Pain Characteristics and Quality of Life in Older People at High Risk of Future Hospitalization

International Journal of Environmental Research and Public Health

Deborah Falla¹  Huan-Ji Dong²  Corrado Cescon³  Marco Barbero³  Anna Folli³  MariaM Johansson⁴  Anneli Peolsson⁵ 

[1] Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham B15 2TT, UK;Pain and Rehabilitation Centre, and Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 83 Linköping, Sweden;Rehabilitation Research Laboratory 2rLab, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, CH-6928 Manno/Landquart, Switzerland;Unit of Clinical Medicine, Division of Prevention, Rehabilitation and Community Medicine, Department of Acute Internal Medicine and Geriatrics and Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 83 Linköping, Sweden;Unit of Physiotherapy, Division of Prevention, Rehabilitation and Community Medicine, Department of Health, Medicine and Caring Sciences,Linköping University, SE-581 83 Linköping, Sweden;

关键词: aging;    quality of life;    vulnerable;    pain extent;    pain drawing;    primary care;   

DOI  :  10.3390/ijerph18030958

来源: DOAJ

【 摘 要 】

This study deals with how pain characteristics in conjunction with other factors affect quality of life (QoL) in a vulnerable primary care population. We recruited vulnerable older people (75+, n = 825) living in south-eastern Sweden. A postal questionnaire included pain aspects, QoL (EQ-5D-3L, RAND-36 physical functioning, attitudes toward own aging, and life satisfaction), functional status, social networks, and basic demographic information. Pain extent and localization was obtained by digitalization of pain drawings reported on standard body charts. Most respondents were experiencing pain longer than 3 months (88.8%). Pain frequency varied mostly between occasionally (33.8%) and every day (34.8%). A minority reported high pain intensity (13.6%). The lower back and lower legs were the most frequently reported pain locations (>25%). Multiple linear regression model revealed three characteristics of pain (intensity, frequency, and extent) remained inversely associated with the EQ-5D-3L index score (R² = 0.57). Individually, each of these pain characteristics showed a negative impact on the other three dimensions of QoL (R² = 0.23–0.59). Different features of pain had impact on different dimensions of QoL in this aging population. A global pain assessment is useful to facilitate individual treatment and rehabilitation strategies in primary care.

【 授权许可】

Unknown