与参与退伍军人吸烟和慢性疼痛参与步行干预相关的因素
Ryan D Muller1,2, Mary A Driscoll3,4, Eric C DeRycke3
1Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, West Haven, CT, USA. Ryan.muller@va.gov.
Journal of behavioral medicine
|August 14, 2024
概括
老年和下肢疼痛增加了参与慢性疼痛和戒烟研究的退伍军人的久坐行为. 干预措施应考虑这些因素,以更好地参与步行组件.
科学领域:
- 行为医学是一种行为医学.
- 慢性疼痛管理 慢性疼痛管理
- 戒烟的方法 戒烟戒烟
背景情况:
- 疼痛和吸烟研究 (PASS) 调查了对退伍军人患有慢性疼痛和吸烟的认知行为干预 (CBI).
- 研究了参与干预的步行组成部分的情况.
- 了解影响参与的因素对于干预的有效性至关重要.
研究的目的:
- 为了确定与参与CBI干预的步行组成部分相关的人口和临床因素.
- 分析经历慢性疼痛和戒烟治疗的退伍军人年龄,疼痛位置和久坐行为之间的关系.
主要方法:
- 从抽烟的退伍军人慢性疼痛CBI的随机试验的数据分析.
- 根据步计数据,参与者被分为"久坐不动" (每天≤4999步) 或"不久坐不动" (每天≥5000步).
- 采用多变量逻辑回归来建模活动分类中的差异.
主要成果:
- 总共有89名参与者被纳入,平均每天步行3196步.
- 老年 (OR: 1.10) 和下肢 (LE) 疼痛 (OR: 5.98) 的存在与久坐不动的可能性增加有关.
- 65%的参与者被归类为久坐不动,突出显著比例的低体力活动.
结论:
- 综合性戒烟和慢性疼痛自我管理干预措施的步行组成部分必须针对年龄和疼痛位置.
- 调整干预措施以考虑这些因素可能会改善退伍军人参与和遵守体育活动建议.
- 未来的研究应该探索减轻这一群体体体育活动障碍的策略.
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