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Pain disability and life satisfaction in patients with chron

时间:2015-10-15 来源:未知 编辑:梦想论文 阅读:

According to the definition of the International Institute for pain research, chronic pain is defined as the healing time of more than 3 months of pain over normal tissue. Chronic pain is a serious problem in the world. The incidence rate of common people in the United States, Europe and other countries is 20%~45%[1-2], in our country, the incidence of chronic pain is about 30%~60%[3.

 

Pain once turned to chronic symptoms is not only pure pain, frequent, persistent pain to the patient brought great pain, patients often appear sleep pattern disturbance, social function retreat, ability damage, severely reducing the quality of life of patients, to the family and the society brings heavy burden. This study of Shanghai City in a third grade class-A hospital pain clinic chronic pain patients pain dysfunction and life satisfaction survey, to explore and analyze the influencing factors, and to put forward the alleviate dysfunction of patients with chronic pain, improve life satisfaction measures provide a basis.

 

1 object and method

 

1.1 objects convenience sampling method to select 2013 5-8 month visit to Shanghai in a third grade class-A hospital pain clinic patients as the research object. Inclusion criteria: in accordance with the diagnostic criteria of chronic pain: more than normal tissue healing time (about 3 months) of sustained pain; age 18~80 years; no severe body disease or mental illness; consciousness, can cooperate with the investigation, voluntary participation in this study.

 

1.2 method using the questionnaire survey, in the patients with the inclusion criteria to explain the purpose of the survey, meaning and obtain the consent of the people, the study was released and recovered. 问卷包括 3 部分: 一般资料部分,采用自制问卷,主要包括性别、年龄、婚姻、职业、文化程度、宗教信仰、疾病给家庭带来的经济压力、医疗费用主要来源、有无其他慢性疾病、疼痛部位、疼痛诊断、过去一段时间平均疼痛程度等;疼痛功能障碍量表(Pain Disability Index, PDI)部分[6-7],多 项研究表明该量表具有良好的信效度, 共包括 7 个条目,慢性疼痛对生活的影响程度用 0~10 进行评分,得分范围为 0~70 分,得分越高,功能障碍越大;生活满意度量表(Satisfaction with Life Scale, SWLS)部分[ 8 ],主要用于测量个人对总体生活状态的满意程度,包括 5 个条目,从“非常不同意”到“非常同意”分别计 1~7 分, 得分范围为 1~35 分,20~24 分为中间得分,该量表中文版在我国试用,被证实具有良好的信度和效度。

 

1.3 statistical analysis was performed using SPSS 17. The data were analyzed by means of mean, standard deviation, percentage, single factor variance analysis, Spearman rank correlation and multiple linear regression analysis. P<0.05 was statistically significant.

 

2 Results

 

2.1 general information of this investigation, a total of 53 copies of the questionnaire, 53 copies of the recovery, recovery rate was 50, 100% valid questionnaires, the effective recovery rate was 28~83 (57.30 + 13.02) years old, 23 male, 27 female. To Bingtui or retirement (34 cases), accounted for 68%, the degree of culture to high school or technical secondary school based (30 cases), accounted for 60%.60% patients with other chronic diseases. The economic pressure caused by the pain was 28%, the main source of the medical expenses of the patients with 42%. was mainly from urban workers basic medical insurance (32 cases), which accounted for 64%. (60.40 + 93.12) months. The average pain score was lowest in the past 1 minutes, the highest score was 10, and the total score was (5.72 + 2.22). In the past, the most severe pain in the past 2 points, the highest score of 10 points, the total score was (7.72 + 2.22) points. The diagnosis of pain, the top three (12%) of periarthritis of shoulder and the shoulder of lumbar disc herniation (12%) and postherpetic neuralgia (10%).

 
2.2 pain disability and life satisfaction score of the survey results were 0~67 (21.36 19.93). The life satisfaction score was 5~35 (22.12 + 8.43).

 

2.3 the influence factors of pain disability analysis of 2.3.1 pain dysfunction in the single factor analysis of variance, by a single factor analysis of variance to determine the impact of general information on pain dysfunction. The results showed that the severity of the pain caused by the economic pressure of patients with chronic pain, the pain dysfunction has an effect (F=7.352, P=0.000).

 

Spearman rank correlation analysis was used to determine the age, duration of pain, pain duration, and the most severe pain in the past time, and the effect of the most severe degree of pain in the past time. The results showed that the average pain intensity and the most severe pain in the past time and the pain in the patients with chronic pain were positively related to the pain. See Table 1

 

Multiple linear stepwise regression analysis of the 2.3.3 pain disorder, the age, education level, the severity of pain, medical expenses, and other chronic diseases, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain. The results showed that the average degree of pain, pain in the past, and the severity of the economic pressure and the degree of culture of chronic pain in patients with functional impairment of pain (P<0.05), enter the regression equation. The average degree of pain in patients with chronic pain, pain dysfunction, the impact of the degree of culture is small. After adjustment for the number of independent variables in the equation, the independent variable of the stepwise regression equation can explain 43% of the change of pain dysfunction. See Table 2

 

2.4 factors influencing the life satisfaction

 

The single factor analysis of 2.4.1 life satisfaction by single factor analysis of variance to determine gender, marriage, occupation status, work is affected by pain, culture, religious belief, pain, and the severity of economic pressure, medical expenses, the main source of medical expenses, there is no other chronic disease, pain location of life satisfaction in patients with chronic pain. The results showed that the occupational status, religious belief, pain, and the severity of the economic pressure and pain in patients with chronic pain in the life satisfaction has an impact. See table 3.

