The Use of Oral Analgesics and Pain Self-Efficacy Are Independent Predictors of the Quality of Life of Individuals with Rheumatoid Arthritis

Hashimoto, Akira; Sonohata, Motoki; Mawatari, Masaaki

doi:10.1155/2020/7409396

Cited by 11 publications

(7 citation statements)

References 57 publications

(80 reference statements)

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“…Individuals with high pain self-efficacy have stronger pain coping beliefs and are more likely to comply with health-related behaviors. 45 One study also found that the level of pain self-efficacy is negatively associated with anxiety and depression, which may also affect the QOL. 46 Finally, we detected positive correlations among social support, pain self-efficacy, MCS, and PCS.…”

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confidence: 99%

Chronic Pain and Quality of Life in Maintenance Hemodialysis Patients in China: A Multicenter, Cross-Sectional Study

Rao¹,

Zeng²,

Wang³

et al. 2022

JPR

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Purpose Patients undergoing maintenance hemodialysis (MHD) frequently experience chronic pain, which can severely affect their quality of life (QOL). The objective of this study was to evaluate the prevalence of chronic pain in MHD patients and examine the factors associated with QOL. Patients and Methods A cross-sectional questionnaire-based survey was conducted between October 2020 and April 2021, 1204 MHD patients from nine hemodialysis units were screened for chronic pain in Chengdu, China, and 296 MHD patients with chronic pain were enrolled in this study. We analyzed data on clinicodemographic characteristics, pain interference and severity (Brief Pain Inventory), QOL (Medical Outcomes Study 36-item Short Form Health Survey - mental component summary [MCS] and physical component summary [PCS]), pain self-efficacy (Pain Self-Efficacy Questionnaire), and social support (Social Support Rating Scale). Results The prevalence of chronic pain in MHD patients was 26.74% in this study. The most common areas of pain were lower back (63.5%), lower limbs (55.0%), and head (33.5%), 36.5% did not implement any measures to relieve it. Of the patients who did receive pain treatment or medication, 56.9% reported that the measures they took had less than half of the pain relief. MHD patients with chronic pain had poor QOL based on scores on the MCS (53 ± 16.76) and PCS (40.56 ± 13.81). Stepwise multiple regression identified age, financial strain, pain interference, social support, and pain self-efficacy as independent predictors of QOL. Pain self-efficacy was significantly associated with social support ( r = 0.5, p < 0.01), MCS ( r = 0.69, p < 0.01), and PCS ( r = 0.8, p < 0.01). The mediating effects of pain self-efficacy were 70.31% on the relationship between social support and MCS, and 75.62% on the relationship between social support and PCS. Conclusion Chronic pain is prevalent and undermanaged in Chinese MHD patients, resulting in worse QOL. Healthcare providers should focus on pain management and the impact of psychosocial factors on patient QOL. Further research should deepen our understanding of how pain self-efficacy mediates the relationship between social support and QOL.

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confidence: 99%

Chronic Pain and Quality of Life in Maintenance Hemodialysis Patients in China: A Multicenter, Cross-Sectional Study

Rao¹,

Zeng²,

Wang³

et al. 2022

JPR

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“…In fact, analgesic consumption may have masked the ocular pain symptoms, in exchange for a decrease in quality-of-life. Previous studies have shown that the use of oral analgesics is an independent predictor of lower scores of quality-of-life [20]. Using NSAIDs is associated with fatigue, anxiety, and depression in patients with rheumatoid arthritis [21].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Ocular Neuropathic Pain Following Vitreoretinal Surgery using 23-gauge Sclerotomy

