摘要
目的:了解慢性疼痛患者恐动发生现状并分析其影响因素,为医护人员采取针对性干预提供参考。方法:采用便利抽样法,应用一般情况调查表、长海痛尺、恐动症评分量表(TSK)对浙江省3家三甲医院疼痛门诊176例慢性疼痛患者进行问卷调查。结果:恐动患者TSK评分为(42.92±3.47),恐动症比例为42.61%。单因素分析示,学历、当前躯体疼痛和既往最痛水平恐动症发生有统计学意义(P<0.05)。Logistic回归分析示,既往最痛水平是恐动症发生的主要影响因素(OR=1.468,95%CI=1.225～1.760,P<0.01)。结论:慢性疼痛患者恐动症发生率高,既往最痛水平高低与恐动症发生密切相关,关注慢性疼痛患者既往疼痛水平,改变其运动畏惧认知,促进慢性疼痛患者的康复。
Objective:To understand the current situation of kinesiophobia and its influencing factors in chronic pain patients,providing reference for the medical staff to take targeted intervention measures.Methods:A survey of 176 patients suffering from chronic painswas madein the out-patient departments of the three third-level grade A hospitals in Zhejiang Province.Convenient sampling methods ofthe general questionnaires,the Changhai pain rating scale and tampa scale of kinesiophobia(TSK)were used in the study.Results:The TSK score was(42.92±3.47)and the rate of movement fear was up to 42.61%.The single factor analysis showed that educational background,current physical pain and the previous maximum pain level had statistical significance(P<0.05).Logistic regression analysis showed that the previous maximum pain level was the major influencing factor for kinesiophobia(OR=1.468,95%CI=1.225-1.760,P<0.01).Conclusion:The chronic pain patients are more likely to suffer from kinesiophobia,and there is a close connection between the previous most painful level and fear of moving.It is suggested that we should pay attention to the previous pain level of patients with chronic pain,change the patients’cognition of movement fear and promote the rehabilitation of patients with chronic pain.
作者
王宋超
张春梅
王荣
王凌燕
WANG Songchao;ZHANG Chunmei;WANG Rong;WANG Linyan(The Second School of Medicine,Wenzhou Medical University,Wenzhou,325035;Department of Medical Oncology,the Second Hospital of Jiaxing,Jiaxing,314000;Department of Nursing,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,325027;Department of Anesthesiology,the First Hospital of Jiaxing City,Jiaxing,314000)
出处
《温州医科大学学报》
CAS
2018年第12期929-932,共4页
Journal of Wenzhou Medical University
关键词
慢性疼痛
恐动
运动畏惧
影响因素
chronic pains
kinesiophobia
the fear of moving
influencing factors
作者简介
王宋超(1983-),女,浙江嘉兴人,主管护师;通信作者:张春梅,主任护师,硕士生导师,Email:sallyzcm@126.com。
