老年住院患者慢性疼痛现状及与多维衰弱的关系研究

Research on the association between chronic pain and multidimensional frailty in the elderly inpatients

目的调查老年住院患者慢性疼痛的现状及与身体衰弱、认知衰弱的关系。方法选取2019年1月至2023年12月于北京友谊医院老年医学科住院的540例老年患者为研究对象,根据患者数字分级评分法评分结果,将患者分为疼痛组和非疼痛组,采用单因素分析比较两组一般资料、身体衰弱、认知衰弱的差异,采用二元Logistic回归探索慢性疼痛的独立影响因素。结果老年住院患者慢性疼痛的患病率为19.4%,单因素分析结果发现,学历、焦虑抑郁、日常生活活动、多重用药、身体衰弱与慢性疼痛的发生有关,未发现认知衰弱与慢性疼痛之间存在相关关系,二元Logistic回归结果发现学历、多重用药、身体衰弱是慢性疼痛的独立影响因素。结论老年住院患者慢性疼痛的患病率较高,学历、多重用药、身体衰弱为慢性疼痛的独立影响因素,认知衰弱与老年疼痛的关系在本研究中不显著。

Objective This study aims to investigate the prevalence of chronic pain among elderly inpatients and its association with physical and cognitive frailty.Methods A total of 540 elderly patients from the Department of Geriatric Medicine at Beijing Friendship Hospital were included in the study between January 2019 and December 2023.Based on the Numerical Rating Scale(NRS)scores,patients were categorized into two groups:those experiencing pain and those without pain.Univariate analysis was conducted to compare general information,physical frailty,and cognitive frailty between the two groups;however,no significant relationship was identified between cognitive decline and chronic pain.Additionally,Binary Logistic regression was employed to identify the independent factors influencing chronic pain.Results The prevalence of chronic pain among elderly hospitalized patients was found to be 19.4%.Univariate analysis indicated that factors such as educational background,anxiety and depression,activities of daily living(ADL),polypharmacy,and physical frailty were associated with chronic pain.Furthermore,binary logistic regression identified educational background,polypharmacy,and physical frailty as independent influencing factors of chronic pain.Conclusions The prevalence of chronic pain in elderly hospitalized patients is notably high,highlighting the need for more prospective studies to explore the relationship between chronic pain and multi-dimensional frailty,including social frailty.Addressing chronic pain in the elderly necessitates multidisciplinary interventions that consider the potential impact of frailty on pain.