Statement and Self-Management Analysis in Mountain Minorities Southeast Chinese Elderly with Chronic Pain
Clinical Medicine Research
Volume 7, Issue 3, May 2018, Pages: 51-56
Received: May 8, 2018;
Accepted: May 29, 2018;
Published: Jun. 13, 2018
Views 436 Downloads 21
Juan Huang, Department of Foundation Nursing, Youjiang Medical School for Nationalities, Baise, China
Ting Sun, Department of Emergency, Affiliated Hospital of Youjiang Medical School for Nationalities, Baise, China
Ziping Huang, Department of Clinical College, Youjiang Medical School for Nationalities, Baise, China
Zuoqin Liu, Department of Clinical College, Youjiang Medical School for Nationalities, Baise, China
Chronic pain (CP) is a very common problem in elders, due to bodily degenerations, worldwide. Studies carried out in various countries have shown that CP is associated with the elders’ quality of life, significantly limiting their activities and hampering them to maintain an independence lifestyle. What’s worse, elderly suffering from CP mostly also experience mental problems. Yet, there have been only a few such research done and reported on this topic, concerning the elderly ethnic montagnards in the rural southwest Guangxi of China. This study aimed to explore the statement and self-management of rural dwelling elders with CP. First, cross-sectional surveys were conducted and then interviews were carried out. 150 elder people experiencing CP -- pain suffered at least 4 to 5 days a week during the past 3 months, according to the criteria of the international Association for the study of Pain (IASP) -- were enrolled in this study by convenience sampling. They were asked to fill in 3 questionnaires; the first related to participants’ mental status, the second related to participants’ perception of pain intensity, and the third related to pain’s impact on participants’ daily life. Following the completion of questionnaires, individual interviews were conducted, with the help of some students who are fluent in local native languages as well as in Chinese. The results show that CP significantly affected participants’ quality of life. The prevalence of suffering from multifocal CP was 90%. In the management of CP, 64% people mainly relied on paregoric means; a wide range self-management techniques were mentioned such as hot compress application for which some plant material was used, collected from the surrounding environment; only a few people went to seek professional treatment. Moreover, most of them said that they had reconciled to the pain or consider it as part of their fate. Encourage older people to seek different ways to manage their pain, not just traditional but complementary and professional approaches. In such severely lacking professional high-level medical resource environment, the elder people should change their cognition of CP and choose pertinence approaches and instruments based on their own condition.
Statement and Self-Management Analysis in Mountain Minorities Southeast Chinese Elderly with Chronic Pain, Clinical Medicine Research.
Vol. 7, No. 3,
2018, pp. 51-56.
Merskey H, Bogduk N, editor. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Seattle: IASP Press; 1994. p. 210. Prepared by the Task Force on Taxonomy of the International Association for the Study of Pain.
A big gap between town and country for supporting the elders [N]. YanJing night newspaper, 2013-07-12.
Zhou Wei, Cui Ying, Yang Li. The health-realted quality life and affective factors of Midwest rural area during older people [J]. Chines Elder Journal, 2012, 32 (19):4252-4255.
Sacks, Jeffrey J; Luo, Yao-Hua; Helmick, Charles G. Prevalence of specific types of arthritis and other rheumatic conditions in the ambulatory health care system in the United States, 2001-2005[J]. Arthritis Care Res (Hoboken):2010, 62(4):460-464.
Levelle, S. G., Bean, J., Bandeen-Roche, K., et al. Musculoskeletal pain and risk for falls in older disabled women living in the community. Journal of the American Geriatrics Society 2002, 50:671-678.
Jade Parker, The development of pain medicine in Italy and the rest of Europe 40 years after the first International Association for the Study of Pain Congress. Pain Manag. 2017, 7 (1): 15–18.
Richard Staelin, Sree N Koneru, Ian M Rawe. An over-the-counter central sensitization therapy: a chronic back pain registry study of pain relief, medication use and their adverse effects. Pain Manag. 2017, 7 (2): 99-111.
