Geriatrics & gerontology international · 2013
Prevalence of and factors related to pain among elderly Japanese residents in long-term healthcare facilities.
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Takai Yakari, Yamamoto-Mitani Noriko, Ko Ayako
Аннотация
AIM: We aimed to examine the pain prevalence among residents who stayed at healthcare facilities for the elderly requiring long-term care in Japan, and explore factors related to self-reported pain.
METHODS: This was a cross-sectional study. All residents in nine healthcare facilities in Japan were asked to participate in the present study, with the exclusion of short-term and temporary residents. Demographic data were collected from participating residents' medical records. The residents were evaluated using the Barthel Index, the Folstein Mini-Mental State Examination and Self-Rated Health measures. After/during patients underwent a body movement protocol, self-reported pain/Abbey Pain Scale scores were obtained. The χ(2) -test, t-test and logistic regression analyses were carried out to identify factors related to pain.
RESULTS: Data were obtained from 246 residents. The prevalence of pain among the residents was 47.2%. Self-rated health status and history of fracture were significantly associated with self-reported pain. Logistic regression analysis showed that self-rated health status (odds ratio [OR] 0.50, 95% confidence interval (CI) 0.28-0.88), mental health diagnoses (OR 9.18, 95%CI 1.27-66.52) and respiratory diagnoses (OR 0.16; 95%CI 0.03-0.97) were associated with pain experienced by residents.
CONCLUSIONS: Nearly half of the residents suffered from pain on movement. The pain of these elderly residents should be managed in order to improve their health status.
METHODS: This was a cross-sectional study. All residents in nine healthcare facilities in Japan were asked to participate in the present study, with the exclusion of short-term and temporary residents. Demographic data were collected from participating residents' medical records. The residents were evaluated using the Barthel Index, the Folstein Mini-Mental State Examination and Self-Rated Health measures. After/during patients underwent a body movement protocol, self-reported pain/Abbey Pain Scale scores were obtained. The χ(2) -test, t-test and logistic regression analyses were carried out to identify factors related to pain.
RESULTS: Data were obtained from 246 residents. The prevalence of pain among the residents was 47.2%. Self-rated health status and history of fracture were significantly associated with self-reported pain. Logistic regression analysis showed that self-rated health status (odds ratio [OR] 0.50, 95% confidence interval (CI) 0.28-0.88), mental health diagnoses (OR 9.18, 95%CI 1.27-66.52) and respiratory diagnoses (OR 0.16; 95%CI 0.03-0.97) were associated with pain experienced by residents.
CONCLUSIONS: Nearly half of the residents suffered from pain on movement. The pain of these elderly residents should be managed in order to improve their health status.