Traumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, USA.
National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Qual Life Res. 2022 Oct;31(10):3031-3039. doi: 10.1007/s11136-022-03153-8. Epub 2022 May 20.
To examine (1) the relationship between caregiver pain interference with caregiver health-related quality of life (HRQOL), caregiver age, and service member/veteran (SMV) functional ability, and (2) change in caregiver pain interference longitudinally over 5 years.
Participants were 347 caregivers of SMVs diagnosed with traumatic brain injury (TBI). Caregivers completed the SF-12v2 Health Survey Bodily Pain scale at an initial baseline evaluation and up to four annual follow-up evaluations. Caregivers were divided into three pain interference groups: High Pain Interference (n = 104), Neutral Pain Interference (n = 117), and Low Pain Interference (n = 126). Caregivers also completed 15 HRQOL measures and a measure of SMV functional ability.
The High Pain Interference group reported more clinically elevated scores on 13 measures compared to the Low Pain Interference group, and seven measures compared to the Neutral Pain Interference group. The Neutral Pain Interference group had more clinically elevated scores on three measures compared to the Low Pain Interference group. The High and Neutral Pain Interference groups were older than the Low Pain Interference group. Parent caregivers were older than intimate partner/sibling caregivers, but did not report worse pain interference. Caregiver age, and measures of Fatigue, Strain, Perceived Rejection, and Economic QOL were the strongest predictors of pain interference (p < .001), accounting for 28.2% of the variance. There was minimal change in Bodily Pain scores over five years. The interaction of time and age was not significant (X = 2.7, p = .61).
It is important to examine pain in the context of HRQOL in caregivers, regardless of age.
（1）考察照料者疼痛对其健康相关生活质量（HRQOL）、照料者年龄与服务成员/退伍军人（SMV）功能能力的影响关系，以及（2）照料者疼痛干扰在 5 年内的纵向变化。
参与者为 347 名被诊断患有创伤性脑损伤（TBI）的 SMV 的照料者。照料者在初始基线评估时以及最多四次年度随访评估时完成 SF-12v2 健康调查身体疼痛量表。照料者分为三组疼痛干扰程度：高疼痛干扰组（n=104）、中性疼痛干扰组（n=117）和低疼痛干扰组（n=126）。照料者还完成了 15 项 HRQOL 测量和一项 SMV 功能能力测量。
高疼痛干扰组在 13 项测量中有更多的临床显著得分，比低疼痛干扰组高，比中性疼痛干扰组高 7 项。中性疼痛干扰组在 3 项测量中有更多的临床显著得分，比低疼痛干扰组高。高疼痛干扰组和中性疼痛干扰组的年龄大于低疼痛干扰组。父母照料者比亲密伴侣/兄弟姐妹照料者年龄更大，但报告的疼痛干扰程度没有更差。照料者年龄，以及疲劳、压力、被拒绝感和经济 QOL 等测量指标是疼痛干扰的最强预测因素（p<.001），解释了 28.2%的方差。五年内身体疼痛评分变化很小。时间和年龄的交互作用不显著（X=2.7，p=.61）。
无论年龄大小，在评估照料者的 HRQOL 时，检查疼痛情况很重要。
