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題名：機構關節炎老人之慢性疼痛及其相關因素探討
書刊名：護理雜誌
作者：林芷伊／王靜枝／邱慧洳 引用關係／李瓊瑛／鄭夙芬 引用關係
作者(外文)：Lin, Jyy-i／Wang, Jing-jy／Chiu, Hui-ju／Lee, Chiung-ying／Cheng, Su-fen
出版日期：2011
卷期：58:1
頁次：頁59-67
主題關鍵詞：機構老人；關節炎；慢性疼痛；自覺嚴重度；憂鬱；Institutionalized elderly；Arthritis；Chronic pain；Perceived severity；Depression
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:35
  • 點閱點閱:309
背　景世界衛生組織預測關節炎將是導致全球失能排名第四位的疾病，同時該疾病也是老人慢性疼痛、憂鬱及入住機構最主要原因。關節炎引發的慢性疼痛問題日復一日困擾高齡人口。 目　的本研究旨在探討長期照護機構老年住民關節炎慢性疼痛及其相關因素，進而預測慢性疼痛之重要因素。 方　法本研究採橫斷式、描述相關性研究設計，以方便取樣方式收集114 位個案。 結　果安養（護）機構老人關節炎慢性疼痛病患最近三個月平均疼痛達中度（X = 4.51 ± 1.75）。最近三個月平均疼痛與疼痛部位總數、過去疼痛事件之疼痛分數、自覺關節炎嚴重度、憂鬱狀況呈正相關（p < .01）；最近三個月平均疼痛與年齡、罹患慢性病數目、日常活動功能、社會支持呈負相關（p < .01）。過去最痛程度、自覺關節炎嚴重度、慢性病總數、日常活動功能及憂鬱狀況可預測慢性疼痛 （p < .01），其總解釋變異量達40.4% 。 結　論研究結果建議護理人員在照顧關節炎慢性疼痛病患時，須考慮個人生理、心理以及社會等層面，並期許護理人員於臨床照護中，宜針對長輩之個別性設計相關健康照護措施，提升生活品質。
Background: The World Health Organization has predicted that arthritis will rise to become the fourth ranked glob al 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 resi dents, 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 in- tensity, self-perception of arthritis severity and depression status . Negative correlations were found amongst age, self- perception 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 interven tions for elderly people to promote their quality of life.
期刊論文
1.Ger, L. P.、Ho, S. T.、Sun, W. Z.、Wang, M. S.、Cleeland, C. S.(1999)。Validation of the Brief Pain Inventory in a Taiwanese population。Journal of Pain and Symptom Management，18(5)，316-322。  new window
2.Breen, J.(2002)。Transitions in the Concept of Chronic Pain。Advances in Nursing Scienc，24(4)，48-59。  new window
3.林嘉玲、蘇東平、張媚(20030300)。機構老人之睡眠品質及其相關因素。臺灣醫學，7(2)，174-184。  延伸查詢new window
4.Tsai, Y. F.、Tsai, H. H.、Lai, Y. H.、Chu, T. L.(2004)。Pain prevalence, experiences and management strategies among the elderly in Taiwanese nursing homes。Journal of Pain and Symptom Management，28(6)，579-584。  new window
5.廖以誠、葉宗烈、柯慧貞、駱重鳴、盧豐華(1995)。老人憂鬱量表--中譯版之信、效度初步研究。彰基醫學雜誌，1(1)，11-17。  延伸查詢new window
6.戴玉慈、羅美芳(19960600)。身體功能評估的概念與量表。護理雜誌，43(2)，63-68。new window  延伸查詢new window
7.Sheikh, J. I.、Yesavage, J. A.(1986)。Geriatric Depression Scale(GDS) Recent Evidence and development of a shorter version。Clinical Gerontologist: The Journal of Aging and Mental Health，5(1/2)，165-173。  new window
8.陳彰惠、曾英芬、王興耀、李昭男(19940900)。The Prevalence and Predictors of Postpartum Depression。護理研究，2(3)，263-274。new window  延伸查詢new window
學位論文
1.余幸宜(2003)。台北市社區老人慢性疼痛盛行率、疼痛型態及因應策略之探討(碩士論文)。國立陽明大學。  延伸查詢new window
2.林尹霈(2005)。應用常識模式探討罹患退化性關節炎老人的疾病認知及其因應策略(碩士論文)。中國醫藥大學。  延伸查詢new window
其他
1.行政院衛生署(2010)。97年度全民健康保險醫療統計年報，http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10904&class_no=440&level_no=3， 2010/02/12。  new window
2.內政部統計處(20100704)。主要國家 5 歲以上人口佔總人口比率。  延伸查詢new window
3.李怡蓉(2004)。台灣南部公立安養機構老人之自尊、社會支持與希望。  延伸查詢new window
4.葉淑惠、林麗味、許耀東、林佩欣、李雪楨(1999)。實施老人長期養護機構教育對社會老人照護服務之成果。  延伸查詢new window
5.劉小菁(2005)。養護機構老人健康狀態與憂鬱相關性之探討。  延伸查詢new window
