Details

Autor(en) / Beteiligte

• Chen, Yi-Wen, MPhEd
• Camp, Pat G., PhD
• Coxson, Harvey O., PhD
• Road, Jeremy D., MD
• Guenette, Jordan A., PhD
• Hunt, Michael A., PhD
• Reid, W. Darlene, PhD

Titel

Comorbidities that cause pain and the contributors to pain in individuals with chronic obstructive pulmonary disease

Ist Teil von

• Archives of physical medicine and rehabilitation, 2017-08, Vol.98 (8), p.1535-1543

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

Elsevier ScienceDirect Journals

Beschreibungen/Notizen

• Abstract Objective To determine comorbidities that cause pain and the potential contributors to pain in individuals with COPD. Design Prospective cross-sectional survey study. Setting Pulmonary rehabilitation programs of six centers. Participants A convenience sample of individuals with COPD who attended pulmonary rehabilitation programs (n=137). In total, 100 (73%) returned the survey packages. Of those responders, 96 (70%) participants were included in the analyses. Interventions Not applicable. Main Outcome Measures Pain was measured using the Brief Pain Inventory (BPI). The “health conditions that might contribute to pain and medication record” form asked about comorbidities that cause pain stated in lay terms. The health conditions that cause pain were then validated by health professionals. Demographics, fatigue, dyspnea, quality of life, and self-efficacy were also measured using questionnaires. Results Pain was reported in 71% of participants (68 of 96). Low back pain was the most common location (41%). Arthritis (75%), back problems (47%) and muscle cramps (46%) were the most common comorbidities that cause pain. Lower self-efficacy, renting rather than home ownership increased the likelihood of pain (p < 0.05). Pain severity and BFI scores contributed to pain interference scores (p < 0.05). Conclusion Pain was highly prevalent in pulmonary rehabilitation program participants with COPD. The most common causes of pain were musculoskeletal conditions. Pain severity and higher levels of fatigue contributed to how pain interfered with daily aspects of living. The assessment and management of pain needs to be addressed within the overall care of individuals with COPD.