Niktinat

Yousefshahi

Latifi

et al. 2021

Preprint

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Purpose: To investigate the presence of persistent ocular pain after 23-gauge pars plana vitreoretinal surgeryMethod: This is a prospective study including patients who underwent 23-gauge vitrectomy or silicone removal with local or general anesthesia. We evaluated the symptoms of ocular neuropathic pain before and two months after surgery using the Brief Pain Inventory (BPI) questionnaire, and the impact of reported ocular symptoms on quality of life. Correlation between ocular pain and factors such as patient demographics and underlying conditions were also assessed.Result: Seventy-five patients with a mean age of 58.93 ± 12.05 years were evaluated. Forty-four (58.7%) were males. Sixty-seven (89.3%) patients underwent vitrectomy and eight had silicone removal surgery, all using 23-gauge instruments. there was an increasing trend in eye pain scores at two months after surgery which did not reach a statistical significance. However, the analgesic consumption increased from 4% before surgery to 17.3% two months after surgery. Patients who reported increased analgesic usage two months after surgery, scored worse in items of the quality-of-life questionnaire. In addition, patients who reported ocular and facial pain and photophobia before surgery had higher chances of analgesic consumption after surgery (p-value: 0.03, 0.003, and 0.001, respectively). Those who reported migraine headaches had higher chances of reporting eye symptoms, postoperatively (p-value: 0.041). Conclusion: Surgeries involving 23-gauge incisions may not induce ocular neuropathic pain. However, increased use of analgesics after surgery was observed.

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“…Previous studies have shown that the use of oral analgesics is an independent predictor of lower scores of quality-of-life. [20] Using NSAIDs is associated with fatigue, anxiety, and depression in patients with rheumatoid arthritis. [21] Based on our ndings, higher scores of ocular and facial pain, as well as photophobia before surgery herald higher odds of analgesic use after surgery.…”

Section: Discussionmentioning

confidence: 99%

Assessment of ocular neuropathic pain following vitreoretinal surgery using 23-gauge sclerotomy

Niktinat

Yousefshahi

Latifi

et al. 2022

Preprint

View full text Add to dashboard Cite

Objective To investigate the presence of persistent ocular pain after 23-gauge pars plana vitreoretinal surgery Method This is a prospective study including patients who underwent 23-gauge vitrectomy or silicone removal with local or general anesthesia. We evaluated the symptoms of ocular neuropathic pain before and two months after surgery using the Brief Pain Inventory (BPI) questionnaire, and the impact of reported ocular symptoms on quality of life. Correlation between ocular pain and factors such as patient demographics and underlying conditions were also assessed. Result 75 patients with a mean age of 58.93 ± 12.05 years were evaluated. 44 (58.7%) were males. 67 (89.3%) patients underwent vitrectomy and eight had silicone removal surgery, all using 23-gauge instruments. there was an increasing trend in eye pain scores two months after surgery which did not reach a statistical significance. However, the analgesic consumption increased from 4% before surgery to 17.3% two months after surgery. Patients who reported increased analgesic usage two months after surgery, scored worse in items of the quality-of-life questionnaire. In addition, patients who reported ocular and facial pain and photophobia before surgery had higher chances of analgesic consumption after surgery (p-value: 0.03, 0.003, and 0.001, respectively). Those who reported migraine headaches had higher chances of reporting eye symptoms, postoperatively (p-value: 0.041). Conclusion Surgeries involving 23-gauge incisions may not induce ocular neuropathic pain. However, increased use of analgesics after surgery was observed.

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The Use of Oral Analgesics and Pain Self-Efficacy Are Independent Predictors of the Quality of Life of Individuals with Rheumatoid Arthritis

Cited by 11 publications

References 57 publications

Chronic Pain and Quality of Life in Maintenance Hemodialysis Patients in China: A Multicenter, Cross-Sectional Study

Chronic Pain and Quality of Life in Maintenance Hemodialysis Patients in China: A Multicenter, Cross-Sectional Study

Assessment of Ocular Neuropathic Pain Following Vitreoretinal Surgery using 23-gauge Sclerotomy

Assessment of ocular neuropathic pain following vitreoretinal surgery using 23-gauge sclerotomy

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