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首页> 外文期刊>Journal of Clinical Medicine Research >Factors Associated With Psycho-Cognitive Functions in Patients With Persistent Pain After Surgery for Femoral Neck Fracture
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Factors Associated With Psycho-Cognitive Functions in Patients With Persistent Pain After Surgery for Femoral Neck Fracture

机译：股骨颈骨折手术后持续性疼痛患者的心理认知功能相关因素

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Background: The aim of the study was to address issues arising from fracture of the femoral neck in elderly individuals, the prevalence of which continues to increase in Japan. The prevalence is increasing in Japan and there have been many reports on physical functions such as prevention of a fall. However, there have been a few studies that focus on psycho-cognitive functions. We must examine factors in patients with fractured femur necks to develop methods to assist affected patients. The current study aimed to examine factors associated with psycho-cognitive functions after surgery for fractured femoral neck in the Japanese elderly.Methods: In this study, we examined the relationships among sex, age, fracture site, operative procedure, body mass index, lifestyle, psycho-cognitive functions, and types of pain in 142 patients, performed multiple regression analysis using the mini-mental state examination (MMSE) and the Montgomery-Asberg depression rating scale (MADRS) scores as dependent variables, and created MMSE and MADRS models.Results: Analysis of MMSE and MADRS models identified night pain and the number of family members as factors that affected mental function in a population with persistent pain for 1 week after surgery for fractured femoral neck. In addition, the number of family members was identified in multiple regression analysis models as a factor associated with psycho-cognitive functions. Pain, and night pain in particular, affect psycho-cognitive functions.Conclusions: We speculated that emotional changes were associated with number of family members. Patients living with family members maintained psycho-cognitive functions better than did those living alone, even when they experienced pain in their daily lives.J Clin Med Res. 2017;9(9):771-775doi: https://doi.org/10.14740/jocmr3104w
机译：背景：该研究的目的是解决老年人股骨颈骨折引起的问题，这种情况在日本继续盛行。在日本，患病率正在上升，关于防止跌倒等身体机能的报道很多。但是，已经有一些研究集中在心理认知功能上。我们必须检查股骨颈骨折患者的因素，以开发出帮助受影响患者的方法。本研究旨在探讨日本老年人股骨颈骨折手术后心理认知功能的相关因素。方法：本研究探讨了性别，年龄，骨折部位，手术方式，体重指数，生活方式之间的关系。 142例患者的心理，心理认知功能和疼痛类型，使用小精神状态检查（MMSE）和蒙哥马利-阿斯伯格抑郁量表（MADRS）得分作为因变量进行了多元回归分析，并创建了MMSE和MADRS模型结果：MMSE和MADRS模型的分析确定了夜间疼痛和家庭成员的数量是影响股骨颈骨折术后持续1周持续性疼痛人群心理功能的因素。此外，在多个回归分析模型中，家庭成员的数量被确定为与心理认知功能相关的因素。疼痛，尤其是夜间疼痛会影响心理认知功能。结论：我们推测情绪变化与家庭成员数量有关。与家人一起生活的患者即使在日常生活中遇到痛苦，也比单独生活的患者保持更好的心理认知功能。JClin Med Res。 2017; 9（9）：771-775doi：https://doi.org/10.14740/jocmr3104w

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