老年人慢性疼痛自我管理策略及有效性的调查研究

目的 探讨老年人慢性疼痛的临床特征和自我管理策略及有效性的现状,并分析之间的关系. 方法对243名年龄≥65岁慢性疼痛老年人进行系列问卷调查,了解老年人慢性疼痛的临床特征及自我管理策略,并对结果进行分析. 结果非麻醉性镇痛药、体育运动、冷热疗法和精神转移活动为4种最常使用的疼痛管理策略,不同年龄组的老年慢性疼痛患者间其所应用的疼痛管理策略比较差异无统计学意义.管理策略的有效性与疼痛强度,疼痛干扰日常生活程度及忧郁程度呈负相关,但与自我效能分数呈正相关.结论 老年人愿意尝试各种不同的策略应对慢性疼痛,在今后的老年人慢性疼痛管理培训中应注重体育运动程序的规范化、对抗抑郁并增加自我效能以提高疼痛管理的效果.

Investigation of the strategies and effect of serf-management of chronic pain for aged people

Objective To discuss the clinical feature of chronic pain of aged people and strategies and effect of its self-management as well as their relationship.Methods Investigation with questionnaires wag carried out in 243 aged people who were above 65 years old to understand the clinical feature of chronic pain and strategies of its self-management.The results underwent analysis.Results Non-narcotic analgesics,physical exercise,cold and heat therapy and spiritual activity were used most frequently in selfmanagement of pain.No statistical difference existed in the use of self-management strategies between people in different age groups.Effect of self-management strategies was negatively correlated with degree of pain,interrupting with daily life and anxiety,but Wag positively correlated with self-efficacy score.Conclusions Aged people ale willing to attemp various strategies to cope with chronic pain.We should pain attention to the standardization of physical exercise,confrontation of anxiety and improvement of self-efficacy to improve the effect of self-management.