title: Attitude of outpatients with neuromuscular diseases in Japan to pain and use of analgesics.
abstract: The prevalence of pain and its impact on outpatients with neuromuscular disease, and their attitude towards the use of analgesics were studied. Seventy-eight outpatients at the university hospital, Tokyo, diagnosed with Parkinson's disease, spinocerebellar degeneration, amyotrophic lateral sclerosis, or multiple sclerosis were asked whether they had experienced pain in the preceding week. The Brief Pain Inventory, Japanese version was used to interview participants reporting pain, about its intensity and interference with activities, the way they dealt with it, attitudes to pain and use of analgesics, and desire for treatment. Forty-six participants experienced pain in the preceding week (59%). The mean pain intensity was 4.1 out of 10, and 20% of participants reported that the degree of interference with mobility was at least 6 out of 10. Most participants dealt with their pain without medication, by changing posture frequently or massage. Approximately 80% of participants regarded pain as something they should endure. Half of the participants wanted more information on methods for pain relief. Approximately 80% of participants were anxious about adverse reactions of analgesics. These findings suggest that medical staffs should provide appropriate information and educate their patients.
authors.affiliation: Department of Adult Nursing/ Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Tokyo 113-0033, Japan. ayosh-tky@umin.ac.jp
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Abe
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Miyashita
authors.forename: Naomi
authors.initials: N
authors.lastname: Ito
authors.forename: Yuki
authors.initials: Y
authors.lastname: Shirai
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Momose
authors.forename: Yaeko
authors.initials: Y
authors.lastname: Ichikawa
authors.forename: Shoji
authors.initials: S
authors.lastname: Tsuji
authors.forename: Keiko
authors.initials: K
authors.lastname: Kazuma
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use*; D001007:Anxiety / Q000453:epidemiology; D001294:Attitude to Health; D015897:Comorbidity; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008405:Massage / Q000706:statistics & numerical data; D019636:Neurodegenerative Diseases / Q000453:epidemiology*; D009468:Neuromuscular Diseases / Q000453:epidemiology*; D010045:Outpatients / Q000523:psychology / Q000706:statistics & numerical data; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology*; D010147:Pain Measurement / Q000379:methods; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011187:Posture / Q000502:physiology; D015995:Prevalence; D011795:Surveys and Questionnaires
chemical_list: D000700:Analgesics