L. J. Kong, H. S. Zhan, Y. W. Cheng, W. A. Yuan, B. Chen, M. Fang. Massage therapy for neck and shoulder pain: a systematic review and meta-analysis. Evid Based Complement Alternat Med: 2013: 613279.
Johnson, Mark I; Hudson, Matt. Generalizing, deleting and distorting information about the experience and communication of chronic pain. Pain Manag. 2016, 6(5): 411–414.
Tavel ME. Somatic symptom disorders without known physical causes: one disease with many names? Am. J. Med. 2015, 128(10), 1054–1058.
Bjelland, Ingvar;Dahl, Alv A;Haug, Tone Tangen; Neckelmann, Dag. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002, 52 (2): 69–77.
Montorezi A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003, 1:14.
Herrero MJ, Blanch J, Peri JM, De Pablo J, Pintor L, Bulbena A. A validation study of Hospital Anxiety and Depression Scale (HADS) in a Spanish population. Gen. Hosp. Psychiatry 2003 (25): 277–283.
Marcolino JAM, Mathias LAST, Piccinini Filho L, Guarantini AA, Suzuki FM, Alli LAC. Hospital Anxiety and Depression Scale: a study on the validation of the criteria and reliability on pre-operative patients. Rev. Bras. Anestesiol. 2007(57):52–62.
Michopoulos I, Douzenis A, Kalkavoura C et al. Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Ann. Gen. Psychiatry 2008(7): 4.
Soh, G. Ang, H. G. Comparison of two pain rating scales among Chinese cancer patients [in English]. Chinese Medical Journal, 1992(105):953-956.
Aun, C;Lam, Y M; Collett, B. Evaluation of the use of visual analogue scale in Chinese patients. Pain 1986(25): 215-221.
Cleeland CS. The brief pain inventory user guide, https://www.mdanderson.org/education-and-research/departments-programs-and-labs/departments-and-divisions/symptom-research/symptom-assessment-tools/BPI_UserGuide.pdf (accessed 17 March 2016).
Nicholas, Michael K; Asghari, Ali; Blyth, Fiona M. What do the numbers means? Normative data in chronic pain measures. Pain 2008, 134(1-2): 158–173.
Parmalee, P. A., Katz, I. R., Lawton, M. P. The relation of pain to depression among institutionalized aged. The Journals of Gerontology. Series B. Psychological Sciences, 1991, 46(1):15-21.
Erdal, K J; Zautra, A J. Psychological impact of illness downturns: a comparison of new and chronic conditions. Psychology and Aging, 1995, 10(4): 570-577.
Turp JC, Gobetti JP. Trigeminal neuralgia-an update. Compend Contin Educ Dent 2000(21): 279-292.
Barlow, Julie; Wright, Chris; Sheasby, Janice;Turner, Andy; Hainsworth, Jenny. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns, 2002, 48(2): 177-187.
Julie C. Kendall, Simon D. French, Jan Hartvigsen and Michael F. Azari. Chiropractic treatment including instrument-assisted manipulation for non-specific dizziness and neck pain in community-dwelling older people: a feasibility randomized sham-controlled trial. Chiropractic & Manual Theropies, (2018) 26:14.
Sobral APT, Godoy CLH, Fernandes KPS, et al. Photomodulation in the treatment of chronic pain in patients with temporomandibular disorder: protocol for cost-effectiveness analysis. BMJ Open 2018;8:eo18326.doi:10.1136/bmjopen-2017-018326.
Damsgard E, Solqard H, Johannessen K, Wennevold K, Kvarstein G, Pettersen G, Garcia B. Understanding Pain and Pain Management in Elderly Nursing Home patients applying an interprofessional learning activity in health care students: a Norwegian Study. Pain Manag Nurs, 2018 May 17. pii:S 1524-9042(17)30395-8.doi:10.1016/j.pmn.2018.02.064.
Rushton AB, Evans DW, Middlebrook N, et al. Development of a screening tool to predict the risk of chronic pain and disability following musculoskeletal trauma: protocol for a prospective observational study in the United Kingdom. BMJ Open 2018;8:e017876.doi:0.1136/bmjopen-2017-017876.