{"title":"按疼痛存在和局限性划分的老年人社会心理特征。","authors":"Ashleigh Holmes, Weijun Wang, Yu-Ping Chang","doi":"10.3928/00989134-20240618-05","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare psychosocial outcomes of older adults according to pain experience.</p><p><strong>Method: </strong>Using cross-sectional 2021 data from the National Health and Aging Trends Study, we examined psychosocial characteristics in older adults (<i>N</i> = 3,376) divided into three groups: no pain, pain without activity limitations, and activity-limiting pain.</p><p><strong>Results: </strong>In multiple regression models, older adults with activity-limiting pain compared to those without pain had significantly higher depression, anxiety, and fear of falling, as well as reduced positive affect, self-realization, self-efficacy, resilience, and social participation. Older adults with non-activity-limiting pain had significantly higher social participation than those without pain, but no differences in self-realization, self-efficacy, or resilience.</p><p><strong>Conclusion: </strong>Pain is strongly associated with all psychosocial outcomes, especially in older adults with activity-limiting pain. Future research should examine the impact of self-realization, self-efficacy, resilience, and social participation on activity limitations. [<i>Journal of Gerontological Nursing, 50</i>(7), 27-34.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"27-34"},"PeriodicalIF":1.1000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychosocial Characteristics by Pain Presence and Limitations Among Older Adults.\",\"authors\":\"Ashleigh Holmes, Weijun Wang, Yu-Ping Chang\",\"doi\":\"10.3928/00989134-20240618-05\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To compare psychosocial outcomes of older adults according to pain experience.</p><p><strong>Method: </strong>Using cross-sectional 2021 data from the National Health and Aging Trends Study, we examined psychosocial characteristics in older adults (<i>N</i> = 3,376) divided into three groups: no pain, pain without activity limitations, and activity-limiting pain.</p><p><strong>Results: </strong>In multiple regression models, older adults with activity-limiting pain compared to those without pain had significantly higher depression, anxiety, and fear of falling, as well as reduced positive affect, self-realization, self-efficacy, resilience, and social participation. Older adults with non-activity-limiting pain had significantly higher social participation than those without pain, but no differences in self-realization, self-efficacy, or resilience.</p><p><strong>Conclusion: </strong>Pain is strongly associated with all psychosocial outcomes, especially in older adults with activity-limiting pain. Future research should examine the impact of self-realization, self-efficacy, resilience, and social participation on activity limitations. [<i>Journal of Gerontological Nursing, 50</i>(7), 27-34.].</p>\",\"PeriodicalId\":15848,\"journal\":{\"name\":\"Journal of gerontological nursing\",\"volume\":\"50 7\",\"pages\":\"27-34\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of gerontological nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/00989134-20240618-05\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20240618-05","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:根据疼痛经历比较老年人的社会心理结果:利用全国健康与老龄化趋势研究(National Health and Aging Trends Study)的 2021 年横截面数据,我们将老年人(N = 3,376 人)分为三组:无疼痛组、无活动限制疼痛组和活动受限疼痛组,研究了他们的社会心理特征:在多元回归模型中,有活动受限疼痛的老年人与无疼痛的老年人相比,抑郁、焦虑和跌倒恐惧显著增加,积极情绪、自我实现、自我效能、复原力和社会参与度也有所降低。患有非活动受限性疼痛的老年人的社会参与度明显高于无疼痛的老年人,但在自我实现、自我效能和复原力方面没有差异:结论:疼痛与所有社会心理结果密切相关,尤其是对患有活动受限性疼痛的老年人而言。未来的研究应探讨自我实现、自我效能感、复原力和社会参与对活动受限的影响。[老年护理学杂志》,50(7),27-34。]
Psychosocial Characteristics by Pain Presence and Limitations Among Older Adults.
Purpose: To compare psychosocial outcomes of older adults according to pain experience.
Method: Using cross-sectional 2021 data from the National Health and Aging Trends Study, we examined psychosocial characteristics in older adults (N = 3,376) divided into three groups: no pain, pain without activity limitations, and activity-limiting pain.
Results: In multiple regression models, older adults with activity-limiting pain compared to those without pain had significantly higher depression, anxiety, and fear of falling, as well as reduced positive affect, self-realization, self-efficacy, resilience, and social participation. Older adults with non-activity-limiting pain had significantly higher social participation than those without pain, but no differences in self-realization, self-efficacy, or resilience.
Conclusion: Pain is strongly associated with all psychosocial outcomes, especially in older adults with activity-limiting pain. Future research should examine the impact of self-realization, self-efficacy, resilience, and social participation on activity limitations. [Journal of Gerontological Nursing, 50(7), 27-34.].
期刊介绍:
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.