The Association Between Respiratory Functions, Pain Tolerance and Body Awareness in Obstructive Lung Diseases.

IF 1.6 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2024-09-23 DOI:10.1016/j.pmn.2024.08.010

Naciye Vardar-Yagli, Melda Saglam, Merve Firat, Deniz Inal-Ince, Ebru Calik-Kutukcu, Kubra Kilic, Hulya Arikan, Lutfi Coplu

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Abstract

Purpose: There are only a limited number of studies in the literature evaluating body awareness, pain perception, and the relationship between clinical parameters and respiratory functions in patients with obstructive lung disease (OLD) and compared with healthy individuals. Therefore, this study aimed to evaluate respiratory functions, pain tolerance, and body awareness in patients with OLD and compare these findings with those of healthy individuals.

Methods: The study included 33 patients and 30 healthy individuals. The respiratory function (spirometer), respiratory muscle strength (mouth pressure device), endurance (threshold loading device), pain level and tolerance (short-form McGill Pain Questionnaire and algometer), posture, and body awareness (Body Awareness Questionnaire-BAQ) were evaluated.

Results: The pain threshold and tolerance of the biceps, triceps, trapezius, and quadriceps muscles were significantly lower and BAQ scores were higher in patients with OLD compared with healthy individuals (p < .05). There was a significant relationship between FEV₁ (%) and pain tolerance of the triceps (r = 0.371, p = .047) and gastrocnemius muscles (r = 0.419, p = .024); FVC (%) and pain threshold of the gastrocnemius (r = 0.413, p = .023), triceps muscles (r = 0.394, p = .034), and pain tolerance of the gastrocnemius muscle (r = 0.549, p = .002).

Conclusions: Patients with OLD have a marked increase in pain perception and body awareness levels and a decrease in pain threshold and tolerance compared with healthy controls. Future studies should assess the effectiveness of pain management interventions as a part of pulmonary rehabilitation for patients with chronic respiratory diseases.

Clinical implications: Pain management is important for planning pulmonary rehabilitation programmes.

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阻塞性肺病患者的呼吸功能、疼痛耐受性和身体意识之间的关联。

目的：目前仅有少数文献对阻塞性肺疾病（OLD）患者的身体意识、疼痛感以及临床参数与呼吸功能之间的关系进行了评估，并与健康人进行了比较。因此，本研究旨在评估阻塞性肺疾病患者的呼吸功能、疼痛耐受性和身体知觉，并将这些结果与健康人进行比较：研究对象包括 33 名患者和 30 名健康人。方法：研究纳入了 33 名患者和 30 名健康人，对他们的呼吸功能（肺活量计）、呼吸肌力量（口腔压力装置）、耐力（阈值负荷装置）、疼痛程度和耐受性（短式麦吉尔疼痛问卷和艾氏仪）、姿势和身体意识（身体意识问卷-BAQ）进行了评估：结果：与健康人相比，OLD 患者的肱二头肌、肱三头肌、斜方肌和股四头肌的疼痛阈值和耐受性明显更低，BAQ 评分更高（P < .05）。FEV1（%）与肱三头肌（r = 0.371，p = .047）和腓肠肌（r = 0.419，p = .024）；FVC（%）与腓肠肌痛阈值（r = 0.413，p = .023）、肱三头肌痛阈值（r = 0.394，p = .034）和腓肠肌耐痛性（r = 0.549，p = .002）：结论：与健康对照组相比，OLD 患者的痛觉和身体知觉水平明显提高，痛阈和耐受性降低。未来的研究应评估疼痛管理干预作为慢性呼吸系统疾病患者肺康复的一部分的有效性：临床意义：疼痛管理对于规划肺康复计划非常重要。

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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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.