Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults.
Journal
Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
16
04
2018
revised:
05
03
2019
accepted:
06
03
2019
pubmed:
14
5
2019
medline:
31
3
2020
entrez:
14
5
2019
Statut:
ppublish
Résumé
Pain impacts the lives of millions of community-dwelling older adults. An important characteristic of pain is "pain interference" which describes the influence of pain on function. A description of pain interference is limited in rural settings where the number of older adults is expected to increase, and health disparities exist. The purpose of this study was to describe pain interference and analgesic medication use, highlighting those that may be potentially inappropriate in a sample of rural community-dwelling older adults. This secondary analysis was from a cross sectional study. Data were analyzed from a sample of 138 rural community-dwelling older adults. Statistical analyses were performed on demographics, health characteristics, pain interference, and potentially inappropriate analgesic medication data. Pain interference with work activity was reported by 76% of older adults overall, with 23% reporting moderate and 4% extreme interference, and 41% reported sleep difficulty due to pain. Higher pain interference was significantly associated with higher body mass index, more health providers, and the daily use of non-steroidal anti-inflammatory drugs (NSAIDs). Older women experienced more sleep difficulties due to pain. Over-the-counter analgesics were used most frequently by rural older adults to manage pain. Of most risk was the daily use of NSAIDs, in which only 30% used medications to protect the gastrointestinal system. Older adults in rural settings experience pain interference and participate in independent-medicating behaviors that may impact safety.
Sections du résumé
BACKGROUND
Pain impacts the lives of millions of community-dwelling older adults. An important characteristic of pain is "pain interference" which describes the influence of pain on function. A description of pain interference is limited in rural settings where the number of older adults is expected to increase, and health disparities exist.
AIMS
The purpose of this study was to describe pain interference and analgesic medication use, highlighting those that may be potentially inappropriate in a sample of rural community-dwelling older adults.
DESIGN
This secondary analysis was from a cross sectional study.
SAMPLE AND SETTINGS
Data were analyzed from a sample of 138 rural community-dwelling older adults.
METHODS
Statistical analyses were performed on demographics, health characteristics, pain interference, and potentially inappropriate analgesic medication data.
RESULTS
Pain interference with work activity was reported by 76% of older adults overall, with 23% reporting moderate and 4% extreme interference, and 41% reported sleep difficulty due to pain. Higher pain interference was significantly associated with higher body mass index, more health providers, and the daily use of non-steroidal anti-inflammatory drugs (NSAIDs). Older women experienced more sleep difficulties due to pain. Over-the-counter analgesics were used most frequently by rural older adults to manage pain. Of most risk was the daily use of NSAIDs, in which only 30% used medications to protect the gastrointestinal system.
CONCLUSIONS
Older adults in rural settings experience pain interference and participate in independent-medicating behaviors that may impact safety.
Identifiants
pubmed: 31080145
pii: S1524-9042(18)30206-6
doi: 10.1016/j.pmn.2019.03.001
pii:
doi:
Substances chimiques
Analgesics
0
Anti-Inflammatory Agents, Non-Steroidal
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
232-238Informations de copyright
Copyright © 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.