老年慢性非特异性腰痛患者的疼痛和抑郁水平与生活质量有关?

F. Yaman, Cihan Aksoy, M. Akdeniz Leblebicier, Emre Sahin
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摘要

本研究旨在探讨老年慢性非特异性腰痛(CNLBP)患者疼痛严重程度与抑郁水平及生活质量的关系,确定年龄对患者生活质量、疼痛严重程度及抑郁症状水平的影响。评估参数采用针对老年患者的量表获得。分别使用老年疼痛量表(GPM)、老年抑郁量表(GDS)和世界卫生组织生活质量问卷-老年人模块(WHOQOL-OLD)对疼痛严重程度、抑郁和生活质量进行评估。研究共纳入231例CNLBP患者(年龄≥65岁),其中62.3% (n=144)为女性,37.7% (n=87)为男性。患者GDS与GPM评分之间存在中度相关性(r=0.53;p < 0.05)。GDS与WHOQOL-OLD的“过去-现在和未来活动”子域(r=-0.52)和“社会参与”子域(r=-0.48)也有中度相关性(p<0.05)。按年龄组划分,仅有“感觉能力”有统计学差异(p<0.05)。老年CNLBP患者的抑郁水平和疼痛强度对生活质量有负面影响。评估老年CNLBP患者的疼痛严重程度和抑郁症状水平可能有助于建立具有改善生活质量和治疗方法的老年人群。需要进一步的研究来揭示生活质量下降、抑郁和疼痛增加的原因。
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Pain and Depression Levels Related to the Quality of Life in Elderly People with Chronic Non-Specific Low Back Pain?
This study aimed to investigate the relationship between pain severity and depression level and quality of life in elderly patients with chronic non-specific low back pain (CNLBP) and determine the effect of age group on the quality of life, pain severity and depression symptom levels of patients. Evaluation parameters were obtained using scales specific to geriatric patients. Pain severity, depression, and quality of life were evaluated using the Geriatric Pain Measure (GPM), Geriatric Depression Scale (GDS), and World Health Organization Quality of Life Questionnaire-Older Adults Module (WHOQOL-OLD), respectively. The study included a total of 231 patients with CNLBP (age ≥65 years), of whom 62.3% (n=144) were female and 37.7% were male (n=87). There was a moderate correlation between the patients’ GDS and GPM scores (r=0.53; p<0.05). GDS also had a moderate correlation with the ‘past-present-and-future activities’ (r=-0.52) and ‘social participation’ (r=-0.48) subdomains of WHOQOL-OLD (p<0.05). According to age groups, the only statistically significant difference was observed in ‘sensory abilities’ (p<0.05). Quality of life is negatively affected by the level of depression and pain intensity in elderly individuals with CNLBP. Evaluation of pain severity and depressive symptom levels in elderly patients with CNLBP may contribute to the establishment of an elderly population with improved quality of life and treatment approach. There is a need for further studies to reveal the reasons for poorer quality of life and increased depression and pain.
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