首页|糖尿病性周围神经病理性疼痛患者疼痛灾难化现状及影响因素分析

糖尿病性周围神经病理性疼痛患者疼痛灾难化现状及影响因素分析

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目的 调查糖尿病性周围神经病理性疼痛(DPNP)患者疼痛灾难化(PC)现状,并分析其影响因素,为临床制订预防干预策略,提供参考依据。方法 便利抽样法选取广西壮族自治区人民医院收治的206例DPNP患者为研究对象,采用一般资料调查表、疼痛数字等级评分量表(NRS)、疼痛灾难化量表(PCS)、领悟社会支持量表(PSSS)、糖尿病痛苦量表(DDS)对其进行调查。结果 206例DPNP患者PC发生率44。66%(92/206),PCS总分为(30。10±5。16)分。多元线性回归分析结果显示,性别、糖尿病(DM)病程(≥10年)、多重用药、合并症数量(>5个)、NRS评分、PSSS评分、DDS各维度评分是PC的主要影响因素(均P<0。05),可解释PC总变异的92。3%。结论 DPNP患者PC发生率较高,临床医护工作者应重视此类患者PC的评估,并根据主要影响因素制订科学有效、有针对性的干预措施,帮助患者减轻疼痛负担,以降低其PC水平。
Status quo of pain catastrophizing in patients with diabetic peripheral neuropathic pain and influencing factors analysis
Objective To investigate the status quo of pain catastrophizing(PC)in the patients with di-abetic peripheral neuropathic pain(DPNP),and to analyze the influencing factors to provide reference for for-mulating clinical preventive intervention strategies.Methods A total of 206 patients with DPNP admitted and treated in the People's Hospital of Guangxi Zhuang Autonomous Region were selected as the research sub-jects by convenience sampling method.The general data questionnaire,Numerical Rating Scale(NRS),Pain Catastrophizing scale(PCS),Perceived Social Support Scale(PSSS)and diabetes distress scale(DDS)were used to conduct the investigation.Results The incidence rate of PC in 206 cases of DPNP patients was 44.66%(92/206),and the total score of PCS was(30.10±5.16)points.The results of multiple linear regres-sion analysis showed that the gender,duration of diabetes(≥10 years),multiple drug use,number of compli-cations(>5),NRS score,PSSS score and scores of DDS dimensions were the main influencing factors of PC(all P<0.05),which could explain 92.3%of the total variation of PC.Conclusion The PC incidence rate in the patients with DPNP is high.Clinical healthcare workers should pay attention to the evaluation of PC in these patients,and formulate the scientific and effective targeted intervention measures according to the main influen-cing factors to help the patients to reduce the pain burden in order to reduce the level of PC.

diabetic peripheral neuropathic painpain catastrophizingdiabetes distressinfluencing factor

李自强、傅桂芬、张艳萍、李湘、张欣、曾麟、郑秋萍、咸晓敏、王淼

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广西中医药大学护理学院,南宁 530001

广西医学科学院·广西壮族自治区人民医院护理部,南宁 530021

广西医学科学院·广西壮族自治区人民医院老年内分泌代谢科,南宁 530021

右江民族医学院护理学院,广西百色 533000

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糖尿病周围神经病理性疼痛 疼痛灾难化 糖尿病痛苦 影响因素

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(22)