Perceived barriers to trying self-management approaches for chronic pain in older persons
Perceived barriers to trying self-management approaches for chronic pain in older persons
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DOI：
10.1111/j.1532-5415.2005.53268.x
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发表时间：
2005-05-01
影响因子：
6.3
通讯作者：
Reid, MC
中科院分区：
文献类型：
--
作者：
Austrian, JS;Kerns, RD;Reid, MC
目的：研究老年人参与锻炼和放松计划以管理慢性疼痛的意愿，确定与参与意愿相关的特征，并确定他们参与的障碍。设计：横断面调查。地点：位于纽约、纽约和威尔康奈尔医学院综合临床研究中心的老年门诊护理实践。参与者：68名讲英语的患者，年龄70岁及以上的慢性pain.MEASUREMENTS：参与者的意愿水平进行了评估，参加该计划使用5点李克特量表，并获得有关他们的人口，临床，心理和疼痛状态的信息。定性方法被用来确定参与者的感知barriers to participation.RESULTS：参与者的平均年龄+/-标准差为81.9 +/- 7.0，主要是白色（85%）和女性（68%）。虽然只有16%的参与者表示目前使用运动作为疼痛管理策略，但73%的人表示愿意尝试运动计划。4%的人报告说目前使用放松方法; 70%的人报告说有兴趣学习这些技术。中度相关性之间的增加天的限制活动，由于疼痛和更大的参与意愿。确定了17个独特的障碍;每人报告的障碍平均数为2.9 +/- 1.8运动和2.2 +/- 1.4放松。共同报道的障碍，参加任何一个程序包括时间冲突，交通，治疗效果的关注，和恐惧的疼痛或injure.CONCLUSION：老年初级保健慢性疼痛患者愿意尝试运动和放松疗法，以帮助管理疼痛，但报告了大量的障碍，参加这些程序。解决患者层面的障碍可以提高参与和坚持运动和放松疗法来管理老年人的疼痛。
OBJECTIVES: To examine older persons' willingness to participate in exercise and relaxation programs for managing chronic pain, to identify characteristics associated with willingness to participate, and to ascertain their barriers to participation.DESIGN: Cross-sectional survey.SETTING: A geriatric ambulatory care practice located in New York, New York, and the General Clinical Research Center of Weill Cornell Medical College.PARTICIPANTS: Sixty-eight English-speaking patients aged 70 and older with chronic pain.MEASUREMENTS: Participants' level of willingness to participate in the programs was assessed using 5-point Likert scales, and information regarding their demographic, clinical, psychological, and pain status was obtained. Qualitative methods were used to ascertain participants' perceived barriers to participation.RESULTS: Participants had a mean age +/- standard deviation of 81.9 +/- 7.0 and were mostly white (85%) and female (68%). Although only 16% of participants reported current use of exercise as a pain-management strategy, 73% reported a willingness to try the exercise program. Four percent reported current use of relaxation methods; 70% reported an interest in learning these techniques. Moderate correlations were found between increasing days of restricted activity due to pain and greater willingness to participate. Seventeen unique barriers were identified; the mean number of barriers reported per person was 2.9 +/- 1.8 for exercise and 2.2 +/- 1.4 for relaxation. Commonly reported barriers to participating in either program included time conflicts, transportation, treatment efficacy concerns, and fear of pain or injury.CONCLUSION: Older primary care patients with chronic pain are willing to try exercise and relaxation therapies to help manage pain but report a substantial number of barriers to participating in these programs. Addressing patient-level barriers could improve engagement in and adherence to exercise and relaxation therapies for managing pain in older persons.