BackgroundPeople living in care homes often have problems with pain, anxiety and depression. Whether being on analgesia, anxiolytics or antidepressants has any bearing on pain severity and quality of life (QoL) in this population, requires further investigation.Objectives(i) to examine the relationship between pain, anxiety and depression and medication use in care home residents and (ii) to compare those on medications to treat pain, anxiety and depression, and those who were not, and associations with pain severity and overall QoL.MethodsThis was a secondary analysis of a randomised controlled trial testing a falls prevention intervention in care homes. We recorded pain, anxiety and depression, QoL measurements and prescribed medication use.ResultsIn 1589 participants, the mean age was 84.7 years (±9.3 SD), 32.2% were male and 67.3% had a diagnosis of dementia. 54.3% and 53.2% of participants had some level of pain and anxiety or depression respectively, regardless of prescribed medication use. There was a direct association between pain severity and being on any analgesia, opioid analgesia, and antidepressants, but no associations between pain severity and use of paracetamol and anxiolytics. QoL was best for residents with no pain and not on any analgesia, anxiolytics or antidepressants and worst for those with moderate-extreme pain and taking at least two of these classes of medications.ConclusionMany care home residents live with pain, anxiety and depression. Addressing residents’ pain may also increase their quality of life, but using medication alone to reach this goal may be inadequate.

中文翻译：

---

住在疗养院的人的生活质量、疼痛和镇痛药、抗焦虑药和抗抑郁药的使用情况


背景住在疗养院的人经常有疼痛、焦虑和抑郁的问题。镇痛药、抗焦虑药或抗抑郁药是否与该人群的疼痛严重程度和生活质量 （QoL） 有任何关系，需要进一步调查。目标 （i） 检查护理院居民的疼痛、焦虑和抑郁与药物使用之间的关系，以及 （ii） 比较那些服用药物治疗疼痛、焦虑和抑郁的人，以及那些没有服用药物的人，以及与疼痛严重程度和整体 QoL 的关联。我们记录了疼痛、焦虑和抑郁、QoL 测量和处方药使用情况。结果在 1589 名参与者中，平均年龄为 84.7 岁 （±9.3 SD），32.2% 为男性，67.3% 被诊断为 痴呆。54.3% 和 53.2% 的参与者分别有一定程度的疼痛和焦虑或抑郁，无论使用何种处方药。疼痛严重程度与服用任何镇痛药、阿片类镇痛药和抗抑郁药之间存在直接关联，但疼痛严重程度与使用扑热息痛和抗焦虑药之间没有关联。QoL 最适合没有疼痛且未服用任何镇痛药、抗焦虑药或抗抑郁药的居民，而对于中度至极度疼痛且至少服用其中两类药物的居民最差。结论许多护理院居民生活在痛苦、焦虑和抑郁中。解决居民的疼痛也可能提高他们的生活质量，但仅使用药物来达到这一目标可能是不够的。