慢性疼痛患者疼痛灾难化水平及影响因素分析
The level and determinants of pain catastrophizing in patients with chronic pain
宋春燕 1王改利 2吴红艳1
作者信息
- 1. 华中科技大学同济医学院附属协和医院护理部(湖北 武汉,430022)
- 2. 华中科技大学同济医学院附属协和医院心外科(湖北 武汉,430022)
- 折叠
摘要
目的 探讨慢性疼痛患者疼痛灾难化现状及影响因素,为实施针对性干预提供参考.方法 采用便利抽样法选择武汉市某三甲医院门诊303例慢性疼痛患者为研究对象,运用一般资料调查表及疼痛灾难化量表进行调查.结果 慢性疼痛患者疼痛灾难化得分28.00(17.00,39.00)分,沉思维度得分最高,无助维度得分最低;93例(30.7％)患者有疼痛灾难化倾向.多元线性回归分析显示,平均疼痛程度、疼痛类型、疼痛部位个数、个人月收入、文化程度是疼痛灾难化的影响因素(均P＜0.05),共解释34.0％的变异量.结论 慢性疼痛患者疼痛灾难化较高,需重点关注疼痛程度高、疼痛部位多、月收入和文化程度低的患者,进行针对性干预,以减轻疼痛,从而降低患者疼痛灾难化认知水平.
Abstract
Objective To identify the level and determinants of pain catastrophizing in patients with chronic pain,and to provide re-ference for targeted interventions.Methods A total of 303 patients with chronic pain attending outpatient clinics of a tertiary hospi-tal in Wuhan city were surveyed by using a sociodemographic questionnaire and the Pain Catastrophizing Scale.Results The median(IQR)score of pain catastrophizing was 28.00(17.00,39.00).The subscale of rumination scored the highest and helplessness scored the lowest.Ninety-three(30.7％)of the participants had pain catastrophizing.Multiple linear regression showed that,average pain intensity,type of pain,the number of body parts involved,personal monthly income,and education level were factors affecting pain catastrophizing(all P＜0.05),explaining 34.0％of the total variance.Conclusion Patients with chronic pain repor-ted severe pain catastrophizing.Nursing staff should pay more attention to those with severe pain intensity,more body parts in-volved,lower monthly income and education level,and take individualized interventions,thus to alleviate pain level and lessen pain catastrophizing of patients.
关键词
慢性疼痛/疼痛灾难化/疼痛程度/沉思/无助/疼痛部位/风湿性疼痛/调查分析Key words
chronic pain/pain catastrophizing/pain intensity/rumination/helplessness/site of pain/rheumatic pain/survey and analysis引用本文复制引用
基金项目
华中科技大学同济医学院护理学院自主创新研究项目(ZZCX2022012)
出版年
2024
NETL
NSTL
万方数据