| Objective:1.To investigate the quality of life of the elderly with neuropathic pain in Shihezi,Xinjiang,and analyze the factors affecting the quality of life of the elderly with neuropathic pain,so as to provide guidance for improving the quality of life of the elderly with neuropathic pain.2.To investigate the prevalence of neuropathic pain in the elderly in Shihezi,Xinjiang,to provide a basis for the treatment of diseases.Methods:1.In this study,convenience sampling was used to select subjects in two hospitals(Shihezi people's Hospital,First affiliated Hospital of School of Medicine in Shihezi University)from January 2016 to December 2017 in Shihezi,Xinjiang.The elderly aged over 60 with neuropathic pain,who were treated at the above two hospitals,were the subjects of the study.A questionnaire survey was conducted among 248 elderly people who met the criteria of inclusion and exclusion,including general data of patients,BMI body mass index,quality of life survey,pain assessment and etiological investigation.2.All the data were established by EpiData3.0 to establish Database and analyzed by SPSS19.0 statistical software.The table was drawn by EXCEL,the enumeration data is described by the number of examples and the constituent ratio;the measurement data is represented by "(x|-)±s";Single factor analysis was performed with independent sample t-test,variance analysis and Pearson correlation analysis;and multiplicity was performed with multiple linear regression analysis,the difference was statistically significant when P<0.05.Results:1.A total of 262 questionnaires were sent out,248 valid questionnaires were collected,and the recovery efficiency was 94.66%.2.According to the results of VAS pain score,47 cases(18.95%)with mild pain,126 cases(50.81%)with moderate pain and 75 cases(30.24%)with severe pain,the average scores of all elderly patients were 5.85±3.19 points.3.In 248 elderly patients,137 cases of primary NP(55.24%),111 cases of secondary NP(44.76%),central neuralgia(8.06%)and peripheral neuralgia(91.94%).The central neuralgia was 8.06% and the peripheral neuralgia was 91.94% according to the position of pain.The top five diseases were douloureux tic(32.66%),radiculalgia(14.52%),cancer-related pain(14.11%),glossopharyngeal neuralgia(8.06%)and postherpetic neuralgia(7.26%).4.In this study,the SF-36 quality of life scale was used to do cross-sectional study of theelderly with neuropathic pain in two hospitals of Shihezi City,with a total score of 55.45±16.72 points.5.Single factor analysis showed that there was no statistically significant in quality of life difference between men and women(P > 0.05);There was no statistically significant in quality of life difference between patients living in rural and urban areas(P>0.05);There was no statistically significant in the difference of mean of total quality of life(QOL)between normal,lean,overweight and obese patients(P>0.05);The quality of life in the elderly group was significantly lower than that in the younger group and the difference was statistically significant(P<0.05);The total score mean of quality of life of patients without other chronic diseases was higher than that of patients with other chronic diseases and the difference was statistically significant(P<0.05);The total score mean of quality of life of patients with stable income was higher than that of patients with unstable income and without income,and the total score mean of quality of life of patients with no income was the lowest(P<0.05);The higher the degree of pain,the lower the quality of life dimension score and the worse the quality of life.There was statistical significance among the groups of degree of pain in all dimensions of QOL(P<0.01).6.Pearson correlation analysis showed that all dimensions of QOL were significantly correlated with somatic pain and the difference was statistically significant(P<0.05).7.Multiple linear regression analysis showed that the total score of quality of life in the elderly with neuropathic pain was affected by age,education level,economic status,number of chronic diseases,and degree of pain and the difference was statistically significant(P<0.05).Conclusion:1.As a whole,the quality of life of the elderly with neuropathic pain was on the low side in this city.Douloureuxtic is the main type of pain in the elderly with neuropathic pain in Shihezi City.2.The main influencing factors are age,education level,economic status,number of chronic diseases,and degree of pain.3.Pain is an important factor to reduce the quality of life of the elderly patients with neuropathic pain.It is great significance to improve the quality of life of the elderly by fully considering these influencing factors and carrying out the corresponding treatment plan. |
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