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Rehabilitation Practice and Science

Translated Title

脊髓損傷患者疼痛為憂鬱及生活品質之影響

Abstract

Objective: To assess pain prevalence in a spinal cord injury (SCI) population and the influence of pain on depression and quality of life in patients with SCI. Methods: Two hundred twenty six SCI patients were asked to participate in this study after completing a questionnaire. The questionnaire included demographic data, clinical characteristics of SCI, performance of daily activities and pain intensity on a Numerical Rating Scale (NRS). The Chinese version of Identification (ID) of pain questionnaire was used to detect the neuropathic form of pain. The Taiwanese Depression Questionnaire (TDQ) was used for screening of depression and the Taiwan version of the 36-Item Medical Outcomes Short-Form Health (SF-36) for quality of life. Patients' attitude to the effect of pain medications was also asked. Patients were divided into those having mild pain, those having moderate pain and those having severe pain. These three groups of patients were compared according to clinical variables, depression scale and quality of life. Results: The response rate was 59.2%. The prevalence of pain after SCI was 85.0%. Of them, 41.2% reported severe pain. Patients with neuropathic pain had higher scores of pain (NRS, 6.86±2.21). Age, sex, marriage, employment status, education, and duration/level of injury did not influence pain intensity. Pain intensity was significantly associated with TDQ score. All scores of subgroups of SF-36 in the SCI population were lower than the general population. Only scores of bodily pain and social functioning domains of SF-36 were significantly influenced by pain intensity. Most of the patients (86.2%) with pain felt little or no effect of pain medications. Conclusion: Prevalence of pain after SCI is high. Intensity of pain is significantly correlated with depression. Patients with neuropathic pain had higher intensity of pain than patients with non-neuropathic pain. SCI patients had decreased scores in all domains of SF-36 but intensity of pain had a significant influence on domains of bodily pain and social functioning only. However depression had a significant influence on all domains of SF-36. In SCI patients with pain, most of them felt little or no relief from pain medications and most of them disliked taking pain medications. There is need for further study for an effective strategy for pain after SCI.

Language

English

First Page

81

Last Page

87

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