慢性疼痛病人疼痛困扰现状及其影响因素研究  

Status quo of pain-related distress in patients with chronic pain and its influencing factors

作　　者：吴红艳[1] 宋春燕 谭璇 戴红梅[1] 陈冬萍 Wu Hongyan, Song Chunyan, Tan Xuan, et al(Union Hospital, Tongji Medical College of H uazhong University of Science and Technology,Hubei 430022 Chin)

机构地区：[1]华中科技大学同济医学院附属协和医院

出　　处：《护理研究》2018年第15期2359-2364,共6页Chinese Nursing Research

基　　金：湖北省自然科学基金项目;编号:2016CFB678;华中科技大学同济医学院附属协和医院药剂护专项基金项目;编号:2016-17

摘　　要：[目的]了解慢性疼痛病人的疼痛困扰现状,并分析其影响因素,为采取针对性护理干预提供参考。[方法]采用一般资料调查表及简明疼痛程度量表对288例门诊慢性疼痛病人进行调查。[结果]慢性疼痛病人在过去1周遭受的疼痛程度为(4.82±1.79)分,慢性疼痛给病人带来的困扰依次为日常生活、工作、睡眠、情绪,其平均分均在5.00分以上。性别、职业、文化程度、个人月收入、年龄、疼痛部位数及病程不同,病人疼痛困扰的不同方面差异有统计学意义(P<0.05或P<0.01);回归分析显示,个人月收入、疼痛部位数及年龄是病人疼痛困扰的重要影响因素(P<0.05或P<0.01)。[结论]慢性疼痛病人承受着较为严重的疼痛折磨,疼痛给病人工作、日常生活、睡眠、情绪造成的困扰较大,低收入、疼痛部位多、老年、女性、农民、低学历、病程长的慢性疼痛病人,其感受到的疼痛困扰程度更高,应成为重点干预人群。Objective：To understand the status quo of pain-related distress in patients with chronic pain,analyze its influencing factors,and to provide the reference for targeted interventions.Methods：A total of 288 outpatients with chronic pain were surveyed with a selfdesigned general information questionnaire and the Brief Pain Inventory.Results：Patients scored（4.82±1.79）on pain intensity in the previous week,and the pain affected patients′daily life,work,sleep and mood,with the average scores greater than 5.00.Significant differences were found in some dimensions of pain-related distress in patients with different gender,occupation,education background,monthly income,age,the number of pain sites and pain course（P〈0.05 or P〈0.01）.The multiple regression analysis showed that monthly income,the number of pain sites and age were important factors of pain-related distress（P〈0.05 or P〈0.01）.Conclusions：Patients with chronic pain suffered serious pain-related distress in their work,daily life,sleep and mood.Those patients who had lower monthly income and more pain sites,who were aged and female,who was a farmer,who had a lower educational background and longer pain course,suffered from heavier distress and should be the focus of intervention.

关 键 词：慢性疼痛 疼痛困扰 影响因素 日常生活 工作 睡眠 情绪 护理 

分 类 号：R47[医药卫生—护理学]