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Kronik Bel Ağrısı Olan Yaşlılarda Ağrı İnancının Yaşam Kalitesi ve Dizabiliteye Etkisi
The Effect of Pain Belief of the Elderly People with Chronic Low Back Pain on Quality of Life and Disability
Received Date : 24 Feb 2020
Accepted Date : 28 Sep 2020
Available Online : 18 Jan 2021
Doi: 10.31609/jpmrs.2020-74455 - Makale Dili: EN
J PMR Sci. 2021;24(1):1-7
ÖZET
Amaç: Bu çalışmada, kronik bel ağrısı olan yaşlılarda ağrı inançlarının yaşam kalitesi ve fonksiyonel duruma etkisini araştırmak amaçlanmıştır. Gereç ve Yöntemler: Polikliniğimize, kronik bel ağrısı şikâyetiyle başvuran 65 yaş üstü hastalar çalışmaya alındı. Travma, malignite, inflamatuar hastalık öyküsü olan, lomber bölgeden operasyon geçiren, nörolojik defisiti olan, kalça ve diz artroplastisi yapılan, destekle mobilize olan, anksiyete/depresyon ve demansı nedeniyle tedavi alan hastalar çalışmaya alınmadı. Demografik ve klinik veriler kaydedildi. Ağrı şiddeti değerlendirmesi için Vizüel Analog Skala (VAS), ağrı inancını değerlendirmek amacıyla Ağrı İnançları Ölçeği, dizabilite değerlendirmesinde Roland Morris Dizabilite Ölçeği, yaşam kalitesi için Nottingham Sağlık Profili kullanıldı. Bulgular: Çalışmaya alınan 52 hastanın yaş ortalaması 71±4,78 ve 12’si erkek 40’ı kadındı. Ağrı İnançları Ölçeği psikolojik puan ortalaması 4,77±0,73; organik puan ortalaması 4,57±0,9 idi. Roland Morris Dizabilite Ölçeği skoru ortalaması 14,58±5,88; Nottingham Sağlık Profili skoru ortalaması 281,68±123,55 idi. Organik puan; hareket VAS, Nottingham ölçeğinin total puanı, ağrı, sosyal izolasyon, fiziksel aktivite, enerji alt puanları, yaş ve Roland Morris skorları ile anlamlı derecede ilişkili bulundu (p<0,05). Psikolojik puan ise hareket VAS ve Nottingham Sağlık Profili uyku skoru ile anlamlı düzeyde ilişkiliydi (p<0,05). Sonuç: Hastalarda ağrı düzeyi arttıkça, ağrıya dair inanç skorları da artmaktadır. Fiziksel aktivite düzeyi, yaşam kalitesi, sosyal destek ve kaliteli uyku da ağrı inançları ile yakından ilişkilidir.
ABSTRACT
Objective: In the present study, the purpose was to investigate the effect of pain beliefs on the quality of life and functional condition in the elderly with chronic low back pain. Material and Methods: Patients over 65 years old who applied to our outpatient clinic with chronic low back pain were included in the study. The patients with a history of trauma, malignancy, inflammatory diseases, those who were operated in the lumbar region, who had neurological deficits, those with hip and knee arthroplasty, those who were mobilized with support, receiving treatment for anxiety, depression and dementia were not included. The demographic and clinical data were recorded. The Visual Analog Scale (VAS) was used for the pain severity, the Pain Beliefs Scale was used for the pain beliefs, the Roland Morris Disability Scale was used for the disability, and the Nottingham Health Profile was used for quality of life. Results: The mean age of the 52 patients who were included in the study was 71±4.78 and 12 were male, 40 were female. The mean Pain Beliefs Scale psychological score was 4.77±0.73, mean organic score was 4.57±0.9. The average score of Roland Morris Disability Scale was 14.58±5.88 and the average of Nottingham Health Profile score was 281.68±123.55. The organic score was found to be significantly related to movement VAS, total score of Nottingham Scale and pain, social isolation, physical activity, energy sub-scores, age, and Roland Morris scores (p<0.05). The psychological score was associated significantly with the movement VAS and Nottingham Health Profile sleep score (p<0.05). Conclusion: As the level of pain increased the scores of beliefs in pain also increased. Physical activity levels and quality of life were also closely related to pain beliefs.
