首页|原发性三叉神经痛老年患者睡眠状况与其应对方式和疼痛信念的关系

原发性三叉神经痛老年患者睡眠状况与其应对方式和疼痛信念的关系

Investigation of sleep status,coping styles and pain belief and their relationship in elderly patients with intrinsic trigeminal neuralgia

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目的 了解老年原发性三叉神经痛(trigeminal neuralgia,ITN)患者的睡眠状况,分析其与应对方式及疼痛信念的关系,旨在改善老年ITN患者的睡眠状况.方法 收集 98 例老年ITN患者的病历资料,以疼痛数字评分法(NRS)评估患者疼痛程度,采用匹兹堡睡眠质量指数量表(PSQI)、简易应对方式问卷(SCSQ)、中文版疼痛信念与感知量表(PBPI)调查患者睡眠状况、应对方式和疼痛信念,分析睡眠状况的影响因素,及其与应对方式和疼痛信念的关系.结果 98 例老年ITN患者中存在睡眠障碍者 66 例(占 67.3%);睡眠障碍组中病程>6 年、多支病变、中重度疼痛的占比,以及消极评分、PBPI总分均高于睡眠优良组,差异有统计学意义(P<0.05).Spearman相关分析结果显示,老年ITN患者的PSQI评分与积极评分、消极评分、PBPI总分均具相关性(r=-0.346、0.331、0.312,均P<0.05);单因素和Logistic回归分析显示,疼痛程度、应对方式和疼痛信念均为睡眠状况的独立影响因素(P<0.05).结论 老年ITN患者的睡眠状况不佳,与其应对方式和疼痛信念有关.
Objective To analyze the relationship between sleep status and coping styles pain belief in elderly patients with intrinsic trigeminal neuralgia(ITN)in order to improve sleep status.Methods The medical records of 98 elderly patients with TN were collected.The numeric rating scale(NRS)was used to assess the degree of pain in patients.The Pittsburgh sleep quality index(PSQI),the simplified coping style questionnaire(SCSQ),and the Chinese version of the pain beliefs and perceptions inventory(PBPI)were employed to investigate the patients'sleep status,coping strategies,and pain beliefs.The factors influencing sleep status and its relationship with coping strategies and pain beliefs were analyzed.Results Among the 98 elderly patients with TN,66 cases(67.3%)were found to have sleep disorders.In the group with sleep disorders,the proportion of patients with a disease course of more than 6 years,multiple lesions,moderate to severe pain,as well as negative scores and total PBPI scores were higher compared to the group with good sleep quality,and these differences were statistically significant(P<0.05).Results of Spearman correlation analysis indicated that the PSQI score of elderly patients with TN was correlated with positive scores,negative scores,and total PBPI scores(r=-0.346,0.331,0.312,all P<0.05).Both univariate and logistic regression analyses revealed that the degree of pain,coping strategies,and pain beliefs were independent influencing factors of sleep status(P<0.05).Conclusions The poor sleep status of elderly patients with TN is associated with their coping strategies and pain beliefs.

intrinsic trigeminal neuralgiaelderlysleep statuscoping strategiespain beliefs

龚燕、居淑渝、朱琳、方碧兰、孙承龙

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杭州市第一人民医院 神经外科,浙江 杭州 310006

原发性三叉神经痛 老年 睡眠状况 应对方式 疼痛信念

浙江省医药卫生科技计划项目

2021KY229

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(3)