Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study
Abstract Background Pain is often neglected in disabled older population, especially in Taiwan where the population of institutional residents is rapidly growing. Our study aimed to investigate pain prevalence and associated factors among institutional residents to improve pain assessment and manage...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04337-8 |
| _version_ | 1797556601140281344 |
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| author | Sheng-Hua Wu Chung-Fen Lin I-Cheng Lu Ming-Sung Yeh Chin-Cheng Hsu Yuan-Han Yang |
| author_facet | Sheng-Hua Wu Chung-Fen Lin I-Cheng Lu Ming-Sung Yeh Chin-Cheng Hsu Yuan-Han Yang |
| author_sort | Sheng-Hua Wu |
| collection | DOAJ |
| description | Abstract Background Pain is often neglected in disabled older population, especially in Taiwan where the population of institutional residents is rapidly growing. Our study aimed to investigate pain prevalence and associated factors among institutional residents to improve pain assessment and management. Methods This nationwide study recruited 5,746 institutional residents in Taiwan between July 2019 and February 2020. Patient self-report was considered the most valid and reliable indicator of pain. A 5-point verbal rating scale was used to measure pain intensity, with a score ranging from 2 to 5 indicating the presence of pain. Associated factors with pain, including comorbidities, functional dependence, and quality of life, were also assessed. Results The mean age of the residents was 77.1 ± 13.4 years, with 63.1% of them aged over 75 years. Overall, 40.3% of the residents reported pain, of whom 51.2% had moderate to severe pain. Pain was more common in residents with comorbidities and significantly impacted emotions and behavior problems, and the mean EQ5D score, which is a measure of health-related quality of life (p < .001). Interestingly, pain was only related to instrumental activities of daily living (IADL) and not activities of daily living (ADL). On the other hand, dementia was significantly negatively associated with pain (p < .001), with an estimated odds of 0.63 times (95% CI: 0.53–0.75) for the presence of pain when compared to residents who did not have dementia. Conclusions Unmanaged pain is common among institutional residents and is associated with comorbidities, IADL, emotional/behavioral problems, and health-related quality of life. Older residents may have lower odds of reporting pain due to difficulty communicating their pain, even through the use of a simple 5-point verbal rating scale. Therefore, more attention and effort should be directed towards improving pain evaluation in this vulnerable population . |
| first_indexed | 2024-03-10T17:05:10Z |
| format | Article |
| id | doaj.art-a97bded57e354f31997bedcd14ea926d |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-10T17:05:10Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-a97bded57e354f31997bedcd14ea926d2023-11-20T10:50:44ZengBMCBMC Geriatrics1471-23182023-11-0123111010.1186/s12877-023-04337-8Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional studySheng-Hua Wu0Chung-Fen Lin1I-Cheng Lu2Ming-Sung Yeh3Chin-Cheng Hsu4Yuan-Han Yang5Department of Anesthesiology, Kaohsiung Municipal Ta-Tung HospitalInstitute of Population Health Sciences, National Health Research InstitutesDepartment of Anesthesiology, Kaohsiung Medical University HospitalDepartment of Anesthesiology, Kaohsiung Municipal Ta-Tung HospitalInstitute of Population Health Sciences, National Health Research InstitutesDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityAbstract Background Pain is often neglected in disabled older population, especially in Taiwan where the population of institutional residents is rapidly growing. Our study aimed to investigate pain prevalence and associated factors among institutional residents to improve pain assessment and management. Methods This nationwide study recruited 5,746 institutional residents in Taiwan between July 2019 and February 2020. Patient self-report was considered the most valid and reliable indicator of pain. A 5-point verbal rating scale was used to measure pain intensity, with a score ranging from 2 to 5 indicating the presence of pain. Associated factors with pain, including comorbidities, functional dependence, and quality of life, were also assessed. Results The mean age of the residents was 77.1 ± 13.4 years, with 63.1% of them aged over 75 years. Overall, 40.3% of the residents reported pain, of whom 51.2% had moderate to severe pain. Pain was more common in residents with comorbidities and significantly impacted emotions and behavior problems, and the mean EQ5D score, which is a measure of health-related quality of life (p < .001). Interestingly, pain was only related to instrumental activities of daily living (IADL) and not activities of daily living (ADL). On the other hand, dementia was significantly negatively associated with pain (p < .001), with an estimated odds of 0.63 times (95% CI: 0.53–0.75) for the presence of pain when compared to residents who did not have dementia. Conclusions Unmanaged pain is common among institutional residents and is associated with comorbidities, IADL, emotional/behavioral problems, and health-related quality of life. Older residents may have lower odds of reporting pain due to difficulty communicating their pain, even through the use of a simple 5-point verbal rating scale. Therefore, more attention and effort should be directed towards improving pain evaluation in this vulnerable population .https://doi.org/10.1186/s12877-023-04337-8PainDementiaDaily functional dependenceInstitutional residents |
| spellingShingle | Sheng-Hua Wu Chung-Fen Lin I-Cheng Lu Ming-Sung Yeh Chin-Cheng Hsu Yuan-Han Yang Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study BMC Geriatrics Pain Dementia Daily functional dependence Institutional residents |
| title | Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study |
| title_full | Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study |
| title_fullStr | Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study |
| title_full_unstemmed | Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study |
| title_short | Association between pain and cognitive and daily functional impairment in older institutional residents: a cross-sectional study |
| title_sort | association between pain and cognitive and daily functional impairment in older institutional residents a cross sectional study |
| topic | Pain Dementia Daily functional dependence Institutional residents |
| url | https://doi.org/10.1186/s12877-023-04337-8 |
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