癌痛感觉-情绪-认知三维度相关性研究  

Relationship between pain severity, emotion and beliefs

作　　者：杨兴玲[1] 王艳娜[1] 黄辉跃 梁有道 李惠菊[2] 安奕苇 金七妹[5] 

机构地区：[1]兰州大学第一临床医学院,730000 [2]兰州大学护理学院,730000 [3]兰州大学第二临床医学院 [4]甘肃省人民医院肿瘤内科 [5]兰州大学第二医院肿瘤内科

出　　处：《中国实用护理杂志》2017年第13期970-974,共5页Chinese Journal of Practical Nursing

基　　金：“本科教学工程”国家级大学生创新创业训练计划（201510730153）

摘　　要：目的探讨癌症患者疼痛感觉、情绪与认知3个维度的相互影响关系。方法采用自制的社会人口学资料问卷、癌症疼痛情况调查表、症状自评量表（SCL-90）、疼痛信念与感知量表（PBPI）调查46例癌症患者疼痛感觉、情绪与认知情况。结果接受问卷调查癌痛患者中轻度疼痛13例占28．3％，中度疼痛17例占37．0％，重度疼痛16例占34．8％。躯体化、抑郁、焦虑、敌对症状明显。持有疼痛信念“疼痛很神秘”较深。疼痛程度与“抑郁”（rs=0．377），“焦虑”（rs=0．388）在置信度（双侧）为0．01时相关性显著；与“人际关系敏感”（rs=0．308），“敌对”（rs=0．320）在置信度（双侧）为0．05时相关性显著。疼痛程度与“感到疼痛很神秘”（rs=0．529），“认为会持续疼痛”（rs=0．680）在置信度为0．01时相关性显著。结论癌痛患者疼痛程度与疼痛情绪（焦虑，抑郁，敌对，人际关系敏感），持有的疼痛信念（感到疼痛很神秘，认为疼痛不可解除）呈正性相关关系。Objective To analyze the relationship between pain sensation, emotion and recognition in three dimensions. Methods By using questionnaires which contained general information questionnaire, Cancer Pain Questionnaire, Self-reporting Inventory （SCL-90）, Pain Beliefs and Perceptions Inventory （PBPI） to investigate pain sensation, emotion and recognition of 46 patients with cancer pain. Results There were 13（28.3%） cases sufferd from mild pain,17 （37.0%） cases were moderate pain, 16 （34.8%）cases were severe pain.As to the result of SCL-90,patients showed obvious symptom in somatization, depression, anxiety and hostility.They holded deep belief of that pain was very mysterious. There was a significant correlation between pain severity and depression（rs=0.377）, anxiety （rs=0.388） on the condition that confidence level was 0.01; there was also a significant correlation between pain degree and interpersonal sensitivity（rs=0.308）, hostility（rs=0.320） on the condition that confidence level was 0.05. As to pain beliefs, pain degree had a significant correlation with it in the dimension of pain as mystery （re= 0.529） and pain was persistent（rs=0.680） on the condition that confidence level was 0.01. Conclusions The survey shows a positive correlation between pain severity, emotion of pain（such as anxiety,depression, hostility and interpersonal sensitivity）and beliefs about pain as mystery or permanent.

关 键 词：肿瘤 疼痛 情绪 认知 肿瘤治疗方案 

分 类 号：R473.73[医药卫生—护理学]