Fordeling af kroniske smerter og deres indflydelse på sundhedskompetence - et tværsnitstudie på en dansk population.

EXPLORING DISTRUTION AND DIFFERENCE CHARACTERIC AMONG CHRONIC PAIN PATIENT AND DOES IT HAVE ANYTHING TO DO WITH HEALTH LITERACY - A CROSS- SECTIONAL STUDY ON DANISH POPULATION.

Sahuric, Arnela ; Jensen, Lotte Renee

4. semester

Muskuloskeletal Fysioterapi (cand.san.), kandidat

2023

2023-06-01

41

Denne undersøgelse ser på et kort spørgeskema til kroniske smerter, Graded Chronic Pain Scale–Revised (GCPS-R), som inddeler smerter i tre niveauer: simple, generende og komplekse. Vi ville både kortlægge, hvordan patienter i almen praksis fordelte sig på disse niveauer, og undersøge, om smertegraden hang sammen med deres sundhedskompetence – altså evnen til at finde, forstå, vurdere og bruge sundhedsoplysninger – målt med HLS-EU-Q16. Derudover beskrev vi baggrunds- og smerteforhold hos personer med komplekse kroniske smerter. Patienter udfyldte selvrapporterede spørgeskemaer hos deres praktiserende læger. Vi analyserede sammenhænge mellem smertegrader (GCPS-R), sundhedskompetence (HLS-EU-Q16) og sociodemografiske forhold. I alt svarede 210 personer; 196 med kroniske smerter indgik i analyserne. Fordelingen var 13 % med simple, 32 % med generende og 55 % med komplekse kroniske smerter. Der var ingen statistisk signifikant sammenhæng mellem smertegrader (GCPS-R) og sundhedskompetence (HLS-EU-Q16). Sammenligninger mellem grupperne viste forskelle i op til 5 af 11 mål, bl.a. uddannelsesniveau, arbejdssituation/arbejdsudygtighed, antal smertefulde kropsregioner samt brug af smertestillende (håndkøbsmedicin og opioider); forskellene var tydeligst mellem komplekse og simple smerter. Deltagerne var i gennemsnit 54 år, og 64 % var kvinder. 26 % rapporterede smerter i over 10 år, og der blev rapporteret 2,5 smertefulde kropsregioner. Over 25 % havde højst en erhvervsuddannelse, og mere end 40 % var pensionerede. Over 35 % brugte håndkøbs-smertestillende dagligt, og 15 % brugte opioider dagligt. Fire ud af ti havde vanskeligheder med at få adgang til, forstå, vurdere og anvende sundhedsoplysninger. Konklusion: I denne gruppe var komplekse kroniske smerter almindelige. Smertegraden var ikke forbundet med målt sundhedskompetence. Komplekse kroniske smerter var derimod tæt knyttet til flere smertefulde kropsregioner, uddannelses- og arbejdssituation, arbejdsudygtighed og hyppigere brug af smertestillende medicin.

This study examines a brief questionnaire for chronic pain, the Graded Chronic Pain Scale–Revised (GCPS-R), which classifies pain into three levels: simple, bothersome, and complex. We mapped how patients in general practice were distributed across these levels and tested whether pain grade was related to health literacy—the ability to find, understand, appraise, and use health information—measured with the HLS-EU-Q16. We also described background and pain characteristics among people with complex chronic pain. Participants completed self-reported questionnaires at their general practitioners. We analyzed links between pain grades (GCPS-R), health literacy (HLS-EU-Q16), and sociodemographic factors. A total of 210 people responded; 196 with chronic pain were included in the analyses. Distribution: 13% simple, 32% bothersome, and 55% complex chronic pain. There was no statistically significant association between pain grades (GCPS-R) and health literacy (HLS-EU-Q16). Group comparisons showed differences in up to 5 of 11 measures, including education level, employment status/inability to work, number of painful body regions, and use of pain medication (over-the-counter and opioids); differences were most evident between complex and simple pain. The mean age was 54 years, and 64% were women. Twenty-six percent reported pain for more than 10 years, and 2.5 painful body regions were reported. More than 25% had at most vocational education, and over 40% were retired. Over 35% used over-the-counter pain relievers daily, and 15% used opioids daily. Four in ten had difficulties accessing, understanding, appraising, and using health information. Conclusion: In this sample, complex chronic pain was common. Pain grade was not linked to measured health literacy. Complex chronic pain was closely associated with more painful body regions, education and work status, inability to work, and more frequent use of pain medication.

[Dette resumé er omskrevet med hjælp fra AI baseret på projektets originale resumé]

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