| Autor: |
Ishida, Natsuko, Hongo, Shuya, Kumano, Ayaka, Hatta, Hiroyuki, Zakoji, Nobuyuki, Hirutani, Makiko, Yamamoto, Yoshiaki, Aono, Hirohumi, Tuigi, Moe, Suzuki, Ryohei, Hanamitsu, Hiroshi, Wakasugi, Eisaku, Takahashi, Masaaki, Yamatani, Akimasa |
| Předmět: |
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| Zdroj: |
Journal of Palliative Medicine; May2018, Vol. 21 Issue 5, p588-591, 4p, 3 Charts, 1 Graph |
| Abstrakt: |
Background: Pain is a widely neglected symptom in patients with amyotrophic lateral sclerosis (ALS), even though it may be common and have a significant impact on the quality of life. Objective: The aim of this study was to determine the frequency and characteristics of pain and its treatment in ALS patients. Design: A multicenter cross-sectional study. Setting/Subjects: Eighty patients with ALS from eight hospitals. Measurements: Data on demographics, functional status, and pharmacological treatment were collected. The Barthel Index (BI) was used to assess functional status. Pain was measured using the 0–5-point Wong-Baker FACES Pain Rating Scale. Results: Pain was reported by 53.8% of ALS patients, and 36.3% reported receiving pain medication. Opioids were the drugs most commonly used to treat pain. The differences in pain frequency according to functional status were not statistically significant (p = 0.38). The pain intensity in patients whose functional status was total dependence (BI 0–20, 2.5 ± 1.2) was significantly worse than that in those with better functional status (BI 21–60, 1.4 ± 0.7; BI 61–99, 1.4 ± 0.5; p < 0.01). Conclusions: Our study indicates that all patients with ALS have the potential to suffer from pain, the intensity of which increases with decreased functional status. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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