頁籤選單縮合
題名 | 鄉村社區老人疼痛經驗及疼痛處理策略相關因素探討=Factors Associated with the Experience of Pain and Pain Management Strategies among the Elderly in Rural Communities |
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作者 | 黃秀梨; 洪詠淳; 許桂瑄; 何靖雯; 賴永裕; 楊貴盛; 何頌揚; Huang, Hsiu-li; Hung, Yung-chun; Hsu, Helen; Ho, Ching-wen; Lai, Yong-yu; Yang, Gui-cheng; Ho, Rong-yang; |
期刊 | 長期照護雜誌 |
出版日期 | 20121200 |
卷期 | 16:3 2012.12[民101.12] |
頁次 | 頁273-290 |
分類號 | 419.76 |
語文 | chi |
關鍵詞 | 疼痛; 老人; 鄉村社區; 處理策略; Pain; Elderly; Rural community; Management strategy; |
中文摘要 | 疼痛是一個常見的、且令老人身心耗弱的問題,但卻常被醫護人員所忽略,沒有適當的疼痛評估與治療可能會導致多重不良影響。本研究主要目的在探討北臺灣鄉村社區老人的疼痛經驗及影響疼痛與因應策略的相關因素,此調查使用方便取樣,從社區健康篩檢查活動招募84位鄉村老人參與,以結構性問卷進行面對面訪談。結果顯示44.0%的參與者過去一週有疼痛經驗,平均疼痛部位為2.1±1.5處,疼痛部位以膝關節最多,平均疼痛強度則為4.1±2.5分,平均整體干擾分數為1.5±2.0。48.6%老人傾向於運用多重策略緩解其疼痛,平均每位有疼痛者使用1.7±1.4種疼痛處理策略,使用處方止痛劑者以西藥處方藥為主。性別、每週運動次數及憂鬱對有無疼痛具有顯著預測力。疼痛處理策略與平均疼痛強度、憂鬱及日常活動干擾中的行走能力、情緒、正常工作、一般活動、睡眠等項目呈顯著正相關,但僅干擾正常工作一項對老人整體疼痛處理策略有具有預測力。本研究發現過去一週有疼痛問題的老人整體疼痛處理策略低於其他研究的疼痛老人,建議社區中的健康照護提供者認識鄉村老人對疼痛的知覺,規律地進行老人疼痛評估,提供老人具實證基礎的疼痛處理策略,並協助老人發展有效的個人疼痛處理策略。 |
英文摘要 | Pain is a common and often debilitating problem in older people; however, it is often neglected by the medical profession. The inadequate assessment and treatment of pain in the elderly may lead to multiple negative effects. The purpose of this study was to explore the pain experience and to understand the associated factors of pain and pain management strategies. A convenience sample of 84 elderly persons was recruited from community health screening activities. A face to face interview complete with a structural questionnaire was used to collect data. Our findings indicated that 44% of the participants experienced pain during the previous week, and the average number of pain sites was 2.1±1.5. Knees were the most commonly described pain site. The mean of pain intensity was 4.1±2.5 and the pain interference was 1.5±2.0. A total of 48.6% of the participants reported using multiple management strategies to reduce their pain. The average number of pain management strategies was 1.7±1.4. Most participants took prescribed western medication to deal with their pain. Gender, frequency of exercise per week, and depression were the significant predictors for being with or without pain. Pain management strategies significantly and positively correlated with average pain intensity and depression. In addition, pain interfered with walking, emotion, working, general activity, and sleeping. However, the fact that pain interfered with working was the only significantly predictor for pain management strategies in the stepwise multiple regression. Moreover, the number of pain management strategies used by the participants in this study was fewer than in other studies on the elderly with pain. Our findings suggest that community health care providers should promote the fact that they recognize the perception and experience of pain among the elderly in rural communities. They should regularly perform pain assessments, and develop evidence based pain management strategies so that they can provide an effective individual pain management plan to the elderly suffering from pain. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。