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越南河内老年患者慢性疼痛与抑郁相关因素分析。

Chronic Pain and Associated Factors Related to Depression among Older Patients in Hanoi, Vietnam.

机构信息

Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam.

Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam.

出版信息

Int J Environ Res Public Health. 2021 Aug 31;18(17):9192. doi: 10.3390/ijerph18179192.

Abstract

The interaction of chronic pain and depression among older people has been studied for many years. This study aimed to investigate the frequency of chronic pain and depression among older patients and correlated factors. A cross-sectional study was conducted in 921 older patients at the National Geriatric Hospital from November 2019 to March 2020. We used the Charlson Comorbidity Index (CCI) to assess the comorbid condition, a numerical rating scale (NRS) to examine pain severity, and Geriatric Depression Scale-15 items (GDS-15) to measure depression among participants. A chi-square test and Tobit regression were used to analyze the relationships. A total of 921 older patients participated in the study. The proportion of depression accounted for 55.8%. The mean Charlson score and number of diseases were 1.2 and 4.7, respectively. A positive correlation was found between comorbidity and chronic pain and depression. Moreover, socio-demographic variables such as occupation, education, and income were associated with pain and depressive symptoms. This study highlights the issue of mental health in older people with chronic pain. The results indicate the necessity of frequent depression screening, pain management, and social activity programs for older people to enhance their health.

摘要

慢性疼痛和抑郁在老年人中的相互作用已经研究了很多年。本研究旨在调查老年患者慢性疼痛和抑郁的发生率及相关因素。本研究采用横断面研究,于 2019 年 11 月至 2020 年 3 月在国家老年医院选取 921 名老年患者,使用 Charlson 合并症指数(CCI)评估合并症,数字评分量表(NRS)评估疼痛严重程度,老年抑郁量表 15 项(GDS-15)评估参与者的抑郁情况。采用卡方检验和 Tobit 回归分析进行分析。共有 921 名老年患者参与了本研究。抑郁的比例占 55.8%。Charlson 评分和疾病数量的平均值分别为 1.2 和 4.7。共病与慢性疼痛和抑郁之间存在正相关。此外,社会人口统计学变量如职业、教育和收入与疼痛和抑郁症状相关。本研究强调了慢性疼痛老年人群的心理健康问题。结果表明,有必要对老年人进行频繁的抑郁筛查、疼痛管理和社会活动计划,以增强他们的健康。

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