آزمون الگوی جامع مدیریت درد مزمن در سالمندان

Abstract Background & Aim: Achievement to a practical model for effective chronic pain management in the elderly is high importance. Hence, the current study aimed to testing some parts of comprehensive chronic pain management model (CCPMM) in older people. Material & Method: This study is a correlation testing model in which 205 elderly patients with chronic pain were selected by multistage random sampling. Vulnerability, living with pain and Mc- gill pain questionnaires were used for vulnerability related chronic pain, living with pain and ailment measurement respectively as some part the main components of CCPMM. The structural equation modeling (SEM), path analysis by smart PLS (version 2) software was conducted respectively for data analysis. Result: The results showed between ailment and vulnerability related chronic pain (P < 0.01, β =0/39) and negative significant relations between ailment with living with pain (P < 0.01, β = - 0/26). Also the negative significant relations between vulnerability related chronic pain and living with pain (P < 0.01, β = - 0/18) were obtained. Conclusion: In order to use of CCPMM in the elderly for effective chronic pain management, how Living with chronic pain should be considered firstly. Then, causes and patterns of pain which represents itself under the concept of ailment should be investigated. Next, vulnerability construct as a barrier should be identified and controlled.