Understanding the pain experience in hip and knee osteoarthritis - an OARSI/OMERACT initiative
Understanding the pain experience in hip and knee osteoarthritis - an OARSI/OMERACT initiative
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DOI：
10.1016/j.joca.2007.12.017
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发表时间：
2008-04-01
影响因子：
7
通讯作者：
Gooberman-Hill, R.
中科院分区：
文献类型：
--
作者：
Hawker, G. A.;Stewart, L.;Gooberman-Hill, R.
目的：要检查的人与髋关节或膝关节骨关节炎（OA）的疼痛经验，特别是随着时间的推移和最令人痛心的features.Method焦点组在40岁以上的个人疼痛髋关节或膝关节OA获得详细的描述OA疼痛从早期到晚期的疾病。一个修改后的患者生成指数（PGI）被用来评估CA疼痛的特点，参与者发现最痛苦的。进行内容分析，以检查响应模式，描述性统计被用来总结PGI respons.Results：143名参与者（52髋OA，91膝CA）的平均年龄为69.5岁（47-92岁），60.8%的女性和93.7%的白人。参与者描述了两种不同类型的疼痛--一种是钝痛，随着时间的推移变得越来越恒定，越来越多地被更强烈的、通常不可预测的、情感消耗的疼痛的短暂发作所打断。后者，而不是前者，导致显着避免社交和娱乐活动。从PGI反应，痛苦的疼痛功能：疼痛本身（特别是激烈和不可预测的疼痛）和疼痛的影响，流动性，情绪和sleep.Conclusions：两种不同的疼痛类型被确定。间歇性剧烈疼痛，特别是不可预测的疼痛，对生活质量的影响最大。(C)2008年国际骨关节炎研究学会。由爱思唯尔有限公司出版。保留所有权利。
Objective: To examine the pain experience of people with hip or knee osteoarthritis (OA), particularly changes over time and most distressing features.Method Focus groups in individuals aged 40+ years with painful hip or knee OA obtained detailed descriptions of OA pain from early to late disease. A modified Patient Generated Index (PGI) was used to assess the features of CA pain that participants found most distressing. Content analysis was performed to examine response patterns; descriptive statistics were used to summarize PGI responses.Results: Mean age of the 143 participants (52 hip OA; 91 knee CA) was 69.5 years (47-92 years); 60.8% were female and 93.7% Caucasian. Participants described two distinct types of pain - a dull, aching pain, which became more constant over time, punctuated increasingly with short episodes of a more intense, often unpredictable, emotionally draining pain. The latter, but not the former, resulted in significant avoidance of social and recreational activities. From PGI responses, distressing pain features were: the pain itself (particularly intense and unpredictable pain) and the pain's impact on mobility, mood and sleep.Conclusions: Two distinct pain types were identified. Intermittent intense pain, particularly when unpredictable, had the greatest impact on quality of life. (C) 2008 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.