The impact of chronic pain on functional capacity in middle-aged and older adults: The mediating role of family relationships

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-09 DOI:10.1016/j.gerinurse.2025.03.037

Ming-hui Deng , Junjun Sun , Xueying Fang , Guiling Zhang , Yanyan Luo , Guiying Yao

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Abstract

Objectives

Investigating the impact of pain on overall functional capacity and the role of family relationships between them.

Methods

Data was drawn from the China Health and Retirement Longitudinal Study (CHARLS) 2018. Propensity score matching was used to reduce confounding factors, and a mediation model was employed to examine the mediating role of family relationships between pain and functional capacity.

Results

Pain was negatively associated with overall functional capacity (P < 0.001). Within the five domains of functional capacity, the pain group and the non-pain group in meeting basic needs, mobility, and contributing to society domains were different. Family relationships partially mediated the relationship between pain and functional capacity (95 % CI: −0.011 to −0.002).

Conclusion

Pain's impact on functional capacity is mediated by family relationships. Interventions for healthy aging should manage pain and enhance family relationships in health practice to promote functional capacity.

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慢性疼痛对中老年人功能能力的影响：家庭关系的中介作用

目的探讨疼痛对整体功能能力的影响及家庭关系在两者之间的作用。方法数据来自2018年中国健康与退休纵向研究（CHARLS）。采用倾向得分匹配减少混杂因素，并采用中介模型检验家庭关系在疼痛与功能能力之间的中介作用。结果西班牙与整体功能能力呈负相关(P <；0.001)。在功能能力的五个领域中，疼痛组和非疼痛组在满足基本需求、活动能力和对社会的贡献方面存在差异。家庭关系部分介导了疼痛和功能能力之间的关系（95% CI: - 0.011至- 0.002）。结论疼痛对功能能力的影响是由家庭关系介导的。健康老龄化的干预措施应在健康实践中管理疼痛和加强家庭关系，以促进功能能力。

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

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.