Article

OBJECTIVE: To determine comorbidities that cause pain and the potential
contributors to pain in individuals with chronic obstructive pulmonary disease
(COPD). DESIGN: Prospective cross-sectional survey study. SETTING: Pulmonary
rehabilitation programs of 6 centers. PARTICIPANTS: A convenience sample of
individuals with COPD (N=137) who attended pulmonary rehabilitation programs. In
total, 100 (73%) returned the survey packages. Of those responders, 96
participants (70%) were included in the analyses. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Pain was measured using the Brief Pain Inventory. The
questionnaire used to obtain information about health conditions that might
contribute to pain and a medication record asked, in lay terms, about
comorbidities that cause pain. The health conditions that cause pain were then
validated by health professionals. Demographics, fatigue, dyspnea, quality of
life, and self-efficacy were also measured using questionnaires. RESULTS: Pain
was reported in 71% (68/96) of participants. Low back pain was the most common
location (41%). Arthritis (75%), back problems (47%), and muscle cramps (46%)
were the most common comorbidities that caused pain. Lower self-efficacy, and
renting rather than home ownership increased the likelihood of pain (P<.05). Pain
severity and Brief Fatigue Inventory scores contributed to pain interference
scores (P<.05). CONCLUSIONS: Pain was highly prevalent in pulmonary
rehabilitation program participants with COPD. The most common causes of pain
were musculoskeletal conditions. Pain severity and higher levels of fatigue
contributed to how pain interfered with daily aspects of living. The assessment
and management of pain need to be addressed within the overall care of
individuals with COPD.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS