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。
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 hospital 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 reported severe pain catastrophizing.Nursing staff should pay more attention to those with severe pain intensity,more body parts involved,lower monthly income and education level,and take individualized interventions,thus to alleviate pain level and lessen pain catastrophizing of patients.
作者
宋春燕
王改利
吴红艳
Song Chunyan;Wang Gaili;Wu Hongyan(Nursing Department,Union Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第4期32-36,共5页
Journal of Nursing Science
基金
华中科技大学同济医学院护理学院自主创新研究项目(ZZCX2022012)。
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
chronic pain
pain catastrophizing
pain intensity
rumination
helplessness
site of pain
rheumatic pain
survey and analysis
作者简介
宋春燕:女,硕士,主管护师,songchunyan_143@163.com;通信作者:吴红艳,641270729@qq.com。
