Psychological Pain Status and Influencing Factors in Elderly Patients with Recurrent Trigeminal Neuralgia
Objective To investigate the psychological pain status of elderly patients with recurrent trigeminal neuralgia(RTN)and analyze its influencing factors.Methods A single center cross-sectional survey was conducted on elderly RTN patients who visited the Department of Pain Management of Xinyang Central Hospital from June 2022 to June 2023.The psychological distress status,level of family support,sleep quality and demographic characteristics of elderly RTN patients were collected using the distress thermometer(DT),family support scale(PSS-Fa),Pittsburgh sleep quality index(PSQI)and self-made data questionnaires.Univariate and multivariate analysis were used to explore the factors affecting the psychological distress of elderly patients with RTN.Results According to statistics,among 102 elderly RTN patients,the DT score was 0-8 points,with an average of(4.28±1.74)points.Among them,44 cases had DT scores less than 4 points,accounting for 43.14%,and 58 cases with DT≥4 points,accounting for 56.86%.The age and PSQI score of the DT≥4 group were higher than those of the DT<4 group,and the proportion of double or multiple pain branches was higher than that of the DT<4 group.The PSS-Fa score was lower than that of the DT<4 group(P<0.05).The results of logistic regression analysis showed that older age,more pain and poor sleep quality were risk factors for psychological pain in elderly RTN patients(OR>1,P<0.05).A high level of family support was a protective factor for psychological pain in elderly RTN patients(OR<1,P<0.05).Conclusion Elderly RTN patients generally experience psychological pain,and older age,more pain,poor sleep quality,and low level of family support are the influencing factors for the psychological pain of elderly RTN patients.