REFERENCES
  1. Patel KV, Guralnik JM, Dansie EJ, Turk DC. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and Aging Trends Study. Pain. 2013;154(12):2649-57.[Crossref] [PubMed] [PMC] 
  2. Docking RE, Fleming J, Brayne C, Zhao J, Macfarlane GJ, Jones GT; Cambridge City over-75s Cohort Study collaboration. Epidemiology of back pain in older adults: prevalence and risk factors for back pain onset. Rheumatology (Oxford). 2011;50(9):1645-53.[Crossref] [PubMed] 
  3. Yu HY, Tang FI, Kuo BI, Yu S. Prevalence, interference, and risk factors for chronic pain among Taiwanese community older people. Pain Manag Nurs. 2006;7(1):2-11.[Crossref] [PubMed] 
  4. Jakobsson U. The epidemiology of chronic pain in a general population: results of a survey in southern Sweden. Scand J Rheumatol. 2010;39(5):421-9.[Crossref] [PubMed] 
  5. Larsson C, Hansson EE, Sundquist K, Jakobsson U. Chronic pain in older adults: prevalence, incidence, and risk factors. Scand J Rheumatol. 2017;46(4):317-25.[Crossref] [PubMed] 
  6. Naumov AV, Moroz VI, Khovasova NO, Manevich TM, Balaeva MM, Tkacheva ON. [Chronic pain in patients older than 60 years: a view of the geriatrics]. Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(6):53-9.[Crossref] [PubMed] 
  7. Stompór M, Grodzicki T, Stompór T, Wordliczek J, Dubiel M, Kurowska I. Prevalence of chronic pain, particularly with neuropathic component, and its effect on overall functioning of elderly patients. Med Sci Monit. 2019;25:2695-701.[Crossref] [PubMed] [PMC] 
  8. Rapo-Pylkkö S, Haanpää M, Liira H. Chronic pain among community-dwelling elderly: a population-based clinical study. Scand J Prim Health Care. 2016;34(2):159-64.[Crossref] [PubMed] [PMC] 
  9. Ghanei I, Rosengren BE, Hasserius R, Nilsson JÅ, Mellström D, Ohlsson C, et al. The prevalence and severity of low back pain and associated symptoms in 3,009 old men. Eur Spine J. 2014;23(4):814-20.[Crossref] [PubMed] [PMC] 
  10. Hartvigsen J, Christensen K, Frederiksen H. Back pain remains a common symptom in old age. a population-based study of 4486 Danish twins aged 70-102. Eur Spine J. 2003;12(5):528-34.[Crossref] [PubMed] [PMC] 
  11. de Souza IMB, Sakaguchi TF, Yuan SLK, Matsutani LA, do Espírito-Santo AS, Pereira CAB, et al. Prevalence of low back pain in the elderly population: a systematic review. Clinics (Sao Paulo). 2019;74:e789.[Crossref] [PubMed] [PMC] 
  12. Tan BK, Smith AJ, O'Sullivan PB, Chen G, Burnett AF, Briggs AM. Low back pain beliefs are associated to age, location of work, education and pain-related disability in Chinese healthcare professionals working in China: a cross sectional survey. BMC Musculoskelet Disord. 2014;15:255.[Crossref] [PubMed] [PMC] 
  13. Koçoğlu D, Özdemir L. [The relation between pain and pain beliefs and sociodemographic-economic characteristics in an adult population]. Agri. 2011;23(2):64-70.[PubMed] 
  14. Edwards CL, Fillingim RB, Keefe F. Race, ethnicity and pain. Pain. 2001;94(2):133-7.[Crossref] [PubMed] 
  15. Hardt J, Jacobsen C, Goldberg J, Nickel R, Buchwald D. Prevalence of chronic pain in a representative sample in the United States. Pain Med. 2008;9(7):803-12.[Crossref] [PubMed] 
  16. Jakobsson U, Klevsgård R, Westergren A, Hallberg IR. Old people in pain: a comparative study. J Pain Symptom Manage. 2003;26(1):625-36.[Crossref] [PubMed] 
  17. Leveille SG, Fried L, Guralnik JM. Disabling symptoms: what do older women report? J Gen Intern Med. 2002;17(10):766-73.[Crossref] [PubMed] [PMC] 
