关键词: Calidad de vida Chronic pain Cross-sectional studies Disability Discapacidad Dolor crónico Estudio transversal Health services Medicamentos Medicines Quality of life Servicios sanitarios

Mesh : Adolescent Adult Age Factors Aged Chronic Pain / complications drug therapy psychology Confidence Intervals Cross-Sectional Studies Female Health Services Needs and Demand / statistics & numerical data Health Status Health Surveys Humans Interviews as Topic Male Mental Health Middle Aged Occupational Diseases / complications drug therapy psychology Probability Quality of Life Sex Factors Spain

来  源:   DOI:10.1016/j.aprim.2017.03.020   PDF(Pubmed)

Abstract:
To assess the impact of disabling chronic pain (DCP) on quality of life, work, consumption of medication and usage of health services.
Cross-sectional population study with face-to-face interview.
Andalusian Health Survey (2011 edition).
6,507 people over the age of 16 (p=q=0.5; confidence level=95%; sampling error=1.49, design effect=1.52).
Not applicable.
Dependent variable: DCP: population limited in their activity by any of the CP specified in the survey.
quality of life, absence from work, consumption of medication and utilization of health services.
Compared to a population without CP, DCP impact is 6 points less on the mental quality of life and 12 points on the physical one, medication consumption is triple, health services utilization is almost double, and long absence from work is triple. On the other hand, a population with nondisabling chronic pain (nDCP) presents similar results to a population without CP.
We have considered DCP as another CP category because of its huge impact, as is shown in our study, on the study variables. On the contrary, the population with nDCP does not obtain significant impact differences when compared to the population without CP. Therefore, we believe that Primary Care and Public Health should lead different prevention strategies for DCP as well as for the identification of the nDCP population to decrease its possible deterioration towards DCP.
摘要:
评估致残慢性疼痛(DCP)对生活质量的影响,工作,药物消费和卫生服务的使用。
面对面访谈的横断面人口研究。
安达卢西亚健康调查(2011年版)。
6,507名16岁以上的人(p=q=0.5;置信水平=95%;抽样误差=1.49,设计效果=1.52)。
不适用。
因变量:DCP:人口活动受调查中指定的任何CP限制。
生活质量,缺勤,药物消费和卫生服务利用。
与没有CP的人群相比,DCP对精神生活质量的影响少6分,对身体生活质量的影响少12分,药物消耗是三倍,卫生服务利用率几乎翻了一番,长期缺勤是三倍。另一方面,非致残性慢性疼痛(nDCP)人群与无CP人群的结果相似.
由于其巨大的影响,我们将DCP视为另一个CP类别,正如我们的研究所示,关于研究变量。相反,与没有CP的人群相比,具有nDCP的人群没有获得显着影响差异。因此,我们认为,初级保健和公共卫生应针对DCP以及nDCP人群的识别提出不同的预防策略,以减少其对DCP的可能恶化。
公众号