在慢性疼痛的老年人疼痛管理的认知表现和自我效率之间的关联
Pornthip Suyasith1, Ling Shi2, Janice B Foust2
1Faculty of Nursing, Mahidol University, Bangkok, Thailand; Robert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA.
概括
认知表现,特别是注意力和执行功能,与慢性疼痛的老年人更好的疼痛管理自我有效性有关. 需要进一步的研究来确认长期影响.
科学领域:
- 老年学是指老年学的学科.
- 神经心理学 神经心理学
- 疼痛管理 疼痛管理
背景情况:
- 疼痛管理的自我有效性对于成功的结果至关重要.
- 对于认知表现对疼痛管理自我有效性的影响,人们的理解有限.
- 这项研究调查了慢性疼痛的老年人认知功能和自我效能之间的关系.
研究的目的:
- 检查认知表现与疼痛管理的自我有效性相关的程度.
- 确定与老年人疼痛管理自我有效性相关的特定认知领域.
- 为旨在改善这一群体疼痛管理的干预提供见解.
主要方法:
- 利用了来自MOBILIZE波士顿研究基线评估的数据.
- 通过5项神经心理测试对458名参与者 (70岁以上的慢性疼痛患者) 进行认知表现评估.
- 用慢性疼痛自我效能度表来测量疼痛管理的自我效能,并使用多重线性回归分析数据.
主要成果:
- 一般认知表现,执行功能 (Clock in the Box测试) 和注意力 (Trail-Making测试A部分) 与疼痛管理自我有效性有显著的相关性.
- 这些关联在控制社会人口统计因素,慢性疾病,疼痛干扰和身体表现后减弱.
- 表明这种人口群体的认知能力和自我效能之间存在微妙的关系.
结论:
- 提高注意力和执行功能的认知性能可能与改善疼痛管理的自我有效性相关.
- 建议进行长期研究,以了解认知变化对疼痛管理自我有效性的长期影响.
- 这些发现突出了干预措施的潜在认知目标,以支持慢性疼痛的老年人.
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