Patterns of Change in Pain-related Physical, Mental, and Social Health Outcomes in a Military Population.

Autor: Bader CE; Special Assistant to the Dean, Graduate School of Nursing, Uniformed Services University of the Health Sciences. Electronic address: christine.bader@usuhs.edu., Flynn DM; Department of Rehabilitative Medicine, Madigan Army Medical Center, Tacoma, Washington., Buckenmaier CC; Professor Emeritus, Department of Anesthesiology, Uniformed Services University of the Health Sciences., McDonald CC; Associate Professor, University of Pennsylvania, School of Nursing, Perelman School of Medicine at the University of Pennsylvania, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Meghani SH; Professor & Craig M. Wasserman Term Chair of Palliative Care, Department of Biobehavioral Health Sciences, Associate Director, NewCourtland Center for Transitions and Health, Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania., Glaser D; Principal, Glaser Consulting, Lecturer and Adjunct Faculty at San Diego State University/University of San Diego/University of California San Diego., Polomano RC; Associate Dean for Practice, Professor of Pain Practice, University of Pennsylvania, School of Nursing, Professor of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2023 Jun; Vol. 24 (3), pp. 265-272. Date of Electronic Publication: 2023 Feb 04.
DOI: 10.1016/j.pmn.2023.01.002
Abstrakt: Objective: Military persons frequently experience pain conditions stemming from noncombat and combat injuries. This study assessed the patterns of change over time and the associations of pain intensity and interference with physical, mental, and social health domains in a military sample.
Methods: A secondary analysis of Pain Assessment Screening Tool and Outcomes Registry (PASTOR) was conducted using data collected over 10 months. Participants selected for analysis completed ≥3 assessments with an interval of ≥14 days between assessments. The Defense and Veterans Pain Rating Scale (DVPRS) measured average and worst pain intensity, and Patient-Reported Outcomes Measurement Information System (PROMIS®) T-scores measured pain and health outcomes.
Results: The sample (N = 190) majority reported being active duty (96%); serving in the U.S. Army (93%); and being enlisted (86%). The percent difference from assessment one to assessment three showed improvement for DVPRS average pain (-4.85%) and worst pain (-2.16%), and PROMIS Pain Interference T-score (-1.98%). Improvements were observed for all PROMIS outcomes except depression. The Defense and Veterans Pain Rating Scale average and worst pain intensity and PROMIS pain interference were strongly correlated with physical function. Multilevel models showed that an increase in average and worst pain, and pain interference were associated with a decrease in satisfaction with social roles.
Conclusion: Analysis identified patterns of change over time in physical, mental, and social health outcomes, as well as associations important to understanding the complexities of pain. This work has implications for pain management nursing in ambulatory settings where ongoing collection and analyses of multivariable outcomes data can inform clinical care.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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