Volume 45 Issue 10
Oct.  2024
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Xuesong HU, Wenbin DONG, Shifu LI, Liyue CHEN, Yingzhou MIAO, Bing SHEN, WenRui ZHOU, Shaoxing DONG. Frailty and Related Factors in Elderly Patients with Chronic Pain[J]. Journal of Kunming Medical University, 2024, 45(10): 130-134. doi: 10.12259/j.issn.2095-610X.S20241020
Citation: Xuesong HU, Wenbin DONG, Shifu LI, Liyue CHEN, Yingzhou MIAO, Bing SHEN, WenRui ZHOU, Shaoxing DONG. Frailty and Related Factors in Elderly Patients with Chronic Pain[J]. Journal of Kunming Medical University, 2024, 45(10): 130-134. doi: 10.12259/j.issn.2095-610X.S20241020

Frailty and Related Factors in Elderly Patients with Chronic Pain

doi: 10.12259/j.issn.2095-610X.S20241020
  • Received Date: 2024-06-20
    Available Online: 2024-10-19
  • Publish Date: 2024-10-31
  •   Objective  To understand the frailty of elderly patients with chronic pain and its related influencing factors.   Methods  A face-to-face survey using a simple random sampling method was conducted for elderly patients with chronic pain at a grade-A tertiary hospital in Yuxi City from January to June 2023. The NIPRO Painvision (PS-2100) and the Visual Analog Scale (VAS) were used for comprehensive pain assessment. The investigation of depression, anxiety, and frailty was conducted using the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the FRAIL scale, respectively. Logistic regression analysis was performed to identify factors associated with frailty in elderly patients with chronic pain.   Results  Among the 272 elderly patients with chronic pain, the prevalence of frailty was 21.32% (95%CI 16.46%-26.19%). The median age of the frail group was [69 (65-72) years], which was higher than that of the non-frail group [66 (62-69) years], and this difference was statistically significant (Z = 2.962, P = 0.003). The results of the multivariate logistic regression model showed that older age was associated with a higher risk of frailty among elderly patients with chronic pain (OR = 1.08, 95%CI 1.02-1.14). Those with severe pain (OR = 3.12, 95%CI: 1.42-6.88), multiple pain locations (OR = 4.47, 95%CI 2.23-8.94), and those experiencing depression (OR = 4.76, 95%CI 2.34-9.68) had a significantly higher risk of frailty compared to those with mild/moderate pain, single pain location, and no depression.   Conclusion   In Yuxi City, elderly patients with chronic pain have a high prevalence of frailty. Factors such as age, pain intensity, pain location, and depression are associated with the risk of frailty. It is recommended to conduct regular frailty screenings and timely interventions to improve the quality of life for older adults.
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  • [1]
    Zheng Z,Guan S C,Ding H,et al. Prevalence and incidence of frailty in community-dwelling older people: Beijing longitudinal study of aging Ⅱ[J]. J Am Geriatr Soc,2016,64(6):1281-1286. doi: 10.1111/jgs.14135
    [2]
    Woo J,Yu R,Wong M,et al. Frailty screening in the community using the FRAIL scale[J]. J Am Med Dir Assoc,2015,16(5):412-419. doi: 10.1016/j.jamda.2015.01.087
    [3]
    Wu C,Smit E,Xue Q L,et al. Prevalence and correlates of frailty among community-dwelling Chinese older adults: The China health and retirement longitudinal study[J]. J Gerontol A Biol Sci Med Sci,2017,73(1):102-108.
    [4]
    戚凯丽,李洁,袁叶敏,等. 老年人慢性疼痛与多维度衰弱相关研究进展[J]. 中华疾病控制杂志,2023,27(6):711-716.
    [5]
    Gunnarsson H,Safipour J,Elmqvist C,et al. Different pain variables could independently predict anxiety and depression in subjects with chronic musculoskeletal pain[J]. Scand J Pain,2021,21(2):274-282. doi: 10.1515/sjpain-2020-0129
    [6]
    Meints S M,Edwards R R. Evaluating psychosocial contributions to chronic pain outcomes[J]. Prog Neuropsychopharmacol Biol Psychiatry,2018,87(12):168-182.
