Clinical characteristics analysis of pain in patients with rheumatic diseases
Miao Jieyu
Shen Yue
Luo Liping
Zhao Xu
Ma Lingli
Xu Shengqian
Abstract：Objective To analyze the clinical characteristics of pain in rheumatology outpatients.Methods A total of 739 outpatients from the Department of Rheumatology and Immunology,the First Affiliated Hospital of Anhui Medical University from January 2019 to June 2022 were selected for pain assessment question-naire survey.The distribution of pain degree,sleep disorders caused by pain,and pain location were analyzed.The differences of pain degree[visual analog scale(VAS)scores],pain location,and pain complications among different diseases were compared,and the related factors of moderate to severe pain were analyzed.Results Of the 739 patients,517 cases(70.0％)had pain,including 198 cases(26.8％)with mild pain(VAS score 1-3),215 cases(29.1％)with moderate pain(VAS score 4-6),and 104 cases(14.1％)with severe pain(VAS score 7-10).Among the 739 patients,245 cases(33.2％)had sleep disorders caused by pain,mainly included 129 cases(17.5％)had poor sleep quality,57 cases(7.7％)had difficulty falling asleep,and 54 cases(7.3％)woke up with pain or woke up early.Totally 197 patients(26.7％)were in the outpatient clinic due to pain in both hands,followed by 152 patients(20.6％)with knee pain.Among 517 patients with pain,73 cases(14.1％)were complicated with hypertension.There was a statistically significant difference in the proportion of hypertension among the diseases with pain(P＜0.001).There was a statistically significant difference in the degree of pain between patients with rheumatic diseases of different diseases(P＜0.001).There were statistically significant differences in the distribution proportions of low back pain,leg pain,hip pain,knee pain,upper limb pain,and shoulder pain among rheumatic patients with different diseases(all P＜0.05).Logistic regression analysis showed that knee pain,low back pain,leg and foot pain,cervical pain,shoulder pain,hip and hip pain,and upper limb pain were the relevant factors causing moderate to severe pain(all P＜0.05).Conclusion In this study,70.0％of outpatients in rheumatology and Immunology Department had pain,43.2％of patients had moderate to severe pain,and 33.2％of patients had sleep disorders due to pain,suggesting that we should pay attention to the pain of outpatients in rheumatology and Immunology Department.
Keywords：RheumatismPainSurvey
Publication Date：2025-08-18
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1180-1184 )