各代慢性疼痛影响因素的调查

Pain Research Pub Date : 2020-06-30 DOI:10.11154/pain.35.107
Y. Terajima, Yukiko Shiro, Shuichi Aono, Keiko Owari, Kenichi Arai, Shinsuke Inoue, T. Matsubara, Makoto Nishihara, T. Ushida
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引用次数: 0

摘要

目的:本研究的目的是阐明每代人慢性疼痛的影响因素的差异。方法:对前来爱知医科大学疼痛中心就诊的2298例患者进行分析。分析首次就诊时使用iPad测量的患者步行评分。测量项目有:众多评定量表(NRS)、疼痛残疾评定量表(PDAS)、医院焦虑抑郁量表(HADS)、疼痛灾难化量表(PCS)、疼痛自我效能问卷(PSEQ)和雅典失眠量表(AIS)。对于这些项目,计算了每个10岁年龄组的平均值。此外,以NRS和PDAS为客观变量,其他项目为解释变量进行线性回归。p值< 0。05被认为是显著的。结果:30年代后NRS、PDAS、PCS较高,工作代HADS、AIS较高,工作代PSEQ较低。患者在十几岁时最少,40多岁时增加,以后几代患者较多,60多岁的男女患者最多。在以NRS为目标变量的多元回归分析中,选择AIS,除80年代外,各代间差异显著。在20年代和70年代,PCS被选中。在以PDAS为客观变量的多元回归分析中,青少年至60多岁选择AIS, 30多岁及以上选择PSEQ, 40多岁及以上选择HADS抑郁。结论:我们分析了每代人的疼痛相关因素,发现了各代人之间的差异。工作一代在心理和睡眠方面比其他几代人差,这些都影响了疼痛症状。
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Investigation of influence factors on chronic pain in each generation
Purpose: The aim of this study is to clarify the difference in influencing factors for chronic pain in each generation. Method: There were 2 , 298 patients who visited Aichi Medical University Pain Center. The patient pedestrian score measured using iPad at the first visit was analyzed. Measurement items are Numerous Rating Scale (NRS), Pain Disability Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Catastrophizing Scale (PCS), Pain Self–Efficacy Questionnaire (PSEQ), and Athens Insomnia Scale (AIS). For these items, average values were calculated for each age group of 10 years. Furthermore, linear regression was performed using NRS and PDAS as objective variables and other items as explanatory variables. A p value < 0 . 05 was considered significant. Result: NRS, PDAS and PCS were high after the 30 s, HADS and AIS were high in the working generation, and PSEQ was low in the working generation. The number of patients is the lowest in teens and increased in the 40 s, and there were many patients in the subsequent generations, with the largest number of men and women in their 60 s. In the multiple regression analysis with NRS as the objective variable, AIS was selected with a significant difference in the generations excluding the 80 s. In the 20 s and 70 s, PCS was selected. In the multiple regression analysis with PDAS as the objective variable, AIS was selected in the teens to 60 s, PSEQ was selected in the 30 s and over, and HADS depression was selected in the 40 s and over. Conclusion: We analyzed pain–related factors for each generation and found dif-ferences between generations. The working generation was worse in psychology and sleep than the other generations, and these affected pain symptoms.
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Pain Research
Pain Research CLINICAL NEUROLOGY-
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