Pain Characteristics, Analgesic Use Patterns, and Reliability of the Short-Form McGill Pain Questionnaire in Community-Dwelling Older Adults: A Cross-Sectional Study.

IF 2.5 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2026-07-27 DOI:10.1016/j.pmn.2026.07.009

Furkan Güney, Yasemin Saglan

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引用次数: 0

Abstract

Purpose: Pain is frequently underrecognized and undertreated in older adults. This study described pain characteristics and analgesic use patterns in cognitively intact older adults using analgesics. It also examined internal consistency reliability of the Short-Form McGill Pain Questionnaire (SF-MPQ) and its convergent correlation with the Geriatric Pain Measure (GPM).

Design: Cross-sectional study of 385 cognitively intact adults aged ≥65 years recruited from analgesic users attending Family Health Centers.

Methods: Data were collected using sociodemographic and analgesic-use questionnaires, the GPM, and the SF-MPQ. Analyses included nonparametric tests, correlations, multivariate linear regression, and internal consistency.

Results: Participants were mostly women (51.4%), and 72.2% had at least one chronic disease. Analgesics were primarily used for musculoskeletal pain, most commonly knee/joint pain (81.3%). Paracetamol was the most frequently used analgesic (71.7%), followed by diclofenac (29.1%) and dexketoprofen (13%); 60.3% of nonprescribed medications were analgesics. Older age, female gender, and higher frequency of analgesic use were associated with higher pain scores. Diclofenac and etodolac use were also associated with higher pain scores. SF-MPQ and GPM scores were strongly correlated (r = 0.857), and the SF-MPQ showed acceptable-to-good internal consistency (Cronbach's α = 0.78) for a clinical instrument.

Conclusions: Findings suggest that pain severity varies by age, gender, and analgesic use frequency, supporting individualized assessment approaches, although generalizability is limited to cognitively intact analgesic users.

Clinical implications: Routine pain assessment and nurse involvement may contribute to more informed analgesic use in older adults. The SF-MPQ may serve as a practical assessment tool in older adults.

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社区居住老年人的疼痛特征、镇痛药使用模式和短格式McGill疼痛问卷的可靠性：一项横断面研究。

目的：在老年人中，疼痛经常被低估和治疗不足。本研究描述了认知完好的老年人使用镇痛药的疼痛特征和镇痛药使用模式。它还检验了短形式麦吉尔疼痛问卷（SF-MPQ）的内部一致性可靠性及其与老年疼痛测量（GPM）的收敛相关性。设计：横断面研究，从家庭健康中心的止痛药使用者中招募385名年龄≥65岁认知完整的成年人。方法：采用社会人口学和镇痛使用问卷、GPM和SF-MPQ收集数据。分析包括非参数检验、相关性、多元线性回归和内部一致性。结果：参与者以女性为主（51.4%），72.2%至少患有一种慢性疾病。镇痛药主要用于肌肉骨骼疼痛，最常见的是膝关节/关节疼痛（81.3%）。对乙酰氨基酚是最常用的镇痛药（71.7%），其次是双氯芬酸（29.1%）和右酮洛芬（13%）；60.3%的非处方药为镇痛药。年龄较大、女性和使用镇痛药频率较高的患者疼痛评分较高。双氯芬酸和依托多拉酸的使用也与较高的疼痛评分相关。SF-MPQ与GPM评分呈强相关（r = 0.857）， SF-MPQ对临床仪器具有可接受到良好的内部一致性（Cronbach's α = 0.78）。结论：研究结果表明，疼痛严重程度因年龄、性别和镇痛药使用频率而异，支持个体化评估方法，尽管泛化性仅限于认知完好的镇痛药使用者。临床意义：常规疼痛评估和护士参与可能有助于老年人更明智地使用镇痛药。SF-MPQ可作为老年人的实用评估工具。

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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.