社区老年慢性疼痛患者生活质量的调查研究
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摘要
目的了解社区老年慢性疼痛患者生活质量状况及相关影响因素,为社区卫生服务机构采取干预措施改善老年慢性疼痛患者疼痛状况提供参考。方法采用方便抽样法抽取咸宁市社区150名老年慢性疼痛患者,用一般人口学资料调查表、简明疼痛量表(BPI)、SF-36健康调查量表进行问卷调查。结果本次调查研究共发放150份问卷,回收有效问卷141份,有效回收率为94.00%。其中女性居多,年龄60～91岁,有配偶者居多,与配偶同居者居多,未受过正规教育者居多;大部分人的收入能够满足基本满足生活开支,具有医疗保险;慢性病数目在3种及以上者居多;采用一种止痛方式缓解疼痛者居多。咸宁市社区老年慢性疼痛患者社会功能维度得分最高,为(66.51±21.98)分;生活质量较低,得分为(55.16±19.73)分;以生活质量总分得分为因变量,一般资料为自变量进行单因素方差分析,比较组间有无差异性,结果表明不同性别、年龄、文化程度、收支状况、慢性病数目组间生活质量得分比较,差异具有统计学意义(P<0.05);不同婚姻状况、居住情况、医疗保险情况、不同止痛方式组间生活质量得分比较,差异无统计学意义(P>0.05);疼痛程度、疼痛影响程度、慢性疼痛病史与生活质量得分呈显著负相关(P<0.05),多元逐步回归分析显示,疼痛影响程度、收支状况、年龄、疼痛程度、性别进入回归方程,可解释生活质量总变异的58.10%(P<0.05)。结论咸宁市社区老年慢性疼痛患者生活质量有待于进一步提高;社区卫生服务工作者可有针对性提供干预措施,改善患者的生活质量。
Objective To understand the quality of life and related influencing factors of elderly patients with chronic pain in the community, and to provide reference for community health service agencies to take interventions to improve the pain status of elderly patients with chronic pain.Methods A total of 150 elderly patients with chronic pain in the Xianning community were selected by convenient sampling method. The questionnaires were surveyed using the general demographic data questionnaire, the brief pain scale(BPI) and the SF-36 health survey scale. Results A total of 150 questionnaires were distributed in this survey, and 141 valid questionnaires were collected. The effective recovery rate was 94.00%.Most of them are women, aged 60-91 years old, with spouses mostly, cohabiting with spouses, and most of them without formal education; most people's income can meet basic living expenses, with medical insurance; the number of chronic diseases is 3 Most of the above are used; most of them use pain relief to relieve pain. The social function dimension of the elderly patients with chronic pain in Xianning City was the highest(66.51 ±21.98);the quality of life was lower, the score was(55.16±19.73); the total score of quality of life was the dependent variable, and the general data was the independent variable. One-way analysis of variance was performed to compare the differences between the groups. The results showed that the differences in quality of life between different genders, ages, education levels, income and expenditure, and chronic disease groups were statistically significant(P<0.05);There were no significant differences in the quality of life between different marital status, living conditions, medical insurance,and different analgesic modes(P >0.05). There was a significant negative correlation between pain level, degree of pain, chronic pain history and quality of life score(P<0.05), multivariate stepwise regression analysis showed that the degree of pain, income, age, pain, and gender entered the regression equation, which explained 58.10% of the total quality of life(P<0.05). Conclusion The quality of life of elderly patients with chronic pain in the community of Xianning City needs to be further improved; community health service workers can provide targeted interventions to improve the quality of life of patients.
