Prevalence and clinical characteristics of pains in Parkinson disease / 现代临床护理

ABSTRACT

Objective To study the pain prevalence and clinical characteristics in Parkinson disease (PD) for better understanding its pathophysiology and improving nursing care and treatment. Methods A cross-sectional controlled study was conducted at Department of Neurology, West China Hospital of Sichuan University from November 2015 to November 2016. A total of 316 subjects with mini-mental state examination scores ≥ 24 were enrolled, including 162 PD patients and 154 controls. Pain was assessed using the medical outcomes study 36-item short-form health survey (SF-36v2) bodily pain scale, and a body illustration including 45 anatomical areas for subjects to indicate the prevalence, severity and location of pain. Results Pain prevalence and severity in the PD group were significantly higher than those in the control group (P<0.001). Pain distribution was similar between groups, predominantly in the lower back, followed by the gluteal region, lower legs, thighs, posterior neck, and shoulders, but the prevalence of pain location in each between groups was with statistical significance (all P<0.05). Conclusions Pain prevalence in the PD group is significantly higher than that of normal people as well as its severity, but both groups are not similar in pain location. Pain is a significant problem in daily life of PD patients. Recognition of this has the potential to aid the better clinical management of and improved quality of life for PD patients.