  18. Yildizeli Topcu S. Relations among pain, pain beliefs, and psychological well-being in patients with chronic pain. Pain Manag Nurs. 2018;19(6):637-44.[Crossref] [PubMed] 
  19. Berk HO, Bahadir G. [The experience of chronic pain and pain beliefs]. Agri. 2007;19(4):5-15.[Crossref] [PubMed] 
  20. Walsh DA, Radcliffe JC. Pain beliefs and perceived physical disability of patients with chronic low back pain. Pain. 2002;97(1-2):23-31.[Crossref] [PubMed] 
  21. Edwards LC, Pearce SA, Turner-Stokes L, Jones A. The Pain Beliefs Questionnaire: an investigation of beliefs in the causes and consequences of pain. Pain. 1992;51(3):267-72.[Crossref] [PubMed] 
  22. Roland M, Morris R. A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine (Phila Pa 1976). 1983;8(2):141-4.[Crossref] [PubMed] 
  23. Küçükdeveci AA, Tennant A, Elhan AH, Niyazoglu H. Validation of the Turkish version of the Roland-Morris Disability Questionnaire for use in low back pain. Spine (Phila Pa 1976). 2001;26(24):2738-43.[Crossref] [PubMed] 
  24. Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-8.[Crossref] [PubMed] 
  25. Barr KP, Harrast MA. Bel ağrısı. In: Braddom RL, Buschbacher RM, eds. Sarıdoğan M, çeviri editörü. Fiziksel Tıp ve Rehabilitasyon. 3. Baskı. Ankara: Güneş Tıp Kitabevleri; 2010. p.883-927.
  26. Polat M, Karaoğlan B. [Approach to lumbar pain: recognition treatment]. Klinik Tıp Aile Hekimliği Dergisi. 2017;9(6):13-21.[Link] 
  27. Ulus B, İrban A, Bakırcı N, Yılmaz E, Uslu Y, Yücel N, et al. Determination of pain characteristics, pain belief and risk of depression among elderly residents living at nursing home. Turkish Journal of Geriatrics. 2014;17(2):180-7.[Link] 
  28. Main CJ, Foster N, Buchbinder R. How important are back pain beliefs and expectations for satisfactory recovery from back pain? Best Pract Res Clin Rheumatol. 2010;24(2):205-17.[Crossref] [PubMed] 
  29. Leeuw M, Goossens ME, van Breukelen GJ, de Jong JR, Heuts PH, Smeets RJ, et al. Exposure in vivo versus operant graded activity in chronic low back pain patients: results of a randomized controlled trial. Pain. 2008;138(1):192-207.[Crossref] [PubMed] 
  30. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53(9):554-9.[Crossref] [PubMed] 
  31. Dysvik E, Lindstrøm TC, Eikeland OJ, Natvig GK. Health-related quality of life and pain beliefs among people suffering from chronic pain. Pain Manag Nurs. 2004;5(2):66-74.[Crossref] [PubMed] 
  32. Mewes R, Rief W, Kenn K, Ried J, Stenzel N. Psychological predictors for health-related quality of life and disability in persons with chronic obstructive pulmonary disease (COPD). Psychol Health. 2016;31(4):470-86.[Crossref] [PubMed] 
  33. Main CJ, Foster N, Buchbinder R. How important are back pain beliefs and expectations for satisfactory recovery from back pain? Best Pract Res Clin Rheumatol. 2010;24(2):205-17.[Crossref] [PubMed] 
  34. Linton SJ, Shaw WS. Impact of psychological factors in the experience of pain. Phys Ther. 2011;91(5):700-11.[Crossref] [PubMed] 
  35. Pieretti S, Di Giannuario A, Di Giovannandrea R, Marzoli F, Piccaro G, Minosi P, et al. Gender differences in pain and its relief. Ann Ist Super Sanita. 2016;52(2):184-9.[Crossref] [PubMed] 
  36. Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL 3rd. Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain. 2009;10(5):447-85.[Crossref] [PubMed] [PMC] 
  37. Miró J, Paredes S, Rull M, Queral R, Miralles R, Nieto R, et al. Pain in older adults: a prevalence study in the Mediterranean region of Catalonia. Eur J Pain. 2007;11(1):83-92.[Crossref] [PubMed]Â