依恋与疼痛信念在应对方式与疼痛调适间的中介作用  

Attachment and pain belief as mediators of adjustment to chronic pain in elderly community residents

作　　者：付佳丽[1] 冯晨秋[1] 娄凤兰[1] 

机构地区：[1]山东大学护理学院,济南250012

出　　处：《中国实用护理杂志》2014年第28期49-52,共4页Chinese Journal of Practical Nursing

基　　金：2010年山东大学优秀研究生科研创新基金（yyx10132）

摘　　要：目的 调查济南社区老年人慢性疼痛状况、应对方式、依恋风格和疼痛信念（感知）几个变量,探讨依恋和疼痛信念在疼痛调适与其应对方式间的中介效应,以期为社区老年慢性疼痛的机制和干预提供参考.方法 本研究应用简明疼痛程度量表（Chinese version of Brief Pain In-ventory,BPIC）、应对方式问卷-修订版（Coping Strategies Questionnaire-Revised,CSQ-R）、亲密关系体验量表（Experiences in Close Relationship-Revised,ECR-R）、疼痛信念与感知量表（Pain Beliefs and Per-ceptions Inventory,PBPI）对山东省济南市242名社区慢性疼痛老年人进行调查,运用中介效应检验方法检验依恋和疼痛信念在慢性疼痛与应对方式间的中介效应.结果 依恋回避在勇敢面对、厄运感、忽视疼痛应对方式与疼痛调适间起中介作用,效应值分别为0.047、0.031、0.017,分别占总效应的27.99％、6.28％、7.28％;疼痛信念与感知量表中的认为会持续疼痛分维度在厄运感应对方式与疼痛调适间起中介作用,效应值为0.043,占总效应的9.54％;而认为疼痛不可解除分维度在厄运感应对方式与疼痛调适间起中介作用,效应值为0.022,占总效应的4.89％.结论 在依恋中,依恋回避在应对方式与疼痛调适间起中介作用;在疼痛信念中,认为会持续疼痛、认为疼痛不可解除在应对方式与疼痛调适间起中介作用.其中,依恋回避在应对方式与疼痛调适间的中介效应较大.Objective To explore how attachment and pain belief mediate the relationship among coping strategies and adjustment to chronic pain in elderly community residents.Methods The demographic questionnaire,the Chinese version of Brief Pain Inventory,Coping Strategies Questionnaire-Revised,Experiences in Close Relationship-Revised,Pain Beliefs and Perceptions Inventory were used to investigate 242 patients in chronic pain.Results Attachment avoidance mediate the relationship between brace face,between bad feeling,between ignorance of pain and adjustment to chronic pain,with the mediation effects being 0.047,0.031 and 0.017 respectively,accounting for 27.99%,6.28% and 7.28% of total effect.The belief of continuing pain mediates the relationship between bad feeling and adjustment to chronic pain,with the mediation effect being 0.043,accounting for 9.54% of total effect.The belief that pain can not be relieved mediates the relationship between bad feeling and adjustment to chronic pain,with the mediation effect being 0.022,accounting for 4.89% of total effect.Conclusions Attachment avoidance,belief of continuing pain and belief that pain can not be relived play mediation roles between coping strategies and adjustment to chronic pain,attachment avoidance accounts for a more important role in all.

关 键 词：依恋 疼痛信念 应对方式 疼痛调适 中介作用 

分 类 号：R473[医药卫生—护理学]