6.劉景寬、戴志達、林瑞泰、陳月芬、賴秋蓮(1996)。簡短可攜帶式智能狀態量表的老人社區常模。  延伸查詢new window
7.鄧惠琴、徐亞瑛、陳明岐、蔡芸芳、林信男(2005)。影響髖骨骨折老人出院前產生憂鬱傾向之相關因素探討。  延伸查詢new window
8.Baird, C. L.; Schmeiser, D.; Yehle, K. T.(2003)。Self-care of woman with osteoarthritis living at different levels。  new window
9.Baker, T. A.(2005)。Chronic pain in older black Americans: The influence of health and psychosocial factors。  new window
10.Baker, T. A.; Buchanan, N. T.; Corson, N.(2008)。Factors influencing chronic pain intensity in older black women: Examining depression, locus of control, and physical health。  new window
11.Bennett, R.(2004)。Addressing musculoskeletal pain。  new window
12.Cano, A.(2004)。Pain catastrophizing and social support in married individuals with chronic pain: The moderating role of pain duration。  new window
13.Chan, A.(1996)。Clinical validation of the Geriatric Depression Scale (GDS)。  new window
14.Cleeland, C. S.(1985)。Measurement and prevalence of pain in cancer。  new window
15.Dworkin, R. H.; Cooper, E. M.; Siegfried, R. N.(1996)。Chronic pain and disease conviction。  new window
16.Ferrell, B. A.; Stein, W. M.; Beck, J. C.(2000)。The geriatric pain measure: Validity, reliability and factor analysis。  new window
17.Fisher, M. N.; Shin, S. A.; Ostir, G. V.; Goodwin, J. S.(2004)。Positive affect and disability among older Mexican Americans with arthritis。  new window
18.Flahaerty, E.(2003)。Assessing pain in older adults。  new window
19.Gorevic, P. D.; Sherman, F. T.(2004)。A review of musculoskeletal aging and treatment issues in geriatric patients。  new window
20.Gureje, O.; Ademola, A.; Olley, B.(2008)。Depression and disability: Comparisons with common physical conditions in the Ibadan study of aging。  new window
21.Horgas, A.(2003)。Pain management in elderly adults。  new window
22.Jakobsson, U.; Klevsgard, R.; Westergren, A.; Hallberg, I. R.(2003)。Old people in pain: A comparative study。  new window
23.Keller, S.; Bann, C. M.; Dodd, S. L.; Schein, J.; Mendoza, T. R.; Cleeland, C. S.(2004)。Validity of the brief pain inventory for use in documenting the outcomes of patients with noncancer pain。  new window
24.Leslie, M.(2000)。Knee osteoarthritis management therapies。  new window
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26.Lin, E.; Katon, W.; von Korff, M.; Tang, L.; Williams, J.; Kroenke, K., et al.(2003)。Effect of improving depression care on pain and functional outcomes among older adults with arthritis: A randomized controlled trial。  new window
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28.Matthias, M.; Bair, M.; Nyland, K.; Huffman, M.; Stubbs, D.; Damush, T., et al.(2010)。Self-management support and communication from nurse care managers compared with primary care physicians: A focus group study of patients with chronic musculoskeletal pain。  new window
29.Melzack, R.; Katz, J.; Jeans, M.(1985)。The role of compensation in chronic pain: Analysis using a new method of scoring the McGill pain questionnaire。  new window
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