 

Spearman rank correlation analysis was used to determine the effect of age, pain duration, average pain intensity and pain degree of the most severe degree of Spearman on the life satisfaction of patients with chronic pain. The results showed that there was a positive correlation between the age and the life satisfaction of patients with chronic pain (P=0.000, r=0.484).

 

Multiple linear stepwise regression analysis of the degree of life satisfaction degree of 2.4.3 students, the degree of economic stress, medical expenses, medical expenses, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain, pain.

 
The results showed that the severity of pain, religious beliefs and occupational status of chronic pain patients were affected by the degree of life satisfaction (P<0.05), and entered the regression equation. The degree of the economic pressure of the pain caused by the economic pressure on the life satisfaction of patients with chronic pain, the impact of the professional state of the smaller. After correction of the influence of the number of independent variables in the equation, the independent variables of the regression equation can explain 51% of the change of life satisfaction. See Table 4

 

3 discussion

 

3.1 chronic pain patients with pain dysfunction in patients with the impact of life satisfaction in patients with chronic pain in the survey, only 5 patients with chronic pain in patients with chronic pain. This suggests that most patients with chronic pain are associated with or with mild or severe disability, affecting the daily life of patients, which is consistent with other findings [9. In the life satisfaction survey, the survey results show that 52% of patients have a high degree of life satisfaction, they love life, the majority of real life close to the ideal life, and so far has been living in the things you want. The reason may be that the majority of respondents for the elderly, they believe that their families are happy, happy life, it is far better than the impact of chronic pain to bring their own.

 

3.2 in the past a period of time the average level of pain in patients with chronic pain in patients with chronic pain in patients with the dysfunction of the past a period of time the average pain, pain, and the severity of the economic pressure and the degree of culture, which has a greater impact on the average pain intensity, the degree of economic stress, the degree of impact is less. And by Spearman rank correlation, chronic pain patients in the past period of time, the average level of pain and pain dysfunction is related to the level of pain in the past, the level of pain in the patients directly affect the level of pain, pain, and the severity of the economic pressure, related to some of the successful implementation of a high degree of knowledge, and a high degree of patients with their own needs to grasp more knowledge to ease the pain caused by dysfunction. And in the course of the investigation found that most come for treatment of chronic pain patients is through understanding about television programs or the field of pain related experts into community preaching, clinic, come round to see a doctor. Most patients have little knowledge of their own pain, and the lack of related knowledge and the cognition of chronic pain can also affect the production of dysfunction.

 

3.3 the life satisfaction of patients with chronic pain increased with age and increased by Spearman rank correlation. The reason may be that young people are more pressure, the family burden is heavier, the cause is still in the development stage, while the old people most of the burden is light, family happiness, children filial piety. In addition, this study shows that the severity of pain, the severity of the economic pressure, religious beliefs and occupational status is an important factor affecting the life satisfaction of patients with chronic pain. Pain brings economic pressure as a factor in the life satisfaction of patients with chronic pain, on the one hand, the economic pressure on the large number of factors to consider when the treatment will increase, which is related to whether the timely treatment, whether it is able to follow the doctor's advice, etc., on the other hand, the economic pressure of life satisfaction is not very high. There are religious believers, can effectively transfer the attention of chronic pain, the good life is full of confidence, which from the other side of the importance of the faith.

 

4 conclusions

 

Pain and economic pressure in patients with chronic pain in patients with pain dysfunction and life satisfaction have played an important role, sustained, repeated chronic pain not only to patients with a heavy economic burden, but also makes the patient to pay the relevant treatment costs were significantly less, which is not conducive to the treatment and rehabilitation of chronic pain, and is not conducive to social stability. To this end, the government departments should increase funding, pay attention to the economic pressure of patients with chronic pain, improve the social security system, expand the scope of medical insurance payment and the level of protection of this part of the population can get the appropriate treatment, reduce the incidence of dysfunction, improve the life satisfaction of patients with chronic pain. Also this study to a hospital pain clinic in patients with chronic pain as the investigation object, due to the number of outpatient visits and patients in acute chronic pain scale effect, sample size is less may have certain influence on the research result, late will further expand the large sample size, the results are further verified.

 

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[9] Wang Hui, Xu Rong, the Yellow Sea shan. Nursing staff in the management of the knowledge and attitude of the investigation [J]. Journal of nursing science, 2009,24 (10): 39-40.

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