门诊脊柱源性疼痛老年患者生活质量调查

Survey of Life Quality for Elderly Outpatients with Spinal Pain

目的了解疼痛对门诊老年脊柱源性疼痛患者生活质量的影响,为临床干预提供依据。方法采用一般人口学资料调查表和SF-12v2生活质量量表对100例老年脊柱源性疼痛患者进行面对面调查。结果 SF-12v2(short form health survey-12,version 2)生活质量调查总分平均值为(29.28±6.939)分;腰椎源性疼痛患者(81例)较颈胸源性疼痛患者(19例)总体身体健康状况评价得分、躯体原因限制工作或日常活动种类得分、情绪原因不能仔细完成工作或活动得分更低,且差异具有统计学意义(P=0.043、P=0.047、P=0.037);其他条目得分两亚组间差异无统计学意义。结论三甲医院脊柱门诊老年脊柱源性疼痛患者生活质量严重受损,需得到临床积极关注与干预,腰部疼痛需要更积极的疼痛管理。

Objective To investigate the quality of life for elderly with spinal pain and to provide basis for doctors to improve the elderly＇s pain management.Methods General demographic information and SF-12 v2 were used to perform the survey.Results The score of SF-12 v2 was（29.28±6.939）.The scores of items for gneeral health,limitation in work or activities due to physical health and concentration difficulty in work or activities due to emotional problems were lower in patients with low back pain compared with patients with cervicothoracic pain（P=0.043、P=0.047、P=0.037）.Conclusion The quality of life of elderly patients with spinal pain in spinal clinic of third grade hospital is seriously damaged.The clinicians should pay more attention to theirs pain management.Lower back pain requires more positive pain management.