十堰市3个社区老年人慢性疼痛现状及影响因素  

Current status and influencing factors of chronic pain in the elderly in three communities of Shiyan City

作　　者：陈艳[1] 郑艳[2] 庄凤娟[1] CHEN Yan;ZHENG Yan;ZHUANG Feng-juan(I inpatient ward of neurology Department;Department of Nursing, Shiyan Renmin Hospital, Shoran Hubei, 442000, China)

机构地区：[1]十堰市人民医院神经内科Ⅰ病区,湖北十堰442000 [2]十堰市人民医院护理部,湖北十堰442000

出　　处：《职业与健康》2018年第5期689-692,共4页Occupation and Health

基　　金：湖北省教育厅科学技术研究项目(B2016503)

摘　　要：目的了解社区老年人慢性疼痛的患病现状及影响因素,为社区老年人健康管理提供依据。方法采用方便抽样、集中调查和入户调查相结合方法对社区817例老年人进行系列问卷调查和体格检查,采用SPSS 22.0统计软件进行分析。结果调查的老年人慢性疼痛患病率为56.5%,疼痛最常见部位为下肢(59.7%)、腰部(17.7%)、颈部(16.0%)、肩膀(3.9%)及其他部位(2.7%)。联合治疗是常用的缓解疼痛的方法。影响社区老年人慢性疼痛的主要因素有性别(OR:1.424)、婚姻状况(OR:1.357)、文化程度(OR:1.382)、宗教信仰(OR:1.400)、民族(OR:1.125)、居住情况(OR:1.713)、疼痛病因(OR:1.693)和心理健康(OR:1.925)。79.0%慢性疼痛患者认为在疼痛时他人帮不到自己。结论社区老年人慢性疼痛患病率高,影响慢性疼痛的因素较多。社区医务人员应该根据老年人的慢性疼痛原因及特点,制定个性化的治疗方案,减轻老年人的痛苦,提高其生活质量。[Objective]To understand the prevalence and influencing factors of chronic pain in the elderly,and provide decisionmaking reference for the health management of the elderly in the community.[Methods]Through convenient sampling,centralized investigation and household survey,a total of 817 elderly people were investigated and given physical examination.The results were analyzed by SPSS 22.0 statistical software.[Results]The prevalence of chronic pain was 56.5% in the elderly.The most common parts of the pain were lower extremity（59.7%）,waist（17.7%）,neck（16.0%）,shoulder（3.9%）and other parts（2.7%）.Combination therapy was commonly used to relieve pain.The main factors affecting the chronic pain in the elderly were gender（OR：1.424）,marital status（OR：1.375）,educational level（OR：1.382）,religious belief（OR：1.400）,ethnic（OR：1.125）,living condition（OR：1.713）,etiology of pain（OR：1.693）and mental health（OR：1.925）.79.0% of patients with chronic pain thought that others could not help themselves in the pain.[Conclusion]The prevalence of chronic pain in the community is high,and there are many factors that affect chronic pain.Community medical staff should develop personalized treatment programs based on the causes and characteristics of chronic pain in the elderly to reduce the suffering of the elderly and improve their quality of life.

关 键 词：老年人 慢性疼痛 影响因素 

分 类 号：R181.3[医药卫生—流行病学]