中風病人使用止痛劑之影響因子初探

Aphasia may have a major impact on pain control in stroke patients. The purpose of the study was to investigate the impact of aphasia on consumption of analgesics in stroke patients. A cross-sectional study design using the ＂2004 National Health Insurance Research Database＂ was undertaken. Patients were enrolled based upon records of analgesics consumption during hospitalization, including 686 patients with aphasia and 52,598 patients without aphasia. Descriptive analysis, t-test, Chi-square test, and multiple regression analysis were used for further data analysis. Results from the study showed that stroke patients with aphasia received significantly lower analgesics consumption than those without aphasia (p＜.05). The result of t-test analysis showed that consumption of all analgesics including keto, Acetaminophen, and Morphine was significantly higher in patients without aphasia than those with aphasia. However, the result of multiple regression analysis showed that consumption of keto, NSAID, and Acetaminophen was significantly higher in patients without aphasia than those with aphasia. Impact factors for analgesics consumption in stroke patients were aphasia, age, illness severity, physician subspecialty, and hospital subspecialty. This survey may serve the medical personnel and institutions as a reference for pain management to improve quality of life by relieving post-stroke pain timely and effectively in stroke patients with aphasia.