空巢老年慢性疼痛患者生活质量与社会支持相关性研究

Correlation between quality of life and social support of empty nest elderly patients with chronic pain

摘要:

了解空巢老年慢性疼痛患者生活质量及社会支持现状，并探讨两者之间关系。方法于2015年2～12 月，应用便利抽样方法，应用一般资料调查表、生活质量量表、社会支持评定量表、简式McGill 疼痛问卷对辽宁省锦州市凌河区、古塔区、太和区空巢老年慢性疼痛患者进行问卷调查。结果夫妇老年慢性疼痛患者在生理机能、总体健康、活力、社会功能4 个维度的生活质量得分高于独居慢性疼痛老人，差异有统计学意义（p <0.05）；夫妇老年慢性疼痛患者的社会支持总分、客观支持总分、主观支持得分也高于独居老年慢性疼痛患者，差异有统计学意义（ p<0.05）；老年慢性疼痛患者生活质量与其社会支持之间呈正相关。结论独居老年慢性疼痛患者的生活质量和社会支持水平较夫妇老年慢性疼痛患者低，独居老年慢性疼痛患者是社区老年慢性疼痛患者中最为弱势的群体，社区护理应给予更多关注；生活质量与社会支持关系密切，应大力健全社会支持系统，提高社区老年慢性疼痛患者的生活质量。

Abstract:

To learn the quality of life and social support status in empty-nest elderly patients with chronic pain, and their relationship. Methods From February to December of 2015, a questionnaire survey was conducted by the application of convenience sampling method, in which general information questionnaire, Quality of Life Scale, Social Support Rating Scale and Short-form McGill Pain Questionnaire were applied to empty-nest elderly patients with chronic pain in Linghe District, Guta District and Taihe District of Jinzhou City, Liaoning Province. Results The scores of quality of life including physiological function, general health, vitality and social function scores in the married elderly patients with chronic pain were significantly higher than those in the elderly living alone (p < 0.05). The total score of social support, objective support score and subjective support score in the married elderly patients with chronic pain were significantly higher than those in the elderly patients living alone(p < 0.05). There was a positive correlation between the quality of life and their social support in the elderly patients with chronic pain. Conclusions Compared to the married empty-nest elderly patients with chronic pain, the quality of life and social support level are relatively low in the empty-nest elderly patients with chronic pain who live alone. The living-alone elderly patients with chronic pain are the most vulnerable group in community elderly patients with chronic pain, they should be given more attention in community care. The quality of life and social support are closely related. Efforts should be made to improve the social support system and the quality of life of the community elderly patients with chronic pain.