Influencing factors and countermeasures of the pain catastrophizing level of parturients after cesarean section
Objective:To observe the related factors affecting the level of pain catastrophe of parturients after cesarean section,and to explore the targeted intervention strategies.Methods:A total of 283 parturients who underwent cesare-an section in hospital from October 2022 to February 2023 were selected as the research objects by convenience sam-pling method.A cross-sectional survey was conducted on the parturients through the general situation questionnaire,pain catastrophizing scale(PCS),numerical rating scale(NRS),pain self-efficacy scale(PSEQ),generalized anxiety scale(GAD-7),Edinburgh postnatal depression scale(EPDS)and family care index questionnaire(APGAR).Multivari-ate linear stepwise regression analysis was used to explore the independent influencing factors of the pain catastroph-izing level of the parturients after cesarean section.Results:The average PCS score of 269 parturients included in the study was(28.09±9.24)points,of which,there were 64(23.8％)parturients with PCS score ≥38 points.There was significant differences in the PCS score among the parturients with different educational levels or among the parturients with different occupations(P＜0.05).Pearson correlation analysis showed that the PCS score of the parturients with caesarean section was positively correlated with their scores of NRS,GAD-7 and EPDS,and was negatively correlated with their PSEQ and APGAR scores(P＜0.05).Multivariate linear stepwise regression analysis found that the higher education level,and the higher PSEQ and APGAR scores of the parturients were,the lower level of pain catastroph-izing after cesarean section.The higher of the NRS,GAD-7 and EPDS scores of the parturients were,the higher level of pain catastrophizing after cesarean section(all P＜0.05).Conclusion:The influencing factors of the level of pain cat-astrophizing of the parturients after cesarean section include the education level,the pain intensity,the pain self-effica-cy,the anxiety symptoms,the depressive symptoms and the family support.The improving postoperative pain management and health education of the parturients can improve their pain coping ability,reduce their negative emo-tions,and enhance their family support,and which may be effective ways to reduce the level of pain catastrophizing of the parturients.
万方数据
维普
