Li Lok Sze Katrina, Butler Stacey J, Ellerton Lauren, Goldstein Roger S, Brooks Dina
Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada.
Physiother Can. 2021 Nov 1;73(4):304-312. doi: 10.3138/ptc-2020-0015. Epub 2021 Oct 20.
This study reports on the prevalence and impact of pain in individuals with different chronic respiratory diseases attending pulmonary rehabilitation (PR). A retrospective review of medical records data was conducted for 488 participants who had attended a PR programme over a 2-year period. Data on pain and medication history taken from multidisciplinary medical records, together with participant demographics and PR outcomes, were extracted. We compared pain among participants with different types of chronic respiratory disease. The overall prevalence of pain was 77%, with a significantly higher prevalence among individuals with obstructive lung diseases (80%) compared with restrictive lung diseases (69%; = 0.04). Some participants (17%) who took pain medications did not discuss pain with their clinicians. The presence of pain and different reporting of pain did not have a negative impact on the PR programme completion rate ( = 0.74), improvements in exercise capacity ( = 0.51), or health-related quality of life (all four chronic respiratory disease questionnaire domains, >0.05). The prevalence of pain is high among individuals with chronic respiratory disease attending PR. The presence or absence of pain was not negatively associated with the programme completion rate or PR outcomes; therefore, pain should not deter clinicians from referring patients to PR.
本研究报告了参加肺康复(PR)的不同慢性呼吸道疾病患者中疼痛的患病率及其影响。对在两年期间参加PR项目的488名参与者的病历数据进行了回顾性分析。从多学科病历中提取了有关疼痛和用药史的数据,以及参与者的人口统计学数据和PR结果。我们比较了不同类型慢性呼吸道疾病参与者的疼痛情况。疼痛的总体患病率为77%,阻塞性肺病患者的患病率(80%)显著高于限制性肺病患者(69%;P = 0.04)。一些服用止痛药的参与者(17%)没有与他们的临床医生讨论疼痛问题。疼痛的存在和不同的疼痛报告对PR项目完成率(P = 0.74)、运动能力改善(P = 0.51)或健康相关生活质量(所有四个慢性呼吸道疾病问卷领域,P>0.05)均无负面影响。参加PR的慢性呼吸道疾病患者中疼痛的患病率很高。疼痛的存在与否与项目完成率或PR结果无负相关;因此,疼痛不应阻碍临床医生将患者转诊至PR。