Rintala D H, Loubser P G, Castro J, Hart K A, Fuhrer M J
Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, The Institute for Rehabilitation, Houston, TX 77027, USA.
Arch Phys Med Rehabil. 1998 Jun;79(6):604-14. doi: 10.1016/s0003-9993(98)90032-6.
To assess the prevalence, severity, and correlates of chronic pain in a community-based sample of men with spinal cord injury (SCI).
Survey.
Community.
Seventy-seven men with SCI randomly selected from a sampling frame solicited from the community.
Participants completed standardized questionnaires assessing many areas of life, were interviewed in their homes, and underwent a physical examination at a hospital. There they were interviewed by an anesthesiologist regarding chronic pain, and a nurse administered objective pain measures.
Seventy-five percent of the men reported chronic pain. Chronic pain was associated with more depressive symptoms, more perceived stress, and poorer self-assessed health. Greater intensity of pain was related to less paralytic impairment, violent etiology, and more perceived stress. Area of the body affected by pain was related to independence and mobility.
Because of the high prevalence of chronic pain in the population with SCI and its relation to disability, handicap, and quality of life, health care providers need to give this issue the same priority given to other SCI health issues. Analysis of individual pain components provides better information than assessing overall pain. It is futile to treat SCI pain without giving full attention to subjective factors.
评估社区中脊髓损伤（SCI）男性样本中慢性疼痛的患病率、严重程度及其相关因素。
调查。
社区。
从社区招募的抽样框架中随机选取的77名SCI男性。
参与者完成评估生活多个方面的标准化问卷，在家中接受访谈，并在医院接受体格检查。在医院，麻醉医生就慢性疼痛对他们进行访谈，护士进行客观的疼痛测量。
75%的男性报告有慢性疼痛。慢性疼痛与更多的抑郁症状、更多的感知压力以及较差的自我评估健康状况相关。疼痛强度越大，与麻痹损伤较轻、暴力病因以及更多的感知压力有关。疼痛影响的身体部位与独立性和活动能力有关。
由于SCI人群中慢性疼痛的高患病率及其与残疾、障碍和生活质量的关系，医疗保健提供者需要给予这个问题与其他SCI健康问题相同的优先级。对个体疼痛成分的分析比评估总体疼痛能提供更好的信息。在不充分关注主观因素的情况下治疗SCI疼痛是徒劳的。
