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首页> 外文期刊>Pain. >Investigating the relationship between pain and discomfort and quality of life, using the WHOQOL.
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Investigating the relationship between pain and discomfort and quality of life, using the WHOQOL.

机译：使用WHOQOL调查疼痛与不适与生活质量之间的关系。

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The aim of this study was to examine the impact of pain on quality of life and its components in a representative sample of 320 well people, and patients selected from all major categories of illness. Quality of life was assessed using a new, multidimensional, multilingual, generic profile designed for cross-cultural use in health care, i.e. the WHOQOL. Within the WHOQOL, pain and discomfort is one of 29 areas or facets of quality of life, grouped into six domains. It was found that pain and discomfort made a significant impact on perceptions of general quality of life related to health. Furthermore, the presence of pain affected perceptions of five of the six domains of quality of life; the domain of spirituality, religion and personal beliefs being the exception. When quality of life is assessed, negative feelings are most closely associated with reports of pain and discomfort than any other facet. But quality of life surrounding pain and discomfort is more fully explained by the inclusion of six additional facets; the availability of social care, mobility, activities of daily living, positive mood and to a lesser extent, sleep and dependence on medication. Together, these seven facets represent criteria against which the success of pain treatments may be evaluated. As predicted, those who were pain-free had significantly better quality of life than those in pain. A longer duration of pain is associated with increasingly poorer quality of life. Intense affective pain is particularly detrimental to a good quality of life. The psychometric properties of the pain and discomfort facet of the WHOQOL and WHOQOL-100 were assessed. Internal consistency (reliability), discriminant and criterion/concurrent validity were found to be good to excellent, justifying the use of this instrument with a range of chronic and acute pain patients.
机译：这项研究的目的是在代表性的320名健康人以及选自所有主要疾病类别的患者中检验疼痛对生活质量及其组成部分的影响。使用针对卫生保健中的跨文化用途设计的新的，多维，多语言，通用的档案（即WHOQOL）评估生活质量。在WHOQOL中，疼痛和不适是生活质量的29个方面或方面之一，分为六个领域。结果发现，疼痛和不适对与健康有关的一般生活质量的观念产生了重大影响。此外，疼痛的存在影响了对生活质量六个领域中五个领域的看法;灵性，宗教和个人信仰领域是例外。在评估生活质量时，与其他方面相比，负面感觉与疼痛和不适报告的关系最为密切。但是，通过增加六个方面可以更全面地说明围绕疼痛和不适的生活质量。社会保健的可用性，流动性，日常生活活动，积极的情绪以及较小程度上的睡眠和对药物的依赖。这七个方面共同代表了可以评估疼痛治疗效果的标准。如预料的那样，无痛苦者的生活质量明显高于痛苦者。疼痛持续时间越长，生活质量就越差。强烈的情感痛苦特别不利于良好的生活质量。评估了WHOQOL和WHOQOL-100的疼痛和不适方面的心理测量特性。内部一致性（可靠性），判别力和标准/并行有效性被认为是极好的，这证明该仪器可用于一系列慢性和急性疼痛患者。

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