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機構關節炎老人之慢性疼痛及其相關因素探討

Chronic Pain and Associated Factors amongst Institutionalized Elderly with Arthritis

摘要


Background: The World Health Organization has predicted that arthritis will rise to become the fourth ranked global disability among the elderly. Arthritis is already a main cause of chronic pain, depression, and institutionalization in this group. Chronic pain resulting from arthritis is a serious threat to the elderly population. Purpose: Study purposes were to: (1) explore chronic pain in elderly residents with arthritis residing at long-term care facilities and to understand the relationship between associated chronic pain and associated factors, and (2) identify the predictive factors of chronic pain. Methods: This study used a cross-sectional, descriptive correlational research design. A sample of 114 elderly residents, 65 years of age and older, were recruited from five long-term care facilities in Kaohsiung and Pingtung, Taiwan. Results: Findings showed that the average pain intensity resulting from chronic arthritis during the three months of study was medium (4.51±1.75). There were positive relationships amongst average pain intensity, previous pain intensity, self-perception of arthritis severity and depression status. Negative correlations were found amongst age, selfperception of arthritis severity, number of chronic illnesses experienced, function of daily activity and social support. Previous pain intensity, self-perception of arthritis severity, number of chronic illnesses experienced, function of daily activity and depression status were all found to predict chronic pain. Together, these factors explained 40.4% of total variance. Conclusion: Study results provide information for nurses to consider the physical, psychological, and social aspects of chronic pain when caring for the elderly. Healthcare providers should design individualized health care interventions for elderly people to promote their quality of life.

並列摘要


Background: The World Health Organization has predicted that arthritis will rise to become the fourth ranked global disability among the elderly. Arthritis is already a main cause of chronic pain, depression, and institutionalization in this group. Chronic pain resulting from arthritis is a serious threat to the elderly population. Purpose: Study purposes were to: (1) explore chronic pain in elderly residents with arthritis residing at long-term care facilities and to understand the relationship between associated chronic pain and associated factors, and (2) identify the predictive factors of chronic pain. Methods: This study used a cross-sectional, descriptive correlational research design. A sample of 114 elderly residents, 65 years of age and older, were recruited from five long-term care facilities in Kaohsiung and Pingtung, Taiwan. Results: Findings showed that the average pain intensity resulting from chronic arthritis during the three months of study was medium (4.51±1.75). There were positive relationships amongst average pain intensity, previous pain intensity, self-perception of arthritis severity and depression status. Negative correlations were found amongst age, selfperception of arthritis severity, number of chronic illnesses experienced, function of daily activity and social support. Previous pain intensity, self-perception of arthritis severity, number of chronic illnesses experienced, function of daily activity and depression status were all found to predict chronic pain. Together, these factors explained 40.4% of total variance. Conclusion: Study results provide information for nurses to consider the physical, psychological, and social aspects of chronic pain when caring for the elderly. Healthcare providers should design individualized health care interventions for elderly people to promote their quality of life.

被引用紀錄


莊雅貴(2015)。探討台灣年長者社會支持對工具性日常生活功能改變之影響〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2015.00077
蔣敏溱(2011)。老年人抽菸行為改變情形與憂鬱傾向關聯性研究〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833/CJCU.2011.00131
王昭琪、張宏哲(2018)。臺灣地區中老年人宗教性與生活滿意度及憂鬱情緒之相關性研究長期照護雜誌22(2),147-169。https://doi.org/10.6317/LTC.201810_22(2).0005
羅文忏(2013)。臺灣老人對退化性膝關節炎知識與因應:量表發展與信效度初探〔碩士論文,國立中正大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0033-2110201613534698

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