Objective To understand the quality of life and related influencing factors of elderly patients with chronic pain in the community, and to provide reference for community health service agencies to take interventions to improve the pain status of elderly patients with chronic pain.Methods A total of 150 elderly patients with chronic pain in the Xianning community were selected by convenient sampling method. The questionnaires were surveyed using the general demographic data questionnaire, the brief pain scale(BPI) and the SF-36 health survey scale. Results A total of 150 questionnaires were distributed in this survey, and 141 valid questionnaires were collected. The effective recovery rate was 94.00%.Most of them are women, aged 60-91 years old, with spouses mostly, cohabiting with spouses, and most of them without formal education; most people's income can meet basic living expenses, with medical insurance; the number of chronic diseases is 3 Most of the above are used; most of them use pain relief to relieve pain. The social function dimension of the elderly patients with chronic pain in Xianning City was the highest(66.51 ±21.98);the quality of life was lower, the score was(55.16±19.73); the total score of quality of life was the dependent variable, and the general data was the independent variable. One-way analysis of variance was performed to compare the differences between the groups. The results showed that the differences in quality of life between different genders, ages, education levels, income and expenditure, and chronic disease groups were statistically significant(P<0.05);There were no significant differences in the quality of life between different marital status, living conditions, medical insurance,and different analgesic modes(P >0.05). There was a significant negative correlation between pain level, degree of pain, chronic pain history and quality of life score(P<0.05), multivariate stepwise regression analysis showed that the degree of pain, income, age, pain, and gender entered the regression equation, which explained 58.10% of the total quality of life(P<0.05). Conclusion The quality of life of elderly patients with chronic pain in the community of Xianning City needs to be further improved; community health service workers can provide targeted interventions to improve the quality of life of patients.
引文
[1]赵亦欣,冯晨秋,娄凤兰.社区老年慢性疼痛患者自我效能状况及影响因素[J].中国老年学杂志,2014,34(2):466-468.
[2]谭宇添.老年人慢性疼痛的研究进展[J].护理学杂志,2015,30(10):109-112.
[3]冯晨秋,高晖,王贞慧,等.济南市社区老年慢性疼痛患者生活质量影响因素的分析[J].中国疼痛医学杂志,2013,19(4):216-219.
[4]陈国良,王梅,路桂军,等.慢性疼痛患者焦虑、抑郁状况调查及相关因素分析[J].中国疼痛医学杂志,2014,20(4):226-235.
[5]潘又专.社区护士在老年疼痛管理中的作用[J].护士进修杂志,2014,29(11):1006-1007.
[6]张雪琴,于闽等.护理干预对癌性疼痛患者自我管理行为的影响以及生活质量的改善[J].中国肿瘤临床康复,2015,22(2):243-245.
[7]柯红,陈晓莉,夏江.慢性疼痛自我管理的研究进展[J].现代中西医结合杂志,2015,34(32):3984-3986.
[8]田雪秋.天灸治疗慢性疼痛相关疾病概况[J].中医研究,2012,25(3):76-78.
[9]李玉莲,李莉.社区护士疼痛干预培训必要性分析[J].齐鲁护理杂志,2011,17(15):39-40.
[2]谭宇添.老年人慢性疼痛的研究进展[J].护理学杂志,2015,30(10):109-112.
[3]冯晨秋,高晖,王贞慧,等.济南市社区老年慢性疼痛患者生活质量影响因素的分析[J].中国疼痛医学杂志,2013,19(4):216-219.
[4]陈国良,王梅,路桂军,等.慢性疼痛患者焦虑、抑郁状况调查及相关因素分析[J].中国疼痛医学杂志,2014,20(4):226-235.
[5]潘又专.社区护士在老年疼痛管理中的作用[J].护士进修杂志,2014,29(11):1006-1007.
[6]张雪琴,于闽等.护理干预对癌性疼痛患者自我管理行为的影响以及生活质量的改善[J].中国肿瘤临床康复,2015,22(2):243-245.
[7]柯红,陈晓莉,夏江.慢性疼痛自我管理的研究进展[J].现代中西医结合杂志,2015,34(32):3984-3986.
[8]田雪秋.天灸治疗慢性疼痛相关疾病概况[J].中医研究,2012,25(3):76-78.
[9]李玉莲,李莉.社区护士疼痛干预培训必要性分析[J].齐鲁护理杂志,2011,17(15):39-40.