疼痛与老年机构居民的认知和日常功能障碍之间的关联:一个横截面研究
Sheng-Hua Wu1,2,3, Chung-Fen Lin4, I-Cheng Lu2,3,5
1Department of Anesthesiology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
BMC geriatrics
|November 19, 2023
概括
疼痛在台湾机构居民中普遍存在,影响了40.3%. 相关因素包括并发症和生活质量,强调需要更好地评估老年人群的疼痛.
科学领域:
- 老年学是指老年学的学科.
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 在残疾老年人中,疼痛经常被忽视,特别是在台湾.
- 台湾快速增长的机构居民人口需要注意他们的健康需求.
- 调查疼痛患病率和促成因素对于改善这一人口群的护理至关重要.
研究的目的:
- 确定台湾机构住院老年人中疼痛的患病率.
- 确定与此群体疼痛相关的因素,包括并发症,功能状态和生活质量.
- 在机构环境中为增强疼痛评估和管理的战略提供信息.
主要方法:
- 一项全国性的研究涉及5746名台湾机构居民.
- 疼痛强度使用5分口头评分尺度 (分数2-5表示疼痛) 进行测量.
- 收集了相关疾病,功能依赖 (ADL/IADL),生活质量 (EQ5D) 和痴呆症的数据.
主要成果:
- 40.3%的居民报告疼痛,51.2%的人经历中度至重度疼痛.
- 疼痛在患有并发症的住户中更为常见,并对生活质量和情绪/行为状态产生负面影响.
- 疼痛与日常生活的工具活动 (IADL) 相相关,但与日常生活的基本活动 (ADL) 无关;痴呆与疼痛有负相关性.
结论:
- 不治理的疼痛在住院的老年人中很常见,与并发症,功能限制和生活质量下降有关.
- 老年人,特别是那些患有痴呆症的人,可能会因为沟通挑战而低估疼痛.
- 改善疼痛评估和管理策略对于这个脆弱人群至关重要.
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