概括
健康和退休研究 (HRS) 有效地识别了老年人的高影响性慢性疼痛,显示了与疼痛强度和残疾指标的强烈有效性. 这项研究促进了老年人群的慢性疼痛监测.
科学领域:
- 流行病学 流行病学
- 老年学是一门学科.
- 疼痛医学 医学 疼痛医学
背景情况:
- 慢性疼痛流行病学受到不一致的定义和方法的挑战.
- 美国国家疼痛战略将高影响性慢性疼痛定义为干扰日常生活的疼痛.
- 验证操作定义对于准确的疼痛监测至关重要.
研究的目的:
- 在健康和退休研究 (HRS) 中验证高影响性慢性疼痛的操作性.
- 评估HRS数据对研究慢性疼痛在老年人中具有全国代表性的大量队列的有用性.
主要方法:
- 分析了来自508名参与者的2010年HRS疼痛模块数据.
- 使用两个已确定的HRS问题对高冲击疼痛的操作化.
- 使用数值评分表和疼痛残疾指数 (PDI) 评估疼痛强度和残疾.
- 使用威尔科克森等级总和逻辑回归测试,高与低影响疼痛组的统计比较.
- 在2012年的2年随访中对疼痛影响的评估.
主要成果:
- 65.9%的参与者 (335/508) 报告高冲击性疼痛.
- 高冲击性疼痛与明显更大的疼痛相关残疾 (PDI) 和平均疼痛强度相关.
- 高冲击性疼痛与报告慢性和持续疼痛的可能性增加有关.
- 一个1.80的相对风险表明在2年的随访中持续存在高冲击性疼痛.
结论:
- 高冲击性疼痛的HRS运行表现出与已建立的疼痛措施具有强烈的并发有效性.
- 慢性疼痛研究所是促进慢性疼痛研究的宝贵资源,特别是在老年人群中.
- 这项研究支持使用HRS进行标准化疼痛监测.
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