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Factors Correlating with Functional Capacity in Older People with Chronic Pain

Author

Listed:
  • Grażyna Puto

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Kopernika 25 Street, 31-501 Krakow, Poland)

  • Iwona Repka

    (Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Kopernika 25 Street, 31-501 Krakow, Poland)

  • Marta Muszalik

    (Department of Geriatrics, Faculty of Health Sciences, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, Poland)

Abstract

Introduction: Chronic pain in older people is a global health problem not only in terms of a negative subjective feeling, but also as a social and economic factor. Deterioration of functional capacity is one of the main symptoms of chronic pain; therefore, it should be assessed as a basic parameter in the life of older people. The aim of the study was to analyze the factors which have an impact on the functional capacity of older people with chronic pain. Material and methods: The study was conducted among 181 people over 65 suffering from chronic pain lasting more than 6 months. The study used a questionnaire that included questions about demographic and social characteristics and the following scales: Abbreviated Mental Score (AMTS), Personal Activities of Daily Living (PADL) by Katz, Instrumental Activities of Daily Living (IADL) by Lawton, Geriatric Pain Measure-24 (GPM-24). Results: In the study group, a positive correlation was found between: coexisting diseases and withdrawal due to pain, pain intensity, pain resulting from walking or from the effort from other activities, and in terms of the total GPM-24 score. A positive correlation was also found between the Geriatric Depression Scale (GDS) and withdrawal due to pain, pain intensity, pain resulting from walking or from the effort from other activities, and in terms of the total GPM-24 score. A significantly negative correlation was found between: AMTS, ADL, IADL performance and: withdrawal due to pain, pain intensity, pain resulting from walking or from the effort from other activities, and in terms of total GPM-24 score. Conclusions: Chronic pain is more common in people with disabilities in basic and complex activities of daily living, with limited efficiency in cognitive functions and an increased sense of depression. The standard in everyday practice and clinical trials should be taking a history of chronic pain in every older person, monitoring the pain’s intensity and accompanying characteristics by using a multidimensional scale for assessing pain in older people.

Suggested Citation

  • Grażyna Puto & Iwona Repka & Marta Muszalik, 2023. "Factors Correlating with Functional Capacity in Older People with Chronic Pain," IJERPH, MDPI, vol. 20(3), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2748-:d:1057065
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    References listed on IDEAS

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    1. Sabrina Gomes Fernandes & Weslley Barbosa Sales & Diego Villar Tavares & Dayanna da Silva Pereira & Patrícia Vidal de Negreiros Nóbrega & Cristina Marques de Almeida Holanda & Alvaro Campos Cavalcanti, 2022. "Relationship between Pain, Fear of Falling and Physical Performance in Older People Residents in Long-Stay Institutions: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
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