BMI influences relationships among health factors for adults with persistent pain who use prescription opioids.


Journal

Nursing outlook
ISSN: 1528-3968
Titre abrégé: Nurs Outlook
Pays: United States
ID NLM: 0401075

Informations de publication

Date de publication:
Historique:
received: 30 09 2019
revised: 13 03 2020
accepted: 21 03 2020
pubmed: 14 5 2020
medline: 11 11 2020
entrez: 14 5 2020
Statut: ppublish

Résumé

Long-term use of prescription opioids for pain results in negative health outcomes. Overweight and pain are related, and adults with either condition commonly report poor sleep quality, high levels of depression, low levels of self-efficacy, and high pain interference and intensity. Insufficient research exists regarding how weight may influence pain outcomes in the context of common symptoms. To investigate how body mass index (BMI) influences relationships between health factors and pain outcomes among adults with pain prescribed opioids. The sample included 226 adults. Linear regression models tested relationships among variables and outcomes of pain intensity and pain interference. BMI significantly strengthened relationships between health factors and pain interference but not pain intensity. Adults with persistent pain suffer worsened pain interference in the context of increased weight status. Nurses should consider addressing BMI as part of a holistic pain management care plan.

Sections du résumé

BACKGROUND
Long-term use of prescription opioids for pain results in negative health outcomes. Overweight and pain are related, and adults with either condition commonly report poor sleep quality, high levels of depression, low levels of self-efficacy, and high pain interference and intensity. Insufficient research exists regarding how weight may influence pain outcomes in the context of common symptoms.
PURPOSE
To investigate how body mass index (BMI) influences relationships between health factors and pain outcomes among adults with pain prescribed opioids.
METHODS
The sample included 226 adults. Linear regression models tested relationships among variables and outcomes of pain intensity and pain interference.
FINDINGS
BMI significantly strengthened relationships between health factors and pain interference but not pain intensity.
DISCUSSION
Adults with persistent pain suffer worsened pain interference in the context of increased weight status. Nurses should consider addressing BMI as part of a holistic pain management care plan.

Identifiants

pubmed: 32402394
pii: S0029-6554(19)30607-4
doi: 10.1016/j.outlook.2020.03.005
pii:
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

440-448

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Teresa Bigand (T)

College of Nursing, Washington State University, Spokane, WA; Nursing Professional Development, Providence Health Care, Spokane, WA. Electronic address: Teresa.bigand@providence.org.

Ruth Bindler (R)

College of Nursing, Washington State University, Spokane, WA.

Lois James (L)

College of Nursing, Washington State University, Spokane, WA.

Kenneth Daratha (K)

Nursing Professional Development, Providence Health Care, Spokane, WA.

Marian Wilson (M)

College of Nursing, Washington State University, Spokane, WA.

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Classifications MeSH