Saleh Nour El-Hoda, Fneish Sleiman, Orabi Ali, Al-Amin Ghadir, Naim Ibrahim, Sadek Zahra
Department of Research, Health, Rehabilitation, Integration, and Research Center (HRIR), Beirut, Lebanon.
Department of Physical Therapy, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon.
Curr J Neurol. 2023 Oct 7;22(4):238-248. doi: 10.18502/cjn.v22i4.14529.
Chronic pain is one of the most disabling consequences of spinal cord injury (SCI). Although studies have identified a link between chronic pain and decreased quality of life (QOL) among this population, few studies have looked into the experience of chronic pain in Lebanese individuals with SCI and the impact of pain characteristics on QOL. Thus, the present study evaluated the chronic pain experience and its associated factors among Lebanese individuals with SCI in order to determine the impact of pain on QOL. A cross-sectional study was conducted on 81 Lebanese individual with SCI between August 1 and October 31, 2022. The collected information included sociodemographic characteristics, SCI-related information, pain-related variables, and the 12-item Short Form Health Survey (SF-12). Factors associated with pain interference were evaluated using a linear regression model. One-way ANOVA and independent sample t-test were used to evaluate the association of different baseline and pain characteristics with QOL. In the present study, 81.5% of participants reported chronic pain with the majority of them having neuropathic pain type. Employment status (P = 0.034), type of pain (P = 0.009), and pain severity (P = 0.028) were significantly associated with pain interference. Unemployed participants and those with severe chronic pain, particularly neuropathic pain, had lower QOL. Chronic pain was found to be highly prevalent among Lebanese patients with SCI. Pain interference and QOL were significantly affected by employment status and pain type. Therefore, targeting chronic pain and its associated factors in rehabilitation practice is warranted.
慢性疼痛是脊髓损伤（SCI）最致残的后果之一。尽管研究已经确定了慢性疼痛与该人群生活质量（QOL）下降之间的联系，但很少有研究探讨黎巴嫩脊髓损伤患者的慢性疼痛经历以及疼痛特征对生活质量的影响。因此，本研究评估了黎巴嫩脊髓损伤患者的慢性疼痛经历及其相关因素，以确定疼痛对生活质量的影响。2022年8月1日至10月31日，对81名黎巴嫩脊髓损伤患者进行了一项横断面研究。收集的信息包括社会人口学特征、与脊髓损伤相关的信息、与疼痛相关的变量以及12项简短健康调查问卷（SF-12）。使用线性回归模型评估与疼痛干扰相关的因素。单向方差分析和独立样本t检验用于评估不同基线和疼痛特征与生活质量的关联。在本研究中，81.5%的参与者报告有慢性疼痛，其中大多数为神经性疼痛类型。就业状况（P = 0.034）、疼痛类型（P = 0.009）和疼痛严重程度（P = 0.028）与疼痛干扰显著相关。失业参与者以及患有严重慢性疼痛（尤其是神经性疼痛）的参与者生活质量较低。研究发现慢性疼痛在黎巴嫩脊髓损伤患者中非常普遍。就业状况和疼痛类型对疼痛干扰和生活质量有显著影响。因此，在康复实践中针对慢性疼痛及其相关因素是有必要的。
