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中国农村老年人的焦虑、抑郁、慢性疼痛和生活质量:一项观察性、横断面、多中心研究。

Anxiety, Depression, Chronic Pain, and Quality of Life Among Older Adults in Rural China: An Observational, Cross-Sectional, Multi-Center Study.

机构信息

IVF Center, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, Xuhui, China.

School of Nursing, Shanghai Medical College, Fudan University, Shanghai, Xuhui, China.

出版信息

J Community Health Nurs. 2022 Jul-Sep;39(3):202-212. doi: 10.1080/07370016.2022.2077072.

Abstract

PURPOSE

To determine the incidence of anxiety and depression and examine their cross-sectional associations with chronic pain and quality of life among older adults in rural China.

DESIGN

Observational, multi-center, cross-sectional study.

METHODS

A structured, self-report questionnaire was administered. Descriptive statistics analysis and stepwise multiple linear regression analysis were performed.

FINDINGS

244 participants (female: 47.1%) filled out the questionnaires. 87 (35.7%) had symptoms of anxiety and 123 (50.4%) had symptoms of depression. The sensory pain descriptor, affective pain descriptor, physical component summary, and mental component summary significantly influenced symptoms of anxiety while affective pain descriptor, physical component summary, and mental component summary significantly influenced symptoms of depression.

CONCLUSION

Subjective pain experiences and QoL, including physical and mental domains, are strongly related to symptoms of anxiety and depression among older adults in rural China.

CLINICAL EVIDENCE

Interventions that highlight subjective pain experiences and QoL may help to relieve symptoms of anxiety and depression in older adults.

摘要

目的

在中国农村老年人中,确定焦虑和抑郁的发生率,并考察它们与慢性疼痛和生活质量的横断面关联。

设计

观察性、多中心、横断面研究。

方法

采用结构化的自我报告问卷进行调查。进行描述性统计分析和逐步多元线性回归分析。

结果

244 名参与者(女性:47.1%)填写了问卷。87 名(35.7%)有焦虑症状,123 名(50.4%)有抑郁症状。感觉疼痛描述符、情感疼痛描述符、生理成分综合评分和心理成分综合评分显著影响焦虑症状,而情感疼痛描述符、生理成分综合评分和心理成分综合评分显著影响抑郁症状。

结论

在中国农村老年人中,主观疼痛体验和生活质量(包括生理和心理领域)与焦虑和抑郁症状密切相关。

临床证据

强调主观疼痛体验和生活质量的干预措施可能有助于缓解老年人的焦虑和抑郁症状。

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