社区居住老年人髋部或膝部疼痛与身体残疾的关系及应对措施
Coping with pain in the hip or knee in relation to physical disability in community-living elderly people.
作者信息
Hopman-Rock M, Kraaimaat F W, Odding E, Bijlsma J W
机构信息
Division of Public Health and Prevention, The Netherlands Organization for Applied Scientific Research Prevention and Health, Leiden, The Netherlands.
出版信息
Arthritis Care Res. 1998 Aug;11(4):243-52. doi: 10.1002/art.1790110405.
OBJECTIVE
To investigate the use of pain coping strategies by community-living older people with pain in the hip or knee and the mediating role of coping with pain in the relationship between the chronicity of pain and physical disability.
METHODS
A group of 157 people with pain "in the last month" was identified. Coping with pain was assessed with the Pain Coping Inventory, physical disability with the Sickness Impact Profile, and household and sport activities with a validated structured interview method.
RESULTS
People with chronic pain used relatively more "resting," and "reducing demands" as pain coping strategies. Pain chronicity made a significant contribution to physical disability; however, when corrected for other variables in a regression model, no significant partial correlation was found.
CONCLUSION
We conclude that pain coping has a mediating role in the relationship between pain chronicity and physical disability. Less use of "resting" and a physically active lifestyle are independently associated with less physical disability.
目的
调查社区中患有髋部或膝部疼痛的老年人对疼痛应对策略的使用情况，以及应对疼痛在疼痛慢性化与身体残疾之间关系中的中介作用。
方法
确定了一组157名“在过去一个月内”有疼痛的人。使用疼痛应对量表评估应对疼痛的情况，使用疾病影响量表评估身体残疾情况，并通过经过验证的结构化访谈方法评估家庭和体育活动情况。
结果
慢性疼痛患者相对更多地使用“休息”和“减少需求”作为疼痛应对策略。疼痛慢性化对身体残疾有显著影响；然而，在回归模型中校正其他变量后，未发现显著的偏相关。
结论
我们得出结论，应对疼痛在疼痛慢性化与身体残疾之间的关系中起中介作用。较少使用“休息”以及积极的生活方式与较少的身体残疾独立相关。
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