were pain severity, pain interference, and pain catastrophizing. Multivariate linear regression was conducted to examine factors associated with the outcome variables.
RESULTS
In multivariate analysis, Korean Americans had higher levels of pain severity and pain catastrophizing than Koreans. Depressive symptoms, sleep quality, and health-related quality of life were significant factors for pain severity, pain interference, and pain catastrophizing for both groups. Among those factors, health-related quality of life was the most significant factor for predicting pain severity and pain interference, whereas depressive symptoms were the most significant factor for predicting pain catastrophizing for both groups.
CONCLUSIONS
Intra-ethnic differences in pain severity and pain catastrophizing were found between elderly Koreans living in South Korea and Korean Americans living in the United States.
CLINICAL RELEVANCE
Because unfamiliar sociocultural and environmental factors may influence the pain responses, cultural differences and language barriers should be taken into account in pain research and management strategies for Asian immigrants in the United States. Psychological factors, including depressive symptoms, sleep quality, and health-related quality of life, should also be considered in chronic pain management for both elderly Koreans and Korean Americans.
目的
描述和比较居住在韩国的老年韩国人和居住在美国的美籍韩国人慢性疼痛患者的疼痛严重程度和疼痛干扰程度、疼痛灾难化程度以及相关因素。
方法
本研究采用探索性、比较性设计。共纳入 270 名年龄在 65 岁以上、自我报告患有慢性疼痛且至少有 3 个月持续性肌肉骨骼疼痛的个体，包括 138 名居住在韩国的韩国人和 132 名居住在美国的美籍韩国人。结果变量为疼痛严重程度、疼痛干扰和疼痛灾难化。采用多元线性回归分析来检验与结果变量相关的因素。
结果
在多元分析中，美籍韩国人疼痛严重程度和疼痛灾难化程度均高于韩国人。对于两组人群，抑郁症状、睡眠质量和健康相关生活质量是疼痛严重程度、疼痛干扰和疼痛灾难化的显著因素。在这些因素中，健康相关生活质量是预测疼痛严重程度和疼痛干扰的最显著因素，而抑郁症状是预测两组人群疼痛灾难化的最显著因素。
结论
居住在韩国的老年韩国人和居住在美国的美籍韩国人之间存在疼痛严重程度和疼痛灾难化的族内差异。
临床意义
由于陌生的社会文化和环境因素可能会影响疼痛反应，因此在美国的亚洲移民的疼痛研究和管理策略中应考虑文化差异和语言障碍。对于韩国老年人和美籍韩国人，慢性疼痛管理还应考虑心理因素，包括抑郁症状、睡眠质量和健康相关生活质量。
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