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复杂区域疼痛综合征患者症状、工作生活、经济状况及生活质量的多中心调查

Multicenter survey of symptoms, work life, economic status, and quality of life of complex regional pain syndrome patients.

作者信息

Lee Jaemoon, Lim Yun Hee, Hong Sung Jun, Jeong Jae Hun, Choi Hey Ran, Park Sun Kyung, Kim Jung Eun, Park Eun Hi, Kim Jae Hun

机构信息

Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea.

Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.

出版信息

Korean J Pain. 2021 Jul 1;34(3):288-303. doi: 10.3344/kjp.2021.34.3.288.

Abstract

BACKGROUND

Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients.

METHODS

CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of 24 questions on the following aspects of CRPS patients: sex, age, occupation, cause of injury, activities of daily living (ADL), pain severity, sleep disturbance, level of education, economic status, therapeutic effect, and suicidal ideation. Additionally, the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions, was used to identify the status of QOL.

RESULTS

A total of 251 patients completed the questionnaire. According to the survey, 54.2% patients could not perform ADL on their own. Over the previous week, the mean pain score was 7.15 ± 1.78 (out of a total of 10 points); 92.1% of patients had sleep disorders and 80.5% had suicidal ideation, with most patients suffering from psychological problems. The average for each domain of WHOQOL-BREF was as follows: 21.74 ± 14.77 for physical, 25.22 ± 17.66 for psychological, 32.02 ± 22.36 for social relationship, and 30.69 ± 15.83 for environmental (out of a total of 100 points each). Occupation, ADL, sleep time, therapeutic effect, and suicidal ideation were statistically correlated with multiple domains.

CONCLUSIONS

Most patients had moderate to severe pain, economic problems, limitations of their ADL, sleep problems, psychological problems, and a low QOL score.

摘要

背景

复杂性区域疼痛综合征(CRPS)是一种具有多种症状的难治性疼痛疾病。在此,我们调查了CRPS患者的疾病状况、工作生活、睡眠问题、医疗保险、经济状况、心理问题和生活质量(QOL)。

方法

对韩国37家大学医院的CRPS患者进行了调查。调查问卷包括24个关于CRPS患者以下方面的问题:性别、年龄、职业、受伤原因、日常生活活动(ADL)、疼痛严重程度、睡眠障碍、教育程度、经济状况、治疗效果和自杀意念。此外,还使用了由26个问题组成的世界卫生组织生活质量简表(WHOQOL-BREF)来确定生活质量状况。

结果

共有251名患者完成了问卷。根据调查,54.2%的患者无法独立进行ADL。在过去一周中,平均疼痛评分为7.15±1.78(满分10分);92.1%的患者有睡眠障碍,80.5%的患者有自杀意念,大多数患者存在心理问题。WHOQOL-BREF各领域的平均得分如下:身体领域为21.74±14.77,心理领域为25.22±17.66,社会关系领域为32.02±22.36,环境领域为30.69±15.83(各满分100分)。职业、ADL、睡眠时间、治疗效果和自杀意念与多个领域在统计学上相关。

结论

大多数患者有中度至重度疼痛、经济问题、ADL受限、睡眠问题、心理问题和较低的生活质量得分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2241/8255153/30a8c991d58c/kjp-34-3-288-f1.jpg

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