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社区居住的慢性疼痛老年患者衰弱的发生率及其相关因素:一项横断面研究。

Prevalence and Correlates of Frailty in Community-Dwelling Older Adults with Chronic Pain: A Cross-Sectional Study.

机构信息

San Andrés Primary Care Center, Madrid, Spain.

Nursing Department, Universidad Autónoma de Madrid, Madrid, Spain.

出版信息

Pain Manag Nurs. 2020 Dec;21(6):530-535. doi: 10.1016/j.pmn.2020.05.009. Epub 2020 Jul 4.

DOI:10.1016/j.pmn.2020.05.009
PMID:32636062
Abstract

BACKGROUND

Frailty is a frequent health condition in older adults of decreased functional reserve that leads to vulnerability to internal and external stressors. It has been associated with chronic pain, which is a common, costly and incapacitating condition in older adults.

AIMS

To describe frailty status in a sample of community-dwelling older adults with chronic pain attending a primary health care centre.

DESIGN

Cross-sectional investigation.

PARTICIPANTS

Adults aged 65 years or older with chronic pain.

METHODS

The Survey of Health, Ageing and Retirement in Europe Frailty Instrument (SHARE-FI) was used to assess frailty status and a visual analogue scale to assess pain intensity. Descriptive and analytical statistics were performed.

RESULTS

Among 154 participants recruited, 20.1% were frail, 38.3% pre-frail and 41.6% robust. Women were more likely to be classified as frail or pre-frail (OR: 4.62, 95% CI: 2.23-9.59), as well as participants aged 75 years or older (OR: 3.41, 95% CI: 1.74-6.68) and participants reporting moderate and severe pain (OR: 4.20, 95% CI: 2.10-8.40). These results remained significant after adjustment.

CONCLUSIONS

There is an association between frailty status and other variables such as older age, female gender and higher pain intensity.

摘要

背景

衰弱是老年人常见的健康状况,其功能储备下降导致易受内部和外部压力源的影响。它与慢性疼痛有关,慢性疼痛是老年人常见、昂贵且使人丧失能力的疾病。

目的

描述在参加初级保健中心的慢性疼痛的社区居住老年人样本中衰弱的状况。

设计

横断面调查。

参与者

年龄在 65 岁及以上患有慢性疼痛的成年人。

方法

使用欧洲健康、衰老和退休调查衰弱工具(SHARE-FI)评估衰弱状况,使用视觉模拟量表评估疼痛强度。进行描述性和分析性统计。

结果

在招募的 154 名参与者中,20.1%为衰弱,38.3%为虚弱前期,41.6%为强健。女性更有可能被归类为衰弱或虚弱前期(OR:4.62,95%CI:2.23-9.59),75 岁及以上的参与者(OR:3.41,95%CI:1.74-6.68)和报告中度和重度疼痛的参与者(OR:4.20,95%CI:2.10-8.40)也是如此。这些结果在调整后仍然显著。

结论

衰弱状况与其他变量(如年龄较大、女性性别和更高的疼痛强度)之间存在关联。

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