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老年人慢性疼痛的定量和定性评估中的性别差异
Grażyna Puto1, Iwona Repka1, Agnieszka Gniadek1
1Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Cracow, Poland.
Frontiers in public health
|June 25, 2024
概括
老年女性用更多的情感形容词来描述慢性疼痛,而老年男性则专注于感官方面. 两性都表达了主观的痛苦经历.
科学领域:
- 老年学是一门学科.
- 疼痛研究 疼痛研究
- 性别研究是性别研究.
背景情况:
- 慢性疼痛是一种复杂的,主观的经历,涉及感官,情感和认知维度.
- 一个单一的数值尺度不足以捕捉疼痛的多维性质.
研究的目的:
- 调查老年人慢性疼痛的定量和定性评估中的性别差异.
- 探索老年男女如何描述他们的疼痛经历.
主要方法:
- 使用了评估人口和社会特征的问卷.
- 包括经过验证的尺度:缩写精神评分 (AMTS),日常生活的个人活动 (PADL),日常生活的仪器活动 (IADL),老年抑郁症尺度 (GDS-15) 和麦吉尔疼痛问卷 (MPQ).
主要成果:
- 女性报告的疼痛评分 (疼痛评分指数) 比男性高 (p=0.04).
- 男性更频繁地将疼痛描述为"刺伤" (p<0.05),而女性则使用了更多的情感描述词,如"令人厌恶"和"无法忍受" (p<0.05).
- 两种性别都报告了主观疼痛方面,女性使用"可怕"和男性使用"不愉快"的频率更高 (p<0.05).
结论:
- 老年女性的疼痛描述更详细,更具情感表达性,这表明情感敏感度更高.
- 老年男性倾向于关注感官疼痛方面,使用较少的描述词.
- 主观疼痛经历存在于两性,但表达方式不同.
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