Pain behind bars: the epidemiology of pain in older jail inmates in a county jail.
Pain behind bars: the epidemiology of pain in older jail inmates in a county jail.
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狱中疼痛：县监狱老年囚犯疼痛的流行病学。
DOI：
10.1089/jpm.2014.0160
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发表时间：
2014
影响因子：
2.8
通讯作者：
Ritchie,ChristineS
中科院分区：
文献类型：
--
作者：
Williams,BrieA;Ahalt,Cyrus;Stijacic-Cenzer,Irena;Smith,AlexanderK;Goldenson,Joe;Ritchie,ChristineS
背景：健康状况不佳的老年监狱囚犯数量正在迅速增加。在老年人中，疼痛是常见的，并导致更多的急性护理使用。在监狱里，由于担心滥用和转移注意力，疼痛管理变得复杂起来。缺乏关于老年囚犯中疼痛的患病率和管理的数据限制了我们为这一人群制定最佳姑息治疗策略的能力。目的：描述老年囚犯中疼痛和止痛药使用的流行率及其相关因素。设计：横断面研究。χ2测试评估了特征、疼痛和止痛剂使用之间的关系。背景/对象：210名55岁或以上的监狱囚犯。测量：使用有效的记忆症状评估量表，定义为“严重或非常严重的”疼痛“经常或持续”。结果：受试者的平均年龄为59岁；69%的受试者有多种疾病；75%的受试者报告有任何疼痛；39%的受试者报告剧烈的频繁疼痛。报告的严重频发疼痛与多发病、功能障碍和入狱前的急性护理使用有关(p<；0.05)，但与药物使用无关(57%比56%，p=0.89)。在访谈的一周内，大多数患有严重疼痛的参与者(87%)接受了止痛剂，许多人接受了阿片类药物(70%)。结论：在快速增长的多发病和功能障碍的老年囚犯中，疼痛的比率很高，这表明监狱是评估症状负担和制定适当的姑息治疗干预措施的重要场所。
Background:The number of older jail inmates in poor health is increasing rapidly. Among older adults, pain is common and leads to greater acute care use. In jail, pain management is complicated by concerns about misuse and diversion. A lack of data about the prevalence and management of pain in older jail inmates limits our ability to develop optimal palliative care strategies for this population.Objective:To describe the prevalence of and factors associated with pain and analgesic use in a population of older jail inmates.Design:Cross-sectional study. χ2tests assessed association between characteristics, pain, and analgesic use.Setting/Subjects:Two hundred ten jail inmates age 55 or older.Measurements:“Severe frequent pain” defined as “severe or very severe” pain experienced “frequently or constantly” using the validated Memorial Symptom Assessment Scale. Medical conditions, substance use, and analgesic treatment determined through self-report and jail medical records.Results:Participants' mean age was 59 years; 69% had multimorbidity; 75% reported any pain; 39% reported severe frequent pain. Report of severe frequent pain was associated with multimorbidity, functional impairment, and pre-jail acute care use (p<0.05), but not with substance use (57% versus 56%,p=0.89). Within a week of their interview, most participants with severe frequent pain had received an analgesic (87%) and many received an opioid (70%).Conclusion:High rates of pain in a rapidly growing population of older jail inmates with multimorbidity and functional impairment suggest that jails are an important site for assessing symptom burden and developing appropriate palliative care interventions.
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影响因子：
2.3
作者：
Lincoln, Thomas;Kennedy, Sofia;Hammett, Theodore M.
通讯作者：
Hammett, Theodore M.
姑息治疗作为晚期慢性疾病的质量改进策略
影响因子：
1.3
作者：
D. Meier
通讯作者：
D. Meier
管理老年人口的疼痛：珍珠和陷阱
影响因子：
3.7
作者：
E. Chai;J. Horton
通讯作者：
J. Horton
以美国为代价：大规模监禁老年人
DOI：
--
发表时间：
2012
期刊：
影响因子：
--
作者：
Inimai M. Chettiar;W. Bunting;G. Schotter
通讯作者：
G. Schotter
DOI：
10.1111/j.1533-2500.2008.00204.x
发表时间：
2008-07-01
期刊：
Pain practice : the official journal of World Institute of Pain
影响因子：
--
作者：
Pergolizzi, Joseph;Boger, Rainer H;Sacerdote, Paola
通讯作者：
Sacerdote, Paola