慢性疼痛患者生活质量及其相关因素分析  

A STUDY ON QUALITY OF LIFE AND ITS INFLUENTIAL FACTORS IN CHRONIC PAIN PATIENTS

作　　者：陈国良[1] 丛梅 王梅 卢山[1] 孙立[1] 姜忠东[1] 崔红[3] 

机构地区：[1]中国人民解放军第406医院215临床部,辽宁大连116041 [2]海军万寿路干休所门诊部,北京100086 [3]解放军总医院医学心理科,北京100853

出　　处：《中国疼痛医学杂志》2015年第7期524-528,共5页Chinese Journal of Pain Medicine

基　　金：国家科技支撑计划项目(2013BAI08B03)

摘　　要：目的:了解慢性疼痛患者的生活质量状况,并分析其相关影响因素。方法:选取就诊于解放军总医院疼痛科门诊慢性疼痛患者为研究对象,研究工具包括一般资料调查表、简式Mc Gill疼痛问卷(short-form of Mc Gill pain questionnaire,SF-MPQ)及生活质量指数(quality of life index,QL-Index)。结果:1慢性疼痛患者生活质量总分与SF-MPQ总分、感觉项总分、情感项总分、视觉模拟评分(visual analogue scale,VAS)、现时疼痛强度(present pain intensity,PPI)、感觉项计数、情感项计数均呈显著负相关(r=-0.195^-0.433));2多元线性逐步回归分析模型可解释慢性疼痛患者生活质量指数改变的88.8%,情感项总分、感觉项总分、VAS评分、感觉项计数、情感项计数、PPI评分对患者生活质量改变有影响,尤其以目前疼痛强度评分对患者生活质量的影响最为显著。结论:慢性疼痛患者的生活质量受其疼痛特征的多重影响,患者目前疼痛强度对其生活质量的影响最为显著。Objective： To investigate the quality of life and its influential factors in chronic pain patients. Methods： The subjects were recruited from pain outpatient clinics of PLA general hospital. The characteristics of pain and quality of life were evaluated by the Chinese version of short-form Mc Gill Pain Questionnaire（SFMPQ） and Quality of Life Index（QL-index）, respectively. Results： 1 QL-Index total score was negatively correlated with SF-MPQ total score, sensory pain sub-score, emotional pain sub-score, visual analogue scale（VAS） sub-score, present pain intensity（PPI） sub-score, the number of emotional count and feeling count（r =-0.195 ～-0.433）. 2 The analysis using multiple linear stepwise regression analysis models predicted a total of 88.8% of the variance of QL-Index total score in chronic pain patients. Conclusions： The quality of life in chronic pain patients could be influenced significantly by multiple pain characteristics, especial the PPI.

关 键 词：慢性疼痛 生活质量 

分 类 号：R402[医药卫生—临床医学]