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 IJCM  Vol.8 No.8 , August 2017
The Factors of Musculoskeletal Pain in Geriatric Patients and the Relationship between Pain and Quality of Life
Abstract: Aim: The purpose of the study was to assess the musculoskeletal pain frequency and intensity, to pinpoint the factors affecting the pain and to research their effect on patients’ quality of life. Methods: 203 patients over 65 who came to our Physical Therapy and Rehabilitation clinic were included in the study. Intensity of comorbid diseases were calculated by using Cumulative Illness Rating Scale (CIRS). Geriatric Pain Measure-24 (GPM) was used to assess the pain intensity, Geriatric Depression Scale-15 (GDS) was used to detect the presence of depression and Short Form-36 (SF-36) was used to determine quality of life. Results: The median age of the patients was 72.9 ± 6.36 (65 - 92) years. 97% of patients complained of pain. GPM total value mean of the patients was 61.9 (0 - 99.9). GPM scores were significantly higher in patients who were female (p < 0.001), single (p < 0.015), lower education, housewife (p < 0.001), depressed (p < 0.001), and with a preexisting comorbidity. However, in multivariate linear regression analysis, only female sex and depression presence was found out to be the factors that significantly affect the GPM scores (p < 0.001). There was a significant positive correlation between GPM and GDS scores (p = 0.001, r = 0.545). There were significant negative correlations between all subgroup parameters of SF-36 and both GPM and GDS. Conclusions: Low education, being single, presence of comorbidities and being a housewife all relates to pain intensity, yet the most important factors are being female and presence of depression. Pain intensity is connected to low quality of life. We think this study will show a path to program geriatric population’s healthcare needs.
Cite this paper: Cicekci, E. , Ozisler, Z. , Ozel, S. , Unsal-Delialioglu, S. and Ozisler, C. (2017) The Factors of Musculoskeletal Pain in Geriatric Patients and the Relationship between Pain and Quality of Life. International Journal of Clinical Medicine, 8, 504-513. doi: 10.4236/ijcm.2017.88047.
References

[1]   Çakar, E. (2011) Geriatric Rehabilitation. In: Beyazova, M. and Gökçe Kutsal, Y., Eds., Physical Medicine and Rehabilitation, Günes Publishing House, Ankara, 1791-1808.

[2]   Gökçe Kutsal, Y., Irdesel, J. and Ordu Gökkaya, K. (2012) Pain in Elderly. Akademi Publishing House, Ankara, 2-54.

[3]   Barkin, R.L., Barkin, S.J. and Barkin, D.S. (2005) Perception, Assessment, Treatment, and Management of Pain in the Elderly. Clinics in Geriatric Medicine, 21, 465-490.
https://doi.org/10.1016/j.cger.2005.02.006

[4]   Woo, J., Leung, J. and Lau, E. (2009) Prevalence and Correlates of Musculoskeletal Pain in Chinese Elderly and the Impact on 4-Year Physical Function and Quality of Life. Public Health, 123, 549-556.
https://doi.org/10.1016/j.puhe.2009.07.006

[5]   Ordu Gökkaya, N.K., et al. (2011) Pain and Quality of Life in Elderly: The Turkish Experience. Archives of Gerontology and Geriatrics, 55, 357-362.
https://doi.org/10.1016/j.archger.2011.10.019

[6]   Gökçe Kutsal, Y. (2009) Why Geriatric. Turkish Physical Medicine and Rehabilitation Journal, 55, 51-56.

