基于《国际功能、残疾和健康分类康复组合》的颈肩腰腿慢性疼痛患者功能水平及影响因素研究OACSTPCD
Study on Functional Level and Influencing Factors of Patients with Chronic Neck,Shoulder,Back and Leg Pain Based on the International Classification of Functioning,Disability and Health Rehabilitation Set
目的 基于《国际功能、残疾和健康分类康复组合》(ICF-RS)分析颈肩腰腿慢性疼痛患者的身体、日常活动及社会参与功能水平及其影响因素.方法 选择2023年7-12月在襄阳市中心医院南院区、东津院区和北院区门诊治疗的原发性颈肩腰腿慢性疼痛患者162例.由经过专业培训的评估员采用问卷调查的形式详细记录患者基本人口学资料[性别、年龄、文化程度、医疗费用来源、体质量指数(BMI)]、生活习惯(吸烟、饮酒)、既往病史(高血压、高血脂症、糖尿病)及服用止痛药物等信息.采用ICF-RS对患者进行功能状态(身体功能、活动功能、社会参与)评估.采用多因素有序logstic回归分析颈肩腰腿慢性疼痛患者身体功能、活动功能及社会参与功能(轻、中、重度功能障碍)的独立危险因素.结果 功能障碍占比＞50%的ICF-RS条目有10个(33.33%),涉及身体功能维度4个条目,日常活动功能维度2个条目,社会参与维度4个条目.不同年龄颈肩腰腿慢性疼痛患者运动耐受能力、到处移动功能差异具有统计学意义(P=0.040,P=0.030);不同年龄及是否饮酒的颈肩腰腿慢性疼痛患者帮助别人功能差异具有统计学意义(P=0.008,P=0.021);不同年龄及是否患高血脂的颈肩腰腿慢性疼痛患者娱乐和休闲能力差异具有统计学意义(P=0.028,P=0.004).结论 颈肩腰腿慢性疼痛患者身体功能、日常活动功能和社会参与能力均存在不同程度的功能障碍,以轻度功能障碍为主;年龄、饮酒和高血脂是身体功能、日常活动功能和社会参与能力障碍的独立影响因素.
Objective To explore the levels of body function,daily activities,and social participation,as well as the influencing factors in patients with chronic neck,shoulder,back and leg pain based on the International Classification of Functioning,Disability and Health Rehabilitation Set(ICF-RS).Methods A total of 162 patients with primary chronic pain in neck,shoulder,back and legs from the outpatient departments of the South,Dongjin and North Campuses of Xiangyang Central Hospital from July to Decem-ber 2023 were selected.The basic demographic data[gender,age,education level,source of medical expenses,body mass index(BMI)],living habits(smoking,drinking),medical history(hypertension,hyperlipidemia,diabetes)and the use of painkillers were recorded in detail by trained assessors in the form of questionnaires.The ICF-RS was used to assess functional levels(body function,activities,social participation).Multivariate ordered logistic regression analysis was used to analyze independent risk factors for body function,activities and social participation(mild,moderate and severe impairment)in patients with chronic neck,shoulder,back and leg pain.Results There were 10 ICF-RS categories(33.33%)with a functional impairment rate over 50%,involving 4 categories in the body function dimension,2 categories in the daily activities dimension,and 4 categories in the social participation dimension.There was a statistically significant difference in exercise tolerance and mobility function among patients with chronic neck,shoulder,back and leg pain at different ages(P=0.040,P=0.030),a statistically significant difference in the ability to help oth-ers among patients with chronic neck,shoulder,back and leg pain at different ages and alcohol consumption status(P=0.008,P=0.021),and a statistically significant difference in entertainment and leisure ability among patients with chronic neck,shoulder,back and leg pain at different ages and hyperlipidemia status(P=0.028,P=0.004).Conclusion The patients with chronic neck,shoulder,back and leg pain experience varing degrees of functional impairments in body function,daily activities and social participation,with mild functional impairments being the predominant form.Age,alcohol consumption and hyperlipidemia are independent influ-encing factors for functional impairment in body function,daily activities and social participation.
孙倩倩;张超;李瑞;张露文;张淑琴;熊天宜;刘畅;谢洪武
中山大学孙逸仙纪念医院,广东 广州 510120||襄阳市中心医院,湖北 襄阳 441000襄阳市中心医院,湖北 襄阳 441000||康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441000襄阳市中心医院,湖北 襄阳 441000||康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441000南方医科大学卫生管理学院,广东 广州,510515襄阳市中心医院,湖北 襄阳 441000||康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441000襄阳市中心医院,湖北 襄阳 441000||康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441000襄阳市中心医院,湖北 襄阳 441000||康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441000南昌大学第二附属医院,江西 南昌 330006
颈肩腰腿慢性疼痛《国际功能、残疾和健康分类康复组合》身体功能日常活动功能社会参与功能
chronic neck,shoulder,back and leg painInternational Classification of Functioning,Disability and Health Reha-bilitation Setbody functiondaily activitysocial participation
《康复学报》 2024 (6)
562-567,576,7
国家自然科学基金项目(82272614,82360993)襄阳市科技研究与开发项目(2022BBS005186)
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