Evaluation of pain and its effect on quality of life and functioning in men with spinal cord injury.
Evaluation of pain and its effect on quality of life and functioning in men with spinal cord injury.
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DOI：
10.3344/kjp.2015.28.2.129
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发表时间：
2015-04
期刊：
影响因子：
--
通讯作者：
Rahimi-Movaghar V
中科院分区：
文献类型：
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作者：
Hassanijirdehi M;Khak M;Afshari-Mirak S;Holakouie-Naieni K;Saadat S;Taheri T;Rahimi-Movaghar V
疼痛是脊髓损伤（SCI）最重要的后果之一。它可能会影响生活的几个方面，尤其是生活质量（QoL）。因此，本研究旨在了解疼痛及其对我们社区脊髓损伤患者的影响。在一项横断面研究中，58名患有脊髓损伤的男性退伍军人被送入我们的中心进行定期随访。使用自我报告的问卷收集人口统计学和sci相关的描述性信息。采用腰、颈、肩疼痛3个部位问卷调查，评价患者的疼痛质量及疼痛对日常生活的影响。采用EuroQoL问卷和一般健康问卷（GHQ） 12对患者的生活质量进行评估。平均年龄45.91±6.69岁，平均受伤时间25.54±5.91岁。44名患者（75.9%）报告疼痛，包括腰痛（63%）、颈痛（39%）和肩痛（51%）。疼痛的存在与较低的生活质量相关。腰痛患者报告疼痛严重影响其日常生活，GHQ评分较低或焦虑/抑郁障碍患者的疼痛影响更大。肌肉骨骼疼痛是脊髓损伤退伍军人的常见主诉，与功能和一般健康状况呈负相关。腰肩疼痛对患者日常生活的影响大于颈椎疼痛。
Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community. In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients' pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients' QoL. The mean age of the participants was 45.91 ± 6.69 with mean injury time of 25.54 ± 5.91. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder. Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient's daily living more than cervical pain.