慢性疼痛对老年照护者认知表现的影响：一项纵向研究。
Influence of chronic pain on cognitive performance in elderly caregivers: a longitudinal study.
机构信息
Universidade Federal de São Carlos. São Carlos, São Paulo, Brazil.
Universitat de les Illes Balears. Palma de Mallorca, Spain.
出版信息
Rev Bras Enferm. 2021 May 21;74(suppl 2):e20200412. doi: 10.1590/0034-7167-2020-0412. eCollection 2021.
OBJECTIVE
to compare cognitive performance of elderly caregivers with and without chronic pain over four years and verify the effect of pain intensity on cognitive performance of elderly caregivers with chronic pain.
METHOD
a longitudinal study with data collected in 2014 and 2018. Community-dwelling elderly caregivers of a Brazilian city participated in the study. Cognition was assessed using the Addenbrooke's Cognitive Examination instrument. Pain was assessed by an 11-point scale. For data analysis, a mixed linear model and ANCOVA with a 5% significance level were used.
RESULTS
they were divided into two groups. A cognitive decline over four years was found in elderly people with pain (p=0.02; 95%CI=0.32-4.25), while those without pain did not show a significant change.
CONCLUSION
the results show that elderly caregivers with pain had a worse cognitive performance, but when comparing groups with the ANCOVA test for intergroup analysis, there was no difference in cognitive performance.
目的
比较四年内有和无慢性疼痛的老年照护者的认知表现，并验证慢性疼痛老年照护者的疼痛强度对认知表现的影响。
方法
一项纵向研究，数据收集于 2014 年和 2018 年。巴西某城市的社区居住老年照护者参与了这项研究。认知功能使用 Addenbrooke 认知测验量表进行评估。疼痛使用 11 分制进行评估。数据分析采用混合线性模型和协方差分析，显著性水平为 5%。
结果
他们被分为两组。在四年的时间里，有疼痛的老年人认知能力下降（p=0.02；95%CI=0.32-4.25），而没有疼痛的老年人则没有明显变化。
结论
结果表明，有疼痛的老年照护者认知表现更差，但在进行组间分析的协方差分析比较两组时，认知表现没有差异。
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