    [7]
    蒋依伶,金菊英. 老年人衰弱与慢性疼痛相关性的研究进展[J]. 中华老年医学杂志,2023,42(5):587-591. doi: 10.3760/cma.j.issn.0254-9026.2023.05.019
    [8]
    张莹莹,马正良. 疼痛与老年衰弱相关研究进展[J]. 国际麻醉学与复苏杂志,2022,43(1):86-89. doi: 10.3760/cma.j.cn321761-20201217-00465
    [9]
    Zis P,Daskalaki A,Bountouni I,et al. Depression and chronic pain in the elderly: links and management challenges[J]. Clin Interv Aging,2017,19(12): 709-720.
    [10]
    胡雪松,陈黎跃,李世福,等. 慢性疼痛患者的失眠情况及影响因素[J]. 昆明医科大学学报,2021,42(2):118-123. doi: 10.12259/j.issn.2095-610X.S20210207
    [11]
    侯苹,薛慧萍,李永男,等. FRAIL量表在筛查老年冠心病伴衰弱患者中的应用价值研究[J]. 中国全科医学,2019,22(9):1052-1056.
    [12]
    刘艳平,谭明杨,徐超强等. 老年腰椎间盘突出症病人疼痛信念与认知衰弱的关系: 睡眠质量的中介作用及焦虑的调节作用[J]. 全科护理,2022,20(29):4033-4039. doi: 10.12104/j.issn.1674-4748.2022.29.001
    [13]
    裴莹莹,王秀红,汪俊华等. 社区老年慢性疼痛患者衰弱发生现状及其与社会支持和自我管理行为的关系[J]. 贵州医科大学学报,2023,48(06):710-716.
    [14]
    郑燕蓉,柴源,牛晓晨,等. 老年住院患者衰弱评估及其影响因素分析[J]. 中华现代护理杂志,2019,25(29):3775-3779. doi: 10.3760/cma.j.issn.1674-2907.2019.29.014
    [15]
    吴丹,胡雅,李丽君,等. 老年人衰弱与慢性疼痛关系的研究进展[J]. 护理研究,2021,35(15):2738-2741. doi: 10.12102/j.issn.1009-6493.2021.15.022
    [16]
    杨帆,王双,覃海,等. 社区老年人衰弱状态的过渡及其恶化影响因素分析的前瞻性研究[J]. 中华流行病学杂志,2019,40(2):186-190 doi: 10.3760/cma.j.issn.0254-6450.2019.02.012
    [17]
    Zhang X H,Van der Schans C P,Liu Y H,et al. Efficacy of dance intervention for improving frailty among Chinese older adults living in the community: a randomized controlled trial[J]. J Aging Phys Act,2023,31(5):806-814. doi: 10.1123/japa.2021-0500
    [18]
    Shega J W,Dale W,Andrew M,et al. Persistent pain and frailty: a case for homeostenosis[J]. J Am Geriatr Soc,2012,60(1):113-117. doi: 10.1111/j.1532-5415.2011.03769.x
    [19]
    Karp J F,Shega J W,Morone N E,et al. Advances in understanding the mechanisms and management of persistent pain in older adults[J]. Br J Anaesth,2008,101(1):111-120. doi: 10.1093/bja/aen090
    [20]
    Lu J,Guo Q Q,Wang Y,et al. The evolutionary stage of cognitive frailty and its changing characteristics in old adults[J]. J Nutr Health Aging,2021,25(4):467-478. doi: 10.1007/s12603-020-1560-8
    [21]
    蒲霞敏,刘凤,唐雅兮,等. 老年冠心病患者衰弱发生率及影响因素的Meta分析[J]. 护士进修杂志,2023,38(11):1012-1016+1042.
    [22]
    Rodr í guez-S á nchez I,Garc í a-Esquinas E,Mesas A E,et al. Frequency,intensity and localization of pain as risk factors for frailty in older adults [J]. Age Ageing,2020,48(1): 74-80.
    [23]
    侯天雪. 长沙市养老机构老年人抑郁症状、睡眠障碍、疼痛与衰弱的相关性研究[D]. 长沙:中南大学,2022.
    [24]
    Pourmotabbed A,Boozari B,Babaei A,et al. Sleep and frailty risk: A systematic review and meta-analysis[J]. Sleep Breath,2020,24(3):1187-1197. doi: 10.1007/s11325-020-02061-w
    [25]
    Tian X Y,Wang C L,Qiao X X,et al. Association between pain and frailty among Chinese community-dwelling older adults: depression as a mediator and its interaction with pain[J]. Pain,2018,159(2):306-313. doi: 10.1097/j.pain.0000000000001105
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