患有多重骨髓瘤的成年患者的疼痛和疲劳:荷兰
Ihsane Amajjar1,2, Kuni Vergauwen2,3,4,5, Nienke W Willigenburg1
1Department of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands.
PloS one
|July 17, 2024
概括
疼痛和疲劳在患有多重骨髓瘤 (MO) 的患者中非常普遍. 在MO患者中,疲劳水平明显高于健康个体和风湿性关节炎 (RA) 患者.
科学领域:
- 医学遗传学 医学遗传学
- 类风湿病学 类风湿病学
- 疼痛管理 疼痛管理
背景情况:
- 多重骨髓瘤 (MO) 是一种罕见的遗传疾病,导致许多良性骨瘤.
- 疼痛是MO的重要症状,但疲劳也是一个主要问题,尽管研究较少.
- 了解疼痛和疲劳的患病率和相关因素对于患者护理至关重要.
研究的目的:
- 评估成年MO患者的疼痛和疲劳水平.
- 为了将MO患者的疲劳与健康人群和类风湿性关节炎 (RA) 患者进行比较.
- 在MO中识别与疼痛和疲劳相关的变量.
主要方法:
- 一项涉及353名成年MO患者的横截面研究.
- 经过验证的问卷 (数值评分表,个人力量检查表) 用于评估疼痛和疲劳.
- 统计分析包括基于ICF模型的单个样本t测试和多重线性回归模型.
主要成果:
- 87.8%的MO患者报告疼痛,90.4%报告疲劳.
- 与健康人群和RA患者相比,MO患者的疲劳分数显著更高 (p<0.001).
- 避免恐惧的信念和疲劳与疼痛密切相关;焦虑和抑郁与疲劳相关.
结论:
- 与对照组相比,MO患者的疼痛和疲劳非常普遍,并且明显增加.
- 确定相关变量可以为MO开发改进的多学科治疗计划提供信息.
- 对影响MO患者疼痛和疲劳的心理社会因素的进一步研究是有必要的.
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