A population in pain: Report from the Olmsted County Health Study
A population in pain: Report from the Olmsted County Health Study
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DOI：
10.1111/j.1526-4637.2007.00280.x
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发表时间：
2008-03-01
期刊：
影响因子：
3.1
通讯作者：
Yawn, Barbara P.
中科院分区：
文献类型：
--
作者：
Watkins, Emmeline A.;Wollan, Peter C.;Yawn, Barbara P.
背景疼痛在人群水平上知之甚少。这项研究提供了美国社区疼痛的患病率、位置、严重程度和影响的最新估计，并讨论了“慢性”疼痛的当前定义。我们向明尼苏达州奥姆斯特德县的5，897名成年居民随机抽样邮寄了四页的调查。该调查询问了参与者的疼痛（位置，持续时间，严重程度和影响），以及对疼痛相关医疗保健的满意度。在3，575名应答者（61%）中，64.4%报告有慢性疼痛（持续时间> 3个月）; 6.9%报告亚急性疼痛（1-3个月）; 9.9%报告急性疼痛（< 1个月）。疼痛发生率最高的身体部位是头部（31.9%）、下背部（37.7%）和关节（59.5%）。与急性和亚急性疼痛患者相比，慢性疼痛患者每月疼痛的天数更多，中度或重度疼痛更多，对一般活动和睡眠的干扰程度更高。近三分之二的慢性疼痛患者（63%）报告了多个疼痛部位。一些慢性疼痛患者对疼痛的护理质量（13.3%的评分）或治疗效果（28.1%）给出了一般或较差的评分。慢性疼痛的患病率很高，通常在一个以上的位置，超过21%的慢性疼痛患者报告对目前的护理不满意。
Background. Pain is poorly understood on a population level. This study provides updated estimates of the prevalence, location, severity, and impact of pain in a U.S. community and discusses current definitions of "chronic" pain.Outcome Measures. We mailed four-page surveys to a random sample of 5,897 adult residents of Olmsted County, MN. The survey asked about participant pain (location, duration, severity, and impact), as well as satisfaction with pain-related health care.Results. Of the 3,575 responders (61%), 64.4% reported having chronic pain (> 3 months' duration); 6.9% reported subacute pain (1-3 months); and 9.9% reported acute pain (< 1 month). Body regions with the highest prevalence of pain were the head (31.9%), lower back (37.7%), and joints (59.5%). Chronic pain sufferers had more days per months with pain, more moderate or severe pain, and greater levels of interference with general activities and sleep than the people with acute and subacute pain. Almost two-thirds of those with chronic pain (63%) reported multiple pain locations. Several chronic pain sufferers gave fair or poor ratings for the quality of care (13.3% of those rating) or the effectiveness of treatment (28.1%) for pain.Conclusions. The prevalence of chronic pain is high, often in more than one location, and over 21% of chronic pain sufferers report dissatisfaction with current care.