残疾老年人的慢性疼痛与认知障碍有关 - 一项前性队列研究
Hiroya Honda1, Ryota Ashizawa2, Yuto Kameyama3
1Department of Physical Therapy, Biwako Professional University of Rehabilitation, Higashiomi, Japan.
概括
慢性疼痛与残疾老年人的认知障碍有关. 管理疼痛可能有助于预防这一群体的认知衰退.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 慢性疼痛是老年人普遍存在的问题,可能会影响认知功能.
- 关于慢性疼痛与残疾老年人认知障碍之间的关系的研究有限.
研究的目的:
- 调查慢性疼痛与认知障碍之间的关联.
- 专注于使用长期护理保险的老年人 (≥65岁).
主要方法:
- 在24个月内对143名日本老年人进行前性队列研究.
- 慢性疼痛定义为持续3个月以上的疼痛.
- 认知障碍通过迷你精神状态检查 (MMSE) 评分定义的认知障碍 ≤23.
- 使用了倾向性得分匹配 (PSM) 和后勤回归分析.
主要成果:
- 倾向性得分匹配选择的66名参与者.
- 后勤回归显示慢性疼痛和认知障碍之间存在显著的关联 (OR:4.103,P=0.008).
结论:
- 慢性疼痛是残疾老年人认知障碍的重要危险因素.
- 应考虑疼痛管理策略,以预防这种人群的认知障碍.
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