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Study on chronic pain distress and coping strategies of the elderly in nursing home

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DOI: 10.23977/phpm.2024.040218 | Downloads: 18 | Views: 710

Author(s)

He Lifang 1, Liao Xi 1, Li Pan 1, Tuo Chi 1, Liu Jun 1, Liu Pinrong 1, Xiang Pan 1

Affiliation(s)

1 School of Nursing, Xiangnan University, Chenzhou, 423000, China

Corresponding Author

Li Pan

ABSTRACT

In this paper, we investigate the impact of chronic pain on the elderly in nursing homes and their coping strategies, analyze the factors influencing maladaptive pain responses, and provide references for nursing homes to manage chronic pain and improve the quality of life for the elderly residents. The convenience sampling method was used to investigate 122 elderly people with chronic pain from 6 nursing homes in Chenzhou by using a general information questionnaire, the Brief Pain Inventory (BPI), and the Coping Strategies Questionnaire-Revised (CSQ-R). Findings revealed that the most common sites of chronic pain were lower limbs (39.34%) , waist and back (32.79%) and neck (31.97%) , the most significant effects of chronic pain on daily life of the elderly were sleep (4.48 ± 2.55) , daily activities (4.41 ± 2.26) , daily work-housework (4.33 ± 2.22) and mood (4.03 ± 2.27) . The main coping styles of the elderly with chronic pain were "Distraction" (3.48±0.91) and "Coping self-statements" (3.38 ± 0.76). The passive coping styles of "Praying" (2.75 ± 0.87) and "Catastrophizing" (2.66 ± 0.85) were less. Marital status, present pain degree, and religion were the main influencing factors of passive coping strategies (p<0.05). The study concludes that the situation of chronic pain among the elderly in nursing home is concerning. The nursing home and its nursing staff should improve the level of cognition and management of chronic pain among the elderly, guide and support the elderly patients to adopt active coping strategies and conduct comprehensive intervention from multiple aspects of physiology, psychological, emotional, and spiritual support.

KEYWORDS

Nursing homes; Older people; Chronic pain; Coping strategies

CITE THIS PAPER

He Lifang, Liao Xi, Li Pan, Tuo Chi, Liu Jun, Liu Pinrong, Xiang Pan, Study on chronic pain distress and coping strategies of the elderly in nursing home. MEDS Public Health and Preventive Medicine (2024) Vol. 4: 131-138. DOI: http://dx.doi.org/10.23977/phpm.2024.040218.

REFERENCES

[1] Raja SN, Carr DB, Cohen M, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises [J]. Pain. 2020, 161(9):1976-1982.
[2] Wang R, Huang H, Cao S, et al. Summary of the best evidence for chronic pain management in the elderly in integrated medical and nursing institutions [J]. Evidence-Based Nursing, 2023, 9 (07): 1177-1184.
[3] Schofield P. The Assessment of Pain in Older People: UK National Guidelines[J]. Age Ageing. 2018; 47: i1-i22.
[4] Sirsch E, Lukas A, Drebenstedt C, et al. Pain assessment for older persons in nursing home care: An evidence-based practice guideline[J]. Journal of the American Medical Directors Association, 2020, 21 (2): 149-163.
[5] Vaismoradi M, Skär L, Söderberg S, et al. Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes[J].International journal of qualitative studies on health and well-being, 2016, 11 (1): 31203.
[6] Klapwijk M S, Caljouw M A A, Pieper M J C, et al. Characteristics associated with quality of life in long-term care residents with dementia: a cross-sectional study[J]. Dementia and geriatric cognitive disorders, 2016, 42 (3-4): 186-197.
[7] Tan G, Teo I, Anderson KO, Jensen MP. Adaptive versus maladaptive coping and beliefs and their relation to chronic pain adjustment [J]. The Clinical journal of pain. 2011; 27(9):769-774.
[8] Wang X S, Mendoza T R, Gao S Z, et al. The Chinese version of the Brief Pain Inventory (BPI-C): its development and use in a study of cancer pain[J]. Pain, 1996, 67 (2-3): 407-416.
[9] Riley III J L, Robinson M E. CSQ: Five factors or fiction? [J]. The Clinical journal of pain, 1997, 13 (2): 156-162.
[10] He T, Zhang M. Study on the correlation between pain degree and pain coping style of cancer patients [J]. Nursing Research, 2011, 25 (33): 3025-3027.
[11] Feng C, Wang Z, Gao H, et al. Investigation on the status and influencing factors of chronic pain in the elderly [J]. PLA Journal of Nursing, 2012 (12): 15-17 +41.
[12] Takai Y, Yamamoto-Mitani N, Okamoto Y, et al. Literature review of pain prevalence among older residents of nursing homes [J]. Pain management nursing: official journal of the American Society of Pain Management Nurses, 2010, 11 (4): 209-223.
[13] Brunkert T, Simon M, Ruppen W, Zúñiga F. Pain Management in Nursing Home Residents: Findings from a Pilot Effectiveness-Implementation Study[J]. Journal of the American Geriatrics Society. 2019; 67(12):2574-2580.
[14] Petyaeva A, Kajander M, Lawrence V, et al. Feasibility of a staff training and support programme to improve pain assessment and management in people with dementia living in care homes [J]. International journal of geriatric psychiatry. 2018; 33(1):221-231.
[15] Wei M. Related research on chronic pain experience of community elderly people and its impact on daily life [D]. Hebei Medical University, 2013.
[16] Wu H, Song C, Tan X, et al. Research on the current status and influencing factors of pain distress in patients with chronic pain [J]. Nursing Research, 2018, 32 (15): 2359-2364.
[17] Molton I R, Terrill A L. Overview of persistent pain in older adults [J]. The American psychologist, 2014, 69 (2): 197-207.
[18] Wei M, Zhang R, Li H, et al. Research progress on the impact of chronic pain on the daily life of the elderly in the community and its coping styles [J]. Journal of Nursing Science, 2013, 28 (09): 95-97.
[19] Holloway H, Parker D, McCutcheon H. The complexity of pain in aged care [J]. Contemporary nurse, 2018, 54 (2): 121.
[20] Vaismoradi M, Skär L, Söderberg S, et al. Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes[J]. International journal of qualitative studies on health and well-being, 2016, 11 (1): 31203.
[21] Higgins N C, Bailey S J, La Chapelle D L, et al. Coping styles, pain expressiveness, and implicit theories of chronic pain[J].The Journal of psychology, 2015, 149 (7): 737-750.
[22] Guo T, Ding P J, Sun X F, et al. Investigation and analysis of coping styles and influencing factors of elderly patients with chronic pain in communities [J]. Chinese Journal of Practical Nursing, 2014, 030 (006): 25-28.
[23] Perrot S, Poiraudeau S, Kabir M, et al. Active or passive pain coping strategies in hip and knee osteoarthritis? Results of a national survey of 4,719 patients in a primary care setting[J].Arthritis care & research, 2008, 59 (11): 1555-1562.
[24] Mun C J, Okun M A, Karoly P. Trait mindfulness and catastrophizing as mediators of the association between pain severity and pain-related impairment [J]. Personality and individual differences, 2014, 66: 68-73.
[25] Dedeli O, Kaptan G. Spirituality and religion in pain and pain management[J]. Health psychology research, 2013, 1 (3): 154-159.

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