慢性腰背痛患者生活质量的现状及其与应对方式的相关性  

Quality of Life in Patients with Chronic Low Back Pain and Its Relationship with Coping Styles

作　　者：杜世正[1] 胡玲莉[2] 柏亚妹[1] 董建树 金胜姬[1] 张姮[1] DU Shizheng;HU Lingli;BAI Yamei;DONG Jianshu;JIN Shengji;ZHANG Heng(School of Nursing,Nanjing University of Chinese Medicine,Nanjing210023,Jiangsu Province,China;Nuclear Medicine Department,Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School,Nanjing210008,Jiangsu Province,China;Center of Shanghai12320Public Health Hotline,Shanghai Institutes of Health,Shanghai200040,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023 [2]南京大学医学院附属鼓楼医院核医学科,江苏南京210008 [3]上海市健康促进中心12320公共卫生公益电话咨询服务中心,上海200040

出　　处：《解放军护理杂志》2018年第23期6-11,共6页Nursing Journal of Chinese People's Liberation Army

基　　金：教育部人文社会科学研究青年基金(18YJCZH025);江苏高校哲学社会科学研究基金项目(2018SJA0293);江苏省“青蓝工程”(2016-2019年度).

摘　　要：目的探讨慢性腰背痛患者生活质量的现状及其与应对方式的相关性,以期为进一步做好腰背痛的管理提供参考依据。方法 2015年5月至2016年2月,采用目的抽样法,选择南京及常州10个社区的196例慢性腰背痛患者为研究对象,采用人口社会学资料问卷、长海痛尺、简明健康状况量表(36-item short form health survey,SF-36)及简易应对方式问卷(simplified coping style questionnaire,SCSQ)对其进行生活质量和应对方式的调查,并分析其相关性。结果慢性腰背痛患者生活质量水平较低,不同人口学特征的患者生活质量存在差异,其中疼痛强度和年龄是慢性腰背痛患者生活质量的影响因素(均P<0.05);生活质量与应对方式相关,其中"改变消极想法"应对方式是腰背痛患者生活质量的正性影响因素,"被动接受"和"幻想"应对方式对生活质量存在负性影响(均P<0.05)。结论慢性腰背痛患者生活质量亟待提高,需重点关注老年、疼痛强度较高的患者;建议医护人员有针对性地教育患者改变对疼痛的消极思维,避免"被动接受"和"幻想"应对策略,主动参加有意义的活动,以期提高患者的生活质量。Objective To describe the quality of life(QOL)in patients with chronic low back pain(CLBP),and to explore the relationship between QOL and coping styles.Methods By purposive sampling method,196community patients with CLBP were investigated with questionnaires.The quality of life and coping styles were investigated by using demographic general questionnaire,Changhai Pain Scale,36-item short form health survey(SF-36)and simple coping style questionnaire(SCSQ),and their correlation was analyzed.Results The level of QOL in patients with CLBP was relatively low;the QOL of patients with different demographic characteristics varied to some extent,especially influenced by age and pain intensity(all P<0.05).Coping styles and QOL were correlated significantly.“Changing negative thoughts”were the positive influencing factor for patients’QOL,while the coping styles of“passive acceptance”and“illusion”were significantly negative influencing factors for QOL(all P<0.05).Conclusions The QOL of patients with CLBP needs to be improved,and the attention should be paid to elderly patients with high pain intensity.It is suggested that patients should change their negative belief about pain,and avoid using“passive acceptance”and“illusion”strategies,thus enhance the patients’QOL.

关 键 词：慢性腰背痛 生活质量 应对方式 相关性 

分 类 号：R473.6[医药卫生—护理学]