老年人慢性疼痛现状及其影响因素的调查  

A Study of Current Situation and Its Related Factors among Elderly People with Chronic Pain

作　　者：冯晨秋[1] 王贞慧[1] 高晖[1] 娄凤兰[1] 

机构地区：[1]山东大学护理学院,山东济南250012

出　　处：《解放军护理杂志》2012年第12期9-11,35,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解济南市社区老年人慢性疼痛现状及其影响因素。方法便利抽样法选取前去某社区医疗服务机构就诊的60岁及以上老年患者(n=319)作为调查对象,采用自制的疼痛相关资料调查表和简明疼痛程度量表(brief pain inventory,BPI)对其进行调查。结果老年人慢性疼痛患病率为60.2%,疼痛最常见部位为下肢(64.1%)、腰骶(39.6%)、颈部(29.7%)。替代疗法联合药物是常用缓解疼痛的方法,缓解方法多来源于患者自己日常生活经验(40.0%),经治疗后完全缓解者仅占11.0%。营养状况、宗教信仰、慢性病数量等因素是老年患者慢性疼痛患病的影响因素,OR值分别为1.43、2.56、2.05。结论济南市社区老年患者慢性疼痛患病率高,治疗完全缓解率低,应进一步加强社区慢性疼痛健康教育及治疗,使之系统化、规范化。Objective To investigate the current situation and its related factors of elderly people with chronic pain in community in Jinan.Methods By convenience sampling,319 people aged 60 or older who visited the community health services were investigated by a self-designed questionnaire and brief pain inventory（BPI）.Results Of the 319 people,the prevalence of chronic pain was 60.2%,and leg（64.1%）,waist（39.6%）,neck（29.7%） were the most common involved parts.Replacement therapy with drugs was the most common mitigation,and the mitigations mostly came from patients themselves（40%）,and 11% of them got complete remission.Nutritional status,religion,number of chronic diseases were the related factors of elderly people with chronic pain,and their OR values were 1.43,2.56,2.05,respectively.Conclusion The prevalence of chronic pain is high,however,the remission rate is low,and there’s no systematic measures.We should strengthen the therapy and health education to make it systematic and standardized.

关 键 词：慢性疼痛 社区 老年人 影响因素 

分 类 号：R441.1[医药卫生—诊断学]