美国退伍军人在COVID-19期间的疼痛轨迹
Shaddy K Saba1, Jordan P Davis2, Jonathan B Bricker3
1University of Southern California, Suzanne Dworak-Peck School of Social Work, Los Angeles, California.
The journal of pain
|July 6, 2023
概括
大多数退伍军人在COVID-19期间经历了稳定或减弱的疼痛. 然而,童年创伤和少数群体地位预测了慢性疼痛,突出了老兵疼痛管理方面的差异.
科学领域:
- 疼痛研究 疼痛研究
- 退伍军人的健康问题
- 流行病学 流行病学
背景情况:
- 身体疼痛在退伍军人中很常见.
- COVID-19压力因素可能会加剧退伍军人的疼痛.
- 了解疼痛轨迹对于长期管理至关重要.
研究的目的:
- 在COVID-19大流行期间,探索美国退伍军人的异质疼痛轨迹.
- 为了确定疼痛的基线和流行病相关预测因素.
- 检查退伍军人之间疼痛经历的差异.
主要方法:
- 对1230名美国退伍军人有高基线疼痛的前性分析.
- 在COVID-19 (2020年2月) 之前和12个月后 (2021年2月) 收集的数据.
- 用于识别疼痛轨迹类和预测因子的生长混合模型.
主要成果:
- 确定了四种不同的疼痛轨迹:慢性疼痛 (17.3%),减轻疼痛 (57.2%),稳定轻度疼痛 (19.8%),增加疼痛 (5.7%).
- 童年创伤,女性性别和种族/少数民族地位与更高的慢性疼痛概率有关.
- 在几个轨迹类中,孤独预测了随后的疼痛.
结论:
- 虽然许多退伍军人的疼痛有所改善或保持稳定,但存在显著的差异.
- 童年创伤和人口因素是持续性疼痛的关键风险因素.
- 临床医生应该考虑创伤史,孤独感,以及退伍军人疼痛管理方面的差异.
更多相关视频
相关概念视频
Post-traumatic Stress Disorder
76
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
76
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Peripheral Artery Disease IV: Nursing Management
12
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Traumatic Memory
132
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
132
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12


