社区慢性疼痛患者疼痛现状与生活质量的调查分析  

Investigation of Current Status of Chronic Pain and Quality of Life in Patients with Chronic Pain in Community

作　　者：钟晨曦[1] 谢徐萍[1] 刘俐[1] 李勇 钟净 漆桂友 王影 申媛媛 

机构地区：[1]四川大学华西医院麻醉科疼痛病房,四川成都610041 [2]成都市火车南站社区卫生服务中心,四川成都610041

出　　处：《四川医学》2016年第11期1272-1275,共4页Sichuan Medical Journal

摘　　要：目的了解社区慢性疼痛患者的疼痛现状与生活质量,为社区医疗服务中心制定相应干预措施提供依据。方法采用自行设计的调查问卷与SF-36健康调查量表,对50例社区慢性疼痛患者进行调查。结果调查结果示80.43%的患者在过去一周内出现过疼痛,71.74%的患者疼痛时间≥1年,41.30%的患者疼痛程度为中重度,VAS平均为4.96分。26.09%患者疼痛性质为针疼痛,30.43%患者疼痛持续时间>24h,58.7%患者认为疼痛影响日常生活,47.83%患者疼痛影响睡眠,82.60%患者希望疼痛得到控制处理;73.1%患者目前未服用镇痛药物,73.91%患者对目前疼痛管理满意,82.6%的患者向医务人员反映疼痛。生活质量除社会功能的得分与常态社区老人组差异无统计学意义(P>0.05),其余项均显著低于常态社区老人组,差异有统计学意义(P<0.01)。结论社区慢性疼痛患者的疼痛现状和生活质量不容乐观。医务人员应当重视社区慢性疼痛患者这一群体,应联合社区医务人员采取多方位的干预措施,提供便捷有效的疼痛诊疗服务,建立有效的双向转诊机制,提供必要的心理疏导服务,开展丰富的社区文化生活,积极帮助患者减轻控制疼痛,达到缓解患者疼痛与提高生活质量的目的。Objective To know current status of chronic pain and quality of life in patients with chronic pain in community and provide a reference basis for Community Health Centers to develop appropriate interventions. Methods 50 patients with chronic pain in community were investigated by a self-designed questionnaire and the SF-36 Health Survey Scale. Results80. 43% had suffered with pain in the past week. 71. 74% had suffered with pain more than 1 year 41. 30% had a moderate or severe pain with an average of 4. 96 scores for VAS. 26. 09% had a needle-like pain.30. 43% patients＇ duration of pain was over 24 hours.58. 7% patients thought their daily life was troubled when 47. 83% patients claimed that the pain influenced their dimensions. 82. 60% patients wanted their pain to be controlled.73. 1% were not taking analgesic drugs at present.73. 91% patients were satisfied with pain management.82. 6% patients reported their pain to medical staffs. In SF-36 Health Survey Scales,all dimensions of patients were significantly lower than normal population（ P〈 0. 01） except the SF（ P〈 0. 01）. Conclusion Current status of chronic pain,quality of life in patients with chronic pain in community were not optimistic.Medical workers should pay attention to patients with chronic pain and take multi-faceted intervention measures together with community health workers including providingconvenient and effective pain treatment services,establishing effective two-way referral system,providing the necessary psychological counseling service,holding colorful cultural life of the community and actively helping patients to relieve and control pain,to achieve our goal of relieving pain and improving quality of life

关 键 词：慢性疼痛 疼痛现状 生活质量 

分 类 号：R402[医药卫生—临床医学]