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在沙特阿拉伯吉赞地区,疼痛严重程度和合并症对肌肉骨骼疾病患者日常生活活动的依赖程度有显著影响。

The Severity of Pain and Comorbidities Significantly Impact the Dependency on Activities of Daily Living among Musculoskeletal Patients in Jizan, Saudi Arabia.

作者信息

Zalah Mohammed A, Alsobayel Hana I, Algarni Fahad S, Vennu Vishal, Ajeebi Zohoor H, Maeshi Hatem M, Bindawas Saad M

机构信息

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia.

Medical Rehabilitation Center, King Fahad Central Hospital, Jazan 82666, Saudi Arabia.

出版信息

Healthcare (Basel). 2023 Aug 16;11(16):2313. doi: 10.3390/healthcare11162313.

Abstract

Limited research has been carried out on the effects of pain, comorbidity, and impaired function in musculoskeletal patients in Jizan, Saudi Arabia. A cross-sectional study was conducted on 115 patients (aged ≥ 55 years) with physician-diagnosed musculoskeletal conditions in Jizan to investigate the association between pain severity, comorbidities, and dependence on activities of daily living (ADLs). Self-reported questionnaires were used to collect data on pain, comorbidities, and physical function measured by ADLs. In ADLs, participants were categorized as dependent (n = 36) or independent (n = 79). Logistic regression analysis was employed to determine the predictors of dependence. The results showed that higher pain severity (adjusted odds ratio (OR): 1.69, 95% confidence interval (CI): 1.21-2.38, = 0.002) and a greater number of comorbidities (adjusted OR: 1.52, 95% CI: 1.06-2.17, = 0.021) were independently associated with dependence in ADLs. These associations remained significant even after controlling for covariates. This study concluded that patients with musculoskeletal conditions in Jizan who experience high levels of pain and comorbidities are at risk of dependence on basic daily activities. Therefore, addressing pain and comorbidities is crucial for maintaining independence and improving quality of life. Personalized rehabilitation programs are needed to manage these conditions in this region.

摘要

关于沙特阿拉伯吉赞地区肌肉骨骼疾病患者的疼痛、合并症及功能受损的影响,所开展的研究有限。对吉赞地区115名经医生诊断患有肌肉骨骼疾病的患者(年龄≥55岁)进行了一项横断面研究,以调查疼痛严重程度、合并症与日常生活活动(ADL)依赖之间的关联。采用自我报告问卷收集有关疼痛、合并症及通过ADL测量的身体功能的数据。在ADL方面,参与者被分为依赖组(n = 36)或独立组(n = 79)。采用逻辑回归分析来确定依赖的预测因素。结果显示,较高的疼痛严重程度(调整后的优势比(OR):1.69,95%置信区间(CI):1.21 - 2.38,P = 0.002)和更多的合并症(调整后的OR:1.52,95%CI:1.06 - 2.17,P = 0.021)与ADL依赖独立相关。即使在控制协变量后,这些关联仍然显著。本研究得出结论,吉赞地区患有肌肉骨骼疾病且经历高水平疼痛和合并症的患者有依赖基本日常活动的风险。因此,解决疼痛和合并症对于维持独立性和改善生活质量至关重要。需要制定个性化的康复计划来管理该地区的这些疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/059a/10454086/ce5ba74e7399/healthcare-11-02313-g001.jpg

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