Factors Associated with Pain Level Among Community-Dwelling Dependency Older Adults

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Krittapat Fukfon
Apichart Chaimai
Sirisuda Techavises

Abstract

Objective: This descriptive research aimed to examine pain characteristics and factors associated with pain level among community-dwelling dependency older adults. Methods: Samples were 84 dependent older adults living in Maung District, Phayao Province. The sample were recruited using the inclusion criteria as follows: aged over 60 years old without dementia and cancer, experiencing pain more than 3 months. Data collection was done between March - December 2019. The research instruments were the Thai Short-form McGill Pain Questionnaire, the Barthel Activities of Daily Living Thai-version, and the 9Q Depression Scale. Data were analyzed using descriptive statistics, Chi-square test, Fisher’s exact test, and Spearman rank correlation coefficient. Results: The study showed that most of the subjects were female (67.90%) with a mean age of 79.67 years (SD = 9.28). Most samples reported that they had one or two sites of pain (41.70%). They reported the sensory pain descriptors as throbbing (47.60%) the affective pain descriptor as sickening (52.40%). The present pain intensity (PPI) was discomforting (31.00%). The mean score of pain
severity (NRS) was at a moderate level (gif.latex?\bar{X} = 5.21, SD = 2.02). The underlying diseases and depression had a positive correlation with pain levels (Fisher’s exact = 0.016 p < 0.05, r = 0.48 p < 0.01 respectively) whereas levels of activities of daily living had a negative association with pain levels (r = -0.52, p < 0.01). Conclusion: This study recommends that healthcare providers should perform pain assessment continuously for community-dwelling dependency older adults and provide the effective pain management.

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How to Cite
Fukfon, K. ., Chaimai, A., & Techavises, S. . (2022). Factors Associated with Pain Level Among Community-Dwelling Dependency Older Adults. Journal of Research in Nursing-Midwifery and Health Sciences, 42(1), 49–60. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/254412
Section
Research Articles

References

Ruangritchankul S, Krairit O. Chronic pain assessment in the elderly. Rama Med J. 2018; 41(3): 92-9. doi: https://doi.org/10.14456/rmj.2018.24. Thai.

Otones RP, García PE, Pedraz MA. Chronic pain and frailty in community-dwelling older adults: A systematic review. Pain Manag Nurs. 2019; 20(4): 309-15. doi: 10.1016/j.pmn.2019.01.003.

Brown ST, Kirkpatrick MK, Swanson MS, et al. Pain experience of the elderly. Pain Manag Nurs. 2011; 12(4): 190-96. doi: 10.1016/j.pmn.2010.05.004.

Makino K, Lee S, Bae S, et al. Pain characteristics and incidence of functional disability among communitydwelling older adults. PLoS One. 2019; 14(4): e0215467. doi: 10.1371/journal.pone.0215467.

Si H, Wang C, Jin Y, et al. Prevalence, factors, and health impacts of chronic pain among community-dwelling older adults in China. Pain Manag Nurs. 2019; 20(4): 365-72. doi: 10.1016/j.pmn.2019.01.006.

Thakral M, Shi L, Foust JB, et al. Persistence of pain quality in community-dwelling older adults with chronic non-cancer pain. Geriatr Nurs. 2018; 39(4): 450-6. doi: 10.1016/j.gerinurse.2018.01.001.

Treede RD, Rief W, Barke A, et al. Chronic pain as a symptom or a disease: The IASP Classification of chronic pain for the International classification of diseases (ICD-11). Pain. 2019; 160(1): 19-27. doi: 10.1097/j.pain.0000000000001384.

Pitantananukune P, Surit P. Chronic pain management of older persons living in a community. Journal of Nursing and Health Care. 2011; 29(4): 58-68. Thai.

Kitisomprayoonkul W, Klaphajone J, Kovindha A. Thai short-form McGill pain questionnaire. J Med Assoc Thai. 2006; 89(6): 846-53. Thai.

Bicket MC, Mao J. Chronic pain in older adults. Anesthesiology Clinics. 2015; 33(3): 577-90. doi: 10.1016/j.anclin.2015.05.011.

