Pain Prevalence, Experiences, and Self-Care Management Strategies Among the Community-Dwelling Elderly in Taiwan
Pain Prevalence, Experiences, and Self-Care Management Strategies Among the Community-Dwelling Elderly in Taiwan
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DOI：
10.1016/j.jpainsymman.2010.02.013
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发表时间：
2010-10-01
影响因子：
4.7
通讯作者：
Chung, Shih-Chi
中科院分区：
文献类型：
--
作者：
Tsai, Yun-Fang;Liu, Li-Ling;Chung, Shih-Chi
本研究的目的是探讨台湾社区老年人的疼痛患病率、经历和自我护理管理策略。从台湾北部两家医院的门诊诊所招募了老年人的方便样本（n = 1054）。参与者的疼痛患病率为 50.0%，平均疼痛部位数量为 3.9 个（标准差 [SD] = 5.8）。膝盖是最常描述的疼痛部位，但最疼痛的部位是脊髓区域。平均疼痛强度为 3.1 (SD = 1.8)，疼痛干扰为 2.8 (SD = 2.1)。大多数参与者服用处方药来缓解疼痛。医生是这种自我保健策略的主要信息来源。尽管参与者报告使用了各种自我护理疼痛管理策略，但大多数人仍然报告中度至重度最严重的疼痛。此外，我们的参与者发现的自我护理策略比患有慢性疼痛的美国老年人少得多。这些发现表明台湾社区居住的老年人。与美国同行相比，他们对控制疼痛症状知之甚少，或者对疼痛的定义不同。由于医疗保健提供者在帮助老年人控制疼痛方面发挥着重要作用，因此作者建议对医疗保健提供者进行台湾老年人对疼痛感知的培训，定期进行疼痛评估，并提供有关疼痛、评估和疼痛管理策略的最新知识。 J 疼痛症状管理 2010；40：575-581。 (C) 2010 年美国癌症疼痛缓解委员会。由爱思唯尔公司出版。保留所有权利。
The purpose of this study was to explore pain prevalence, experiences, and self-care management strategies among community-dwelling elderly in Taiwan. A convenience sample of elderly persons (n = 1054) was recruited from outpatient clinics of two hospitals in northern Taiwan. Participants' pain prevalence was 50.0%, and the average number of pain sites was 3.9 (standard deviation [SD] = 5.8). Knees were the most commonly described pain site, but the most painful site was the spinal cord area. The mean pain intensity was 3.1 (SD = 1.8) and pain interference was 2.8 (SD = 2.1). Most participants took prescribed medications to deal with pain; doctors were the main information source for this self-care strategy. Although participants reported using various self-care pain management strategies, most still reported moderate-to-severe worst pain. Moreover, our participants identified far fewer self-care strategies than U.S. elders with chronic pain. These findings suggest that community-dwelling elders in Taiwan. know little about managing pain symptoms or ascribe a different meaning to pain than their U.S. counterparts. Because health care providers play an important role in helping the elderly to manage pain., the authors recommend training health care providers about Taiwanese elders' perceptions of pain, to perform regular pain assessments, and provide current knowledge about pain, assessment and pain management strategies. J Pain Symptom Manage 2010;40:575-581. (C) 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.