Prevalence and characteristics of chronic musculoskeletal pain in Japan.
Prevalence and characteristics of chronic musculoskeletal pain in Japan.
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DOI：
10.1007/s00776-011-0102-y
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发表时间：
2011-07
影响因子：
1.7
通讯作者：
Toyama, Yoshiaki
中科院分区：
文献类型：
--
作者：
Nakamura, Masaya;Nishiwaki, Yuji;Ushida, Takahiro;Toyama, Yoshiaki
本横断面研究旨在获得日本人慢性肌肉骨骼疼痛的流行病学数据，并更好地了解实际情况和所涉及的问题。一份调查问卷，包括基本信息，慢性肌肉骨骼疼痛，日常生活，生活质量和社会损失的准备和邮寄给11507个人年龄在18岁或以上。受试者根据日本的人口构成在全国范围内随机选择。慢性肌肉骨骼疼痛的患病率为15.4%。患病率在30岁至50岁的人群中最高。疼痛最常发生在下背部、颈部、肩部和膝盖。在有症状的受试者中，42%的人通过访问医疗机构（19%），服用民间疗法（20%）或两者兼而有之（3%）寻求治疗。治疗时间普遍延长，70%的治疗者报告治疗持续时间超过一年。虽然69%的人报告说他们的症状有所改善，但30%的人报告说症状没有改变或加重，对治疗不满意。在有症状的受试者中，很高比例的男性和女性都失去了工作，离开了学校，没有工作或学校，或者换了工作。男性的日常生活基本活动（ADL）受到干扰，女性的工具性ADL（IADL）评分较低。慢性疼痛受试者的SF-36量表评分在各个领域均显着较低。慢性肌肉骨骼疼痛即使经过长期治疗也不一定会改善。它对日常生活和身心健康产生不利影响。由于那些遭受痛苦的人在日常活动中往往越来越需要帮助，他们周围的人也受到影响。慢性肌肉骨骼疼痛的治疗系统和治疗程序值得立即审查。
This cross-sectional study was conducted to obtain epidemiologic data on chronic musculoskeletal pain in the Japanese people, and with it a better understanding of the actual conditions and problems involved. A questionnaire covering basic information, chronic musculoskeletal pain, daily life, quality of life, and social loss was prepared and mailed to 11507 individuals aged 18 years or older. Subjects were selected randomly nationwide in accordance with the demographic composition of Japan. The prevalence of chronic musculoskeletal pain was 15.4%. The prevalence was highest in people in their 30s to 50s. Pain occurred most frequently in the low back, neck, shoulder, and knee. Among symptomatic subjects, 42% sought treatment, by visiting a medical institution (19%), taking folk remedies (20%), or both (3%). Treatment was generally prolonged, with 70% of those treated reporting treatment durations of more than a year. Although 69% reported that their symptoms had improved, 30% reported unchanged or aggravated symptoms and dissatisfaction with treatment. Among symptomatic subjects, a high percentage of both men and women had lost jobs, left school, been absent from work or school, or had changed jobs. Basic activities of daily living (ADL) were disturbed in men, and the instrumental ADL (IADL) score was low in women. SF-36 scale scores were significantly lower in every area for subjects with chronic pain. Chronic musculoskeletal pain does not necessarily improve even with prolonged treatment. It adversely affects daily life and both physical and mental health. Because those suffering pain often increasingly need assistance in daily activities, people around them are also affected. The therapeutic system and treatment procedures for chronic musculoskeletal pain merit prompt review.
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通讯作者：
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