济南市社区老年慢性疼痛患者生活质量影响因素的分析  

FACTORS AFECTING QUALITY OF LIFE IN ELDERLY WITH CHRONIC PAIN IN COMMUNITY IN JINAN

作　　者：冯晨秋[1] 高晖[1] 王贞慧[1] 娄凤兰[1] 

机构地区：[1]山东大学护理学院,济南250012

出　　处：《中国疼痛医学杂志》2013年第4期216-219,共4页Chinese Journal of Pain Medicine

摘　　要：目的:了解社区老年慢性疼痛患者生活质量的影响因素,为社区医护人员制定相应干预措施提供依据。方法:采用一般人口学资料调查表,SF-12生活质量量表,激惹、抑郁和焦虑自评量表,医学应对问卷,汉化版慢性疼痛自我效能感量表等对192例老年慢性疼痛患者进行调查。结果:老年慢性疼痛患者生活质量躯体健康得分39.47±9.94分,心理健康得分47.47±9.22分,均显著低于无慢性疼痛组(P<0.01)。自我效能感、抑郁、屈服的应对方式、受教育程度是老年慢性疼痛患者生活质量的影响因素(P<0.01),可解释55.8%的变异量。结论:社区老年慢性疼痛患者的生活质量主要受自我效能感、屈服的应对方式、抑郁、受教育程度等因素的影响;社区医护人员应针对自我效能感得分较低、抑郁、常采用屈服型应对方式、低教育水平的人群进行重点干预,更好地改善其生活质量。Objective： To investigate factors affecting quality of life in elderly with chronic pain in community and to make the basis for doctors to improve the elderly＇s quality of life. Methods： General demographic information, SF-12, Irritability, Depression and anxiety scale, medical coping modes questionnaire, Chronic Pain Self-Efficacy Scale of Chinese version were used for 192 old patients. Results： The scores of PCS-12 and MCS-12 are 39.47 ± 9.94 and 47.47 ± 9.22, both were significantly lower than the scores of patients without chronic pain （P 〈 0.01）. The factors affecting quality of life in elderly with chronic pain included self-efficacy, depression, coping modes （resigntion） and education （P 〈 0.01）, and was explained by 55.8% of the variance. Conclusion： Quality of life in elderly with chronic pain in community were related with self-efficacy, depression, coping modes （ resigntion ）, and education. Medical workers in community should pay attention to these factors, and to improve the elderly＇s quality of life.

关 键 词：慢性疼痛 生活质量 老年 社区 影响因素 

分 类 号：R402[医药卫生—临床医学]