[7]   Xavier, F.M., Ferraz, M.P., Marc, N., Escosteguy, N.U. and Moriguchi, E.H. (2003) Elderly People’S Definition of Quality of Life. Revista Brasileira de Psiquiatria, 25, 31-39.
https://doi.org/10.1590/S1516-44462003000100007

[8]   Blozik, E., Stuck, A.E., Niemann, S., Ferrell, B.A., Harari, D., von Renteln-Kruse, W., Gillmann, G., Beck, J.C. and Clough-Gorr, K.M. (2007) Geriatric Pain Measure Short Form: Development and Initial Evaluation. Journal of the American Geriatrics Society, 55, 2045-2050.
https://doi.org/10.1111/j.1532-5415.2007.01474.x

[9]   Yesavage, J.A., Brink, T.L., Rose, T.L., et al. (1983) Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report. Journal of Psychiatric Research, 17, 37-49.
https://doi.org/10.1016/0022-3956(82)90033-4

[10]   Koçyigit, H., Aydemir, Ö., Fisek, G., Ölmez, N. and Memis, A. (1995) Reliability and Validity of Turkish-Version 36-Item Short form Survey (SF-36). Medicine and Treatment Journal, 12, 102-106.

[11]   McHorney, C.A., Ware, J.E. and Raczek, A.E. (1993) The MOS 36-Item Short-Form Healthsurvey (SF36): II. Phychometric and Clinical Tests of Validity in Measuring Physical and Mental Health Constructs. Medical Care, 31, 247-263.
https://doi.org/10.1097/00005650-199303000-00006

[12]   Nóbrega, T.C., Jaluul, O., Machado, A.N., Paschoal, S.M. and Jacob Filho, W. (2009) Quality of Life and Multimorbidity of Elderly Out Patients. Clinics (Sao Paulo), 64, 45-50.
https://doi.org/10.1590/S1807-59322009000100009

[13]   Antonopoulou, M.D., Alegakis, A.K., Hadjipavlou, A.G. and Lionis, C.D. (2009) Studying the Association between Musculoskeletal Disorders, Quality of Life and Mental Health. BMC Musculoskeletal Disorders, 10, 143.
https://doi.org/10.1186/1471-2474-10-143

[14]   Jakobsson, U., Klevsgård, R., Westergren, A. and Hallberg, I.R. (2003) Oldpeople in Pain. Journal of Pain and Symptom Management, 26, 625-636.

[15]   Brattberg, G., Parker, M.G. and Thorslund, M. (1996) The Prevalence of Pain amongst the Oldest Old in Sweeden. Pain, 67, 29-34.

[16]   Gibson, S.J. and Helme, R.D. (2001) Age-Related Differences in Pain Perception and Report. Clinics in Geriatric Medicine, 17, 433-456.

[17]   Akyol, Y., Durmus, D., Dogan, C., Bek, Y. and Cantürk, F. (2010) Quality of Life and Level of Depressive Symptoms in the Geriatric Population. Turkish Journal of Rheumatology, 25, 165-173.
https://doi.org/10.5152/tjr.2010.23

[18]   Hickey, A., Barker, M., McGee, H. and O’Boyle, C. (2005) Measuring Health-Related Quality of Life in Older Patient Populations. Pharmacoeconomics, 23, 971-993. https://doi.org/10.2165/00019053-200523100-00002

[19]   Bair, M.J., Robinson, R.L., Katon, W. and Kroenke, K. (2003) Depression and Pain Comorbidity. Archives of Internal Medicine, 63, 2433-2445.

[20]   Lépine, J.P. and Briley, M. (2004) The Epidemiology of Pain in Depression. Human Psychopharmacology, 19, 3-7.
https://doi.org/10.1002/hup.618

[21]   Poleshuck, E.L., Bair, M.J., Kroenke, K., Damush, T.M., Krebs, E.E. and Giles, D.E. (2010) Musculoskeletal Pain and Measures of Depression. General Hospital Psychiatry, 32, 114-115.

[22]   Bektas, H.A. and Sahin, H. (2010) Evaluation of Daily Life Activities and Level of Depression in Bed-Rest Geriatric Patients of Internal Medicine Clinic. Geriatrics, 2, 155-161.

[23]   Sezer, N., Sütbeyaz-Tomruk, S., Köseoglu, F., Aras, M. and Kibar, S. (2009) Evaluation of Daily Life Activities and Diagnostic Distribution Patients over 65 Who Came to Physical Therapy and Rehabilitation Clinic. Physical Medicine and Rehabilitation, 20, 89-94.

 
 
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