河北医科大学学报

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生活方式及营养状况对老年骨质疏松患者疼痛的影响

  

  1. 1.河北省秦皇岛市第二医院急诊科,河北 秦皇岛 066600;2.河北省秦皇岛市卫生学校护理组,河北 秦皇岛 066000;
    3.华北理工大学康复与护理学院,河北,唐山 063000
  • 出版日期:2016-11-25 发布日期:2016-12-14
  • 作者简介:熊明顺(1981-),男,河北唐山人,河北省秦皇岛市第二医院主治医师,医学学士,从事急诊科疾病诊治研究。
  • 基金资助:
    秦皇岛市科学技术研究与发展指导计划(201502A237)

Influence of life style and nutritional status on the pain among gerontal patients with osteoporosis

  1. 1.Department of Emergency The second  Hospital of Qinhuangdao, Hebei Province, Qinhuangdao 066000,
    China; 2.Department of Nursing Group, Qinhuangdao of Hebei Province Health School, Hebei
    Province, Qinhuangdao 066000,China; 3.Technology Institute of Rehabilitation and
    Nursing,Hebei Province Tangshan, 063000, China
  • Online:2016-11-25 Published:2016-12-14

摘要: [摘要] 目的 了解老年骨质疏松患者生活方式及营养状况对疼痛的影响,以便采取针对性的干预手段,减少
疼痛的发生率。方法 通过问卷调查收集与老年患者生活方式有关的各种因素,运用微型营养评价法评测老年患
者的营养状况,采用疼痛数字评分法评估患者疼痛的发生情况。结果 208 例患者中疼痛发生率为 81.
3% ,且女
性 > 男性;营养良好者疼痛评分低于营养一般和营养不良者( P <0.05 );已婚者疼痛评分低于丧偶者( P <0.05 );
与老伴居住者疼痛评分低于独居和与子女居住者( P <0.05 );经常运动者或偶尔运动者疼痛评分低于从不运动者
( P <0.05 );有 1 个子女者疼痛评分低于多个子女者( P <0.05 );经常饮茶者疼痛评分低于从不饮茶者( P <0.05 );
中、重度疼痛组的营养评分中整体评估分数均低于轻度疼痛组( P <0.05 );重度疼痛组的饮食评估分数低于中度疼
痛组( P <0.05 )。结论 老年骨质疏松患者疼痛的发生率较高,与老年人的生活方式及营养状况有一定的关系。

关键词: 骨质疏松, 疼痛, 生活方式

Abstract: [
Abstract ] Objective Tounderstandtheinfluenceoflifestyleandnutritionalstatustothe
painamonggerontalpatientswithosteoporosis , andtomakeiteasytotakesomeintervention
clinicallyforlessincidencerateofpain.Methods Questionnaireswerecarriedoutamonggerontal
patientswithosteoporosisaboutthelifestyleandnutritionalstatus , meanwhilebynumerical
ratingscaleforthelevelofpain , andbymininutritionalassessmentfortheirnutritionalstate.
Results Theincidenceofpainin208patientswas81. 3% , andfemaleovermale.Thepainscore
ofosteoporosispatientswithgoodnutrition waslowerthan who withgeneralnutritionand
malnutrition.Themarriedpainscorewaslowerthanthewidowed.Thepainscoreofosteoporosis
patientslivingincouplewaslowerthanthoselivingaloneandlivingwithdescendents ( P <0.05 ) .
Thepainscoreofregularandoccasionalexercisepatientswaslowerthanthatofthenever
exercisepatients ( P <0.05 ) .Thepainscoreofpatientswhohadonechildwaslowerthanwho
hadmorechildren ( P <0.05 ) .Thepainscoreofoftenteadrinkerswaslowerthanthosewho
neverdrinktea ( P <0.05 ) .Theoverallevaluationscoresofmoderateandseverepaingroupwere
lowerthanthoseinthemildpaingroup ( P <0.05 ) .Thedietoftheseverepaingroupwaslower thanthatofthe moderatepaingroup.Thedifferencewasstatisticallysignificant ( P <0.05 ) .
Conclusion Theincidencerateofpainishigheramonggerontalpatientswithosteoporosis.
Maybeit'srelatedtothelifestyleandnutritionalstatusofthegerontalpatients.

Key words: osteoporosis, pain, life style