Guedes LPCM, Oliveira MLCd, Carvalho GdA. Deleterious effects of prolonged bed rest on the body systems of the elderly-a review. Revista Brasileira de Geriatria e Gerontologia. 2018; 21(4): 499-506. doi: 10.1590/1981-22562018021.170167.

Wang XX, Lin WQ, Chen XJ, et al. Multimorbidity associated with functional independence among community-dwelling older people: A cross-sectional study in Southern China. Health Qual Life Outcomes. 2017; 15: 73. doi: 10.1186/s12955-017-0635-7.

Foroughan M, Shahboulaghi FM, Jafari Z, et al. Pain characteristics of older residents in Iranian nursing homes. East Mediterr Health J. 2019; 25(3): 205-12. doi: 10.26719/emhj.18.045.

Ho LYW. A concept analysis of coping with chronic pain in older adults. Pain Manag Nurs. 2019; 20(6): 563-71. doi: 10.1016/j.pmn.2019.03.002.

Mallon T, Ernst A, Brettschneider C, et al. Prevalence of pain and its associated factors among the oldest-olds in different care settings-results of the AgeQualiDe study. BMC Fam Pract. 2018; 19: 85. doi: 10.1186/s12875-018-0768-8.

Choi NG, Snow AL, Kunik ME. Pain severity, interference, and prescription analgesic use among depressed, low-income homebound older adults. Aging Ment Health. 2016(8); 20: 804-13. doi: 10.1080/13607863.2015.1037244.

Bunthan W, Chumpathat N, Namjuntra R, et al. Relationship among pain, stiffness, function of knee joint and balance in community-dwelling elderly people with knee osteoarthritis at Bangsaothong Municipal District, Bangsaothong District Samutprakarn Province. HCU Journal. 2016; 19(38): 1-12. Thai.

Leularb K, Choowattanapakorn T. Effects of information-motivation-behavioral skill program on the severity of knee osteoarthritis and body weight on overweight older persons with knee osteoarthritis. Kuakarun Journal of Nursing. 2016; 23(2): 143-64. Thai.

Melzack R, Wall PD. Pain mechanisms: A new theory. Science. 1965; 150(3699): 971-9. doi: 10.1126/science.150.3699.971.

Vorapongsathorn T, Vorapongsathorn S. Sample size calculation for research using G*Power. Thailand Journal of Health Promotion and Environmental Health. 2018; 41: 11-21. Thai.

Nimmaanrat S, Tipchatyotin S. Measuring pain intensity in older patients. PSU Medical Journal. 2021; 1(2): 77-81. doi: https://doi.org/10.31584/psumj.2021247735. Thai.

Jitapunkul S, Kamolrattnankul P. Disability among the elderly living in Klong Toey Slum. J Med Assoc Thai. 1994; 77(5): 231-8. Thai.

Lotrakul M, Sumrithe S, Srikaew R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry 2008; 8: 46. doi: 10.1186/1471-244X-8-46.

Vibulchai N, Srikeaw S, Menasantiruk A, et al. Pain assessment of diabetic neuropathy among diabetic patients. SCNJ. 2017; 4(Suppl): 292-304. Thai.

Sharpe L, McDonald S, Correia H, et al. Pain severity predicts depressive symptoms over and above individual illnesses and multimorbidity in older adults. BMC Psychiatry. 2017; 17: 166. doi: 10.1186/s12888-017-1334-y.

Prasertsri N. Pain management in the elderly. JHBCNSP. 2019; 1: 1-19. Thai.

Cáceres-Matos R, Gil-García E, Barrientos-Trigo S, et al. Consequences of chronic non-cancer pain in adulthood. scoping review. Rev Saude Publica. 2020; 54: 39. doi: 10.11606/s1518-8787.2020054001675.

Morete MC, Solano JPC, Boff MS, et al. Resilience, depression, and quality of life in elderly individuals with chronic pain followed up in an outpatient clinic in the city of Sao Paulo, Brazil. J Pain Res. 2018; 11: 2561-66. doi: 10.2147/jpr.S166625.