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中国社区居住老年人慢性疼痛的患病率及特征:一项横断面研究。

Prevalence and characteristics of chronic Pain in the Chinese community-dwelling elderly: a cross-sectional study.

机构信息

West China School of Nursing, Sichuan University, Chengdu City, Sichuan Province, China.

West China Hospital, Sichuan University, Chengdu City, 610041, Sichuan Province, China.

出版信息

BMC Geriatr. 2021 Oct 7;21(1):534. doi: 10.1186/s12877-021-02432-2.

Abstract

BACKGROUND

Chronic pain adversely affects health and daily life in the elderly. Gaining insight into chronic pain that affects the community-dwelling elderly is crucial for pain management in China, which possesses the largest elderly population in the world.

METHODS

This is a cross-sectional design study that followed the STROBE Guideline. A randomized cluster sampling method was used to recruit participants in the Sichuan Province from Dec 2018 to May 2019. In addition, face-to-face interviews were conducted to collect socio-demographic data, characteristics and health-seeking behaviors of chronic pain through a self-designed questionnaire.

RESULTS

A total of 1381 older adults participated in this study. Among these participants, 791 (57.3%) had chronic pain. Here, prevalence and pain intensity were both found to increase from the 60-69 group to the 70-79 group, which then decreased in the ≥80 group with no significant differences in sex (p > 0.05). The most common pain locations were observed in the legs/feet (53.5%), head (23.6) and abdomen/pelvis (21.1%). Among the elderly suffering from chronic pain, 29.4% sought medical help, 59.2% received medication and 59.7% adopted non-drug therapy.

CONCLUSION

Chronic pain is a common health concern in the Chinese community-dwelling elderly, which possesses different characteristics than other countries' populations. Therefore, easier access to medication assistance and provision of scientific guidance for non-drug therapy may serve as satisfactory approaches in improving pain management.

摘要

背景

慢性疼痛会对老年人的健康和日常生活造成负面影响。了解中国社区居住的老年人的慢性疼痛情况对于疼痛管理至关重要,因为中国拥有世界上最大的老年人口。

方法

这是一项横断面设计研究,遵循 STROBE 指南。采用随机聚类抽样方法,于 2018 年 12 月至 2019 年 5 月在四川省招募参与者。此外,通过自行设计的问卷,采用面对面访谈的方式收集社会人口统计学数据、慢性疼痛的特征和求医行为。

结果

共有 1381 名老年人参与了这项研究。其中,791 人(57.3%)患有慢性疼痛。在这里,疼痛的发生率和强度均从 60-69 岁组增加到 70-79 岁组,然后在≥80 岁组下降,但性别之间无显著差异(p>0.05)。最常见的疼痛部位是腿部/脚部(53.5%)、头部(23.6%)和腹部/骨盆(21.1%)。在患有慢性疼痛的老年人中,29.4%寻求医疗帮助,59.2%接受药物治疗,59.7%采用非药物治疗。

结论

慢性疼痛是中国社区居住的老年人普遍存在的健康问题,其特征与其他国家的人群不同。因此,更容易获得药物治疗的帮助和提供非药物治疗的科学指导可能是改善疼痛管理的满意方法。

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