The presence of pain in community-dwelling South African manual wheelchair users with spinal cord injury

M. K. Mashola, E. Korkie, D. J. Mothabeng
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引用次数: 3

Abstract

Background Pain after spinal cord injury (SCI) is common and is likely to continue throughout life with varying levels of severity. Objective To determine the presence of pain, the sociodemographic and injury profile of community-dwelling manual wheelchair users. Method This quantitative correlational study used a sociodemographic and injury profile sheet and the Douleur Neuropathique 4 Questions (DN4) questionnaire to document demographic, SCI profiles as well as pain characteristics. Pain severity was determined using the Numeric Rating Scale. Data were analysed using the Statistical Package for the Social Sciences (SPSS) v27 at 0.05 level of significance. Results The pain rate was 104; 85% of 122 participants and mainly in those with complete SCI (77.9%). Neuropathic pain was more common (76; 62.5%) and significantly associated (p < 0.05) with higher pain severity. Pain was mainly in one area of the body (59; 48.4%) but occurring in up to five areas. The most painful area had a mean severity of 6.7/10; was more common in the lower limbs below the injury level (48; 39.4%); and was burning in nature (40; 32.7%). Conclusions Pain after SCI is as problematic in the South African context as it is globally. With the rising SCI prevalence in the country, understanding pain and its presentation is important for holistic management of a person with SCI. Clinical implications In-depth assessment of pain should be conducted and appropriate management interventions for specific pain types be prescribed to effectively reduce pain.
南非社区居住的脊髓损伤的手动轮椅使用者疼痛的存在
脊髓损伤(SCI)后疼痛是常见的,并且可能持续一生,不同程度的严重程度。目的了解社区手工轮椅使用者的疼痛、社会人口学和损伤特征。方法本定量相关性研究采用社会人口学和损伤资料表以及Douleur神经症4题(DN4)问卷来记录人口统计学、脊髓损伤资料以及疼痛特征。疼痛严重程度用数值评定量表测定。使用社会科学统计软件包(SPSS) v27分析数据,显著性水平为0.05。结果疼痛率为104;在122名参与者中占85%,主要是完全性SCI患者(77.9%)。神经性疼痛更为常见(76;62.5%),且与疼痛严重程度显著相关(p < 0.05)。疼痛主要集中在身体的一个部位(59;48.4%),但最多发生在五个地区。最痛部位的平均严重程度为6.7/10;多见于损伤水平以下的下肢(48;39.4%);在自然中燃烧(40;32.7%)。结论:脊髓损伤后的疼痛在南非和全球范围内都是有问题的。随着我国脊髓损伤患病率的上升,了解疼痛及其表现对脊髓损伤患者的整体管理非常重要。临床意义应对疼痛进行深入的评估,并针对特定类型的疼痛制定适当的管理干预措施,以有效减轻疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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