老年人慢性疼痛及其影响因素的评价

Önder Sezer, Duygu Devran, H. N. Dagdeviren
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摘要

目的:疾病在老年人群中更为常见,因此在这种情况下疼痛也成为一个严重的问题。众所周知,疼痛严重影响生活质量,并增加了药物的使用。我们研究的目的是确定老年人慢性疼痛的严重程度,并评估影响慢性疼痛的条件。方法:纳入456例老年患者。平均年龄71.19±6.27岁(min: 65;马克斯:93)。评估患者的社会人口学信息、疾病、药物使用、慢性疼痛的存在、慢性疼痛的影响条件和治疗方法,以及老年疼痛量表。结果:纳入研究的女性272人,占59.6%。关于老年疼痛量表,61.2%(279人)有轻度疼痛,而其他18.6%(85人)有严重疼痛。有87.7%的患者使用镇痛药治疗慢性疼痛。患者对药物使用的知晓率为43.9% (n: 200)。我们发现慢性疼痛与女性性别(p<0.001)、年龄较大(p=0.012)、吸烟(p=0.01)、非甾体类抗炎药物使用者(p=0.003)和体重指数较高的个体(p=0.016)有统计学意义的关系。结论:慢性疼痛是老年人常见的主诉。疼痛的存在破坏了生活质量,给医疗保健系统带来了额外的负担。发现引起疼痛并增加严重程度的可预防情况,重视非药物治疗,提高对所使用药物的卫生知识,执行有效的疾病防治政策,将减轻慢性疼痛的严重程度,提高生活质量并大大降低保健费用。
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Evaluation of Chronic Pain and Affecting Factors in the Elderly
Objective: Diseases are more seen in the elderly population, therefore pain also gains a severe probleme in this situation. It is well known that pain impairs significantly the quality of life and gives raise to an increase use of drugs. The aim of our study is to determine the severity of chronic pain in the eldely and to evaluate the conditions affecting chronic pain. Methods: We included 456 elderly patients in our study. The mean age was 71.19±6.27 (min: 65; max: 93). Patient’s sociodemografic information, diseases, use of medications, presence of chronic pain, affecting conditions and treatment applied for chronic pain, and Geriatric Pain Scale were evaluated. Results: The females integrated in tis study were 272 with a rate of 59.6 %. Regarding the geiatric pain scale 61.2 % (n: 279) had a mild pain while the other 18.6% (n: 85) had severe pain. The 87.7% were in medication of analgesics for their chronic pain. The patient’s knowledge of the used of medications was with a rate of 43.9% (n: 200). We founded a statistically significant relationship between the chronic pain and femele gender (p<0.001), older age (p=0.012), smoking users (p=0.01), nonsteroidal antiinflamatory drug users (p=0.003) and inidviduals with higher mass body index (p=0.016). Conclusion: Chronic pain in the elderly is a common complaint. The presence of pain disrupts the quality of life and puts additional burdens on the healthcare system. Detecting preventable situations that cause pain and increases severity, giving importance to non-drug treatments, increasing health literacy about the drugs used, implementing effective policies against diseases will reduce the severity of chronic pain, increasing the quality of life and significantly reducing health costs.
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