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冰岛挥鞭伤患者的慢性疼痛与生活质量

Chronic pain and quality of life among people with whiplash injury in Iceland.

作者信息

Skúladóttir Hafdís, Óskarsson Gudmundur Kristjan, Jónsdóttir Thorbjorg, Karlsdóttir Sigfridur Inga, Halapi Eva

机构信息

School of Health, Business and Natural Sciences, Faculty of Nursing, University of Akureyri, Akureyri, Iceland.

School of Health, Business and Natural Sciences, Faculty of Business Administration, University of Akureyri, Akureyri, Iceland.

出版信息

Int J Circumpolar Health. 2025 Dec;84(1):2556085. doi: 10.1080/22423982.2025.2556085. Epub 2025 Sep 3.

Abstract

The purpose was to examine the participants' pain severity, pain interference, health-related quality of life (HRQoL), needs, access and use of healthcare services, and the difference between those reporting whiplash injury ( >12 months) with and without chronic pain and those without whiplash injury but with chronic pain. This is a cross-sectional cohort study. The survey was sent by email to a sample of 12,400 individuals, aged 18-78 years. The response rate was 45% ( = 5,557), of whom 929 (16.7%) experienced whiplash injury after an accident. Participants with whiplash injury (59%) were more likely to report chronic pain (≥3 months) than those without whiplash injury (36.3%) ( > 0.001). The participants with whiplash injury and chronic pain ( = 543, 59%) were significantly more likely to have more severe pain, lower HRQoL, be disabled, and live outside the capital area compared to those with whiplash injury but without chronic pain ( = 386, 41%). Whiplash injury was more common among younger individuals and women. Participants with whiplash injury had higher pain severity, pain interference and lower HRQoL compared to those without whiplash injury. Participants with whiplash injury were more likely to have chronic pain and most of them had constant pain.

摘要

目的是研究参与者的疼痛严重程度、疼痛干扰、健康相关生活质量(HRQoL)、需求、医疗服务的可及性和使用情况,以及报告有挥鞭伤(>12个月)且有或无慢性疼痛的人群与无挥鞭伤但有慢性疼痛的人群之间的差异。这是一项横断面队列研究。通过电子邮件向12400名年龄在18 - 78岁的个体样本发送了调查问卷。回复率为45%(n = 5557),其中929人(16.7%)在事故后经历了挥鞭伤。有挥鞭伤的参与者(59%)比无挥鞭伤的参与者(36.3%)更有可能报告慢性疼痛(≥3个月)(p>0.001)。与有挥鞭伤但无慢性疼痛的参与者(n = 386,41%)相比,有挥鞭伤且有慢性疼痛的参与者(n = 543,59%)明显更有可能有更严重的疼痛、更低的健康相关生活质量、残疾且居住在首都地区以外。挥鞭伤在年轻人和女性中更为常见。与无挥鞭伤的参与者相比,有挥鞭伤的参与者有更高的疼痛严重程度、疼痛干扰和更低的健康相关生活质量。有挥鞭伤的参与者更有可能患有慢性疼痛,并且他们中的大多数人有持续性疼痛。

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