血友病患者疼痛的患病率和感知:英国的一项研究
Kate Khair1, Paul McLaughlin2, Nathalie Roussel3
1Haemnet, London, UK.
Haemophilia : the official journal of the World Federation of Hemophilia
|September 11, 2023
概括
慢性疼痛在英国血友病 (PWH) 患者中普遍存在,影响所有严重程度的人的生活质量. 许多人学会与痛苦相处,强调需要提高临床意识和生物心理社会方法.
科学领域:
- 血液学 血液学 血液学
- 疼痛医学 医学 疼痛医学
- 公共卫生 公共卫生
背景情况:
- 血友病的关节出血导致关节的破坏,功能障碍和疼痛.
- 慢性疼痛影响高达70%的血友病患者 (PWH).
- 有限的数据存在于英国PWH的疼痛经验.
研究的目的:
- 确定英国PWH中疼痛的流行率和感知.
- 了解疼痛对PWH生活质量的影响.
主要方法:
- 在所有严重程度的PWH中进行了横截面的非干预性调查.
- 该调查包括验证的工具,如EQ-5D和EQ-VAS.
- 通过参与治疗中心收集数据.
主要成果:
- 599名PWH受试者作出反应;65%报告"关节问题",59%的受试者经常感到疼痛.
- 56%的疼痛意识是恒定的,与较差的EQ-5D/EQ-VAS得分相关.
- 虽然大多数人讨论了疼痛,但25%没有,70%的人说他们学会了与之生活.
结论:
- 慢性疼痛显著影响PWH的生活质量,无论年龄,严重程度或医疗保健环境如何.
- 临床医生需要提高对PWH慢性疼痛的认识.
- 建议使用生物心理社会疼痛评估和管理策略.
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