Pain and psychological well‐being of older persons living in nursing homes: an exploratory study in planning patient‐centred intervention

Tse, Mun Yee Mimi; Leung, Rincy; Ho, Suki S.K.

doi:10.1111/j.1365-2648.2011.05738.x

Cited by 46 publications

(36 citation statements)

References 38 publications

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“…Measuring pain intensity using the FPS-R scale showed that most participants (80%) had moderate to severe pain, which means they assigned the score of 6 or more to their pain severity. Results of a study on elderly adults, from 6 nursing homes in Hong Kong, that used a geriatric pain assessment scale, showed a pain intensity of 4.51 on a 10-point scale, which was lower than our results (17). A recent study of elderly people that resided in the community setting in Brazil showed that 52.8% of the elderly population suffered from chronic pain; among them 54.6% reported highest or the worst possible pain intensity (18).…”

Section: Discussioncontrasting

confidence: 53%

Comparing Two Scales: FPS-R and NRS for Pain Measurement in Elderly Bedridden Population of Hamadan-Iran

et al. 2017

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Background: Pain is a common complaint of the elderly and it is important to evaluate pain intensity carefully in aged people. There are different self-report scales for pain evaluation in elderly individuals, however, only a few studies have compared these scales. This study was conducted to compare 2 regular pain scales: FPS-R and NRS in the elderly population. Methods: In this cross sectional study, we evaluated 2 different pain assessment tools. A total of 120 bedridden patients, who were older than 65 years, and were admitted in governmental hospitals in Hamadan-Iran were studied during 3 months (May-July 2016). For evaluating pain, we used the FPS-R (faces pain scale-revised) and NRS (numerical rating scale). All participants' information were gathered in a checklist and analyzed using the SPSS 16 software. Results: All patients had some degree of pain that started from 1 month to over 6 months ago, among them, 115 (96%) had persistent pain. The mean pain intensity in the participants was similar with both scales. There was a strong correlation between the 2 scales when using the Pearson correlation method (r = 0.735, P < 0.001). The age group analysis showed a significant difference in different age subgroups, therefore, the 75 -85 year old age group had the highest and > 85 years old had the lowest pain intensity (7.07 vs. 5.36, respectively using NRS, PV = 0.014) Conclusions: Pain has a remarkable prevalence in bedridden patients in Hamadan. Both scales: the FPS-R and NRS scales had a strong correlation for measuring pain intensity in the elderly patient population, however, simplicity of the FPS-R scale for use with the older adults, makes it an appropriate pain scale in clinical practice. Future studies need to evaluate a suitable management pain for older adults.

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Section: Discussioncontrasting

confidence: 53%

Comparing Two Scales: FPS-R and NRS for Pain Measurement in Elderly Bedridden Population of Hamadan-Iran

et al. 2017

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“…Previous research has consistently found an association between happiness and subjective well-being among older people (Abe, Fujise, Fukunaga, Nakagawa, & Ikeda, 2012;Adams & Moon, 2009). In particular, a study of 302 older adults in Hong Kong reported higher levels of loneliness, lower levels of life satisfaction, and higher levels of depression when their level of happiness was low (Tse, Leung, & Ho, 2011). Furthermore, the positive association between optimism and subjective well-being, including life satisfaction, purpose in life, and positive affect, as well as the negative association with depressive symptoms has often been found among older adults (Ferguson & Goodwin, 2010;Ferreira & Sherman, 2007;Vahia et al, 2010).…”

mentioning

confidence: 96%

Development and evaluation of the positive psychology intervention for older adults

Yeung

Kwok

2014

The Journal of Positive Psychology

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“…Among breast cancer survivors, for example, chronic loneliness is associated with higher levels of pain, depression, and fatigue (Jaremka et al, 2012). Similarly, older adults with chronic pain report being significantly more lonely than do those without pain (Jacobs, Hammerman-Rozenberg, Cohen, & Stessman, 2006; Tse, Leung, & Ho, 2012). Moreover, loneliness predicts more than a four-fold increase in the prevalence of chronic pain among elderly individuals over time (Jacobs et al, 2006).…”

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confidence: 99%

Loneliness, daily pain, and perceptions of interpersonal events in adults with fibromyalgia.

Wolf¹,

Davis²

2014

Health Psychology

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Objective This study examined whether individual differences in loneliness and/or daily exacerbations in loneliness relate to daily pain and frequency and perception of interpersonal events among individuals with fibromyalgia (FM). Methods 118 participants with FM completed electronic diaries each evening for 21 days to assess the occurrence of positive and negative interpersonal events, event appraisals, and pain. Multilevel modeling was used to examine relations of chronic and transitory loneliness to daily life outcomes, controlling for daily depressive symptoms. Results Chronic and transitory loneliness were associated with more frequent reports of negative and less frequent reports of positive interpersonal daily events, higher daily stress ratings and lower daily enjoyment ratings, and higher daily pain levels. Neither chronic nor transitory loneliness moderated the relations between daily negative events and either stress appraisals or pain. However, both chronic and transitory loneliness moderated the relation between daily positive events and enjoyment appraisals. Specifically, on days of greater numbers of positive events than usual, lonely people had larger boosts in enjoyment than did nonlonely people. Similarly, days with greater than usual numbers of positive events were related to larger boosts in enjoyment if an individual was also experiencing higher than usual loneliness levels. Conclusions Chronic and transient episodes of loneliness are associated with more negative daily social relations and pain. However, boosts in positive events yield greater boosts in day-to-day enjoyment of social relations for lonely versus nonlonely individuals, and during loneliness episodes, a finding that can inform future interventions for individuals with chronic pain.

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Pain and psychological well‐being of older persons living in nursing homes: an exploratory study in planning patient‐centred intervention

Abstract: As the number of older patients increases, so does the need for alternative accommodation; thus, pain management education is urgently needed for staff and nursing home residents.

Cited by 46 publications

References 38 publications

Comparing Two Scales: FPS-R and NRS for Pain Measurement in Elderly Bedridden Population of Hamadan-Iran

Comparing Two Scales: FPS-R and NRS for Pain Measurement in Elderly Bedridden Population of Hamadan-Iran

Development and evaluation of the positive psychology intervention for older adults

Loneliness, daily pain, and perceptions of interpersonal events in adults with fibromyalgia.

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