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Caregiving in the presence of chronic pain.

机译:在存在慢性疼痛的情况下进行护理。

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BACKGROUND: Chronic pain sufferers and caregivers share the risk of higher levels of psychological distress and adverse effects on well-being. This study examined the joint impact of chronic pain and primary caregiving on older people. METHODS: Data came from the New South Wales (NSW) Older People's Health Survey 1999, a state-wide general health survey of over 9000 NSW residents 65 years old or older. Using survey logistic regression modeling, we examined the relationship between chronic pain with different levels of disability, caregiving status, self-reported physical functioning, and two dependent variables--poor/fair self-rated health and psychological distress. RESULTS: Caregivers with chronic pain reported more psychological distress and poorer self-rated health than caregivers without pain, when both were compared to noncaregivers without pain (age-adjusted and sex-adjusted odds ratios [ORs] for caregivers with pain were 3.4 and 2.8, respectively, both p <.001). Caregivers with pain and noncaregivers with pain had similar patterns of results. Physical function significantly declined for both caregivers and noncaregivers with pain when compared with noncaregivers without pain. CONCLUSIONS: Older people coping with caregiving and chronic pain are a potentially vulnerable group. Chronic pain status should be ascertained in older people who are caregivers, with particular attention to the issue of caregiver psychological distress and physical well-being.
机译:背景:慢性疼痛患者和照顾者共同承担着较高的心理困扰和对幸福感的不利影响的风险。这项研究检查了慢性疼痛和初级护理对老年人的联合影响。方法:数据来自新南威尔士州(NSW)的1999年老年人健康调查,该州对9000名65岁以上的新南威尔士州居民进行了全面健康调查。使用调查逻辑回归模型,我们检查了慢性疼痛与不同程度的残疾,护理状态,自我报告的身体功能以及两个因变量之间的关系-自我评估的健康状况差/较差和心理困扰。结果:与没有疼痛的照护者相比,与没有疼痛的照护者相比,患有慢性疼痛的照护者报告了更大的心理困扰和较差的自我评价健康(年龄调整和性别调整后的照护者比值比[OR]分别为3.4和2.8) ,两者均p <.001)。有疼痛的看护者和没有疼痛的看护者具有相似的结果模式。与没有疼痛的非照料者相比,有疼痛的照料者和非照料者的身体功能均明显下降。结论:应付护理和慢性疼痛的老年人是潜在的弱势群体。应确定照顾者的老年人的慢性疼痛状态,尤其要注意照顾者的心理困扰和身体健康问题。

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