护理人员恐惧-回避信念在颈部疼痛和生命质量之间的中介效应分析  

The mediating effect of fear-avoidance beliefs in neck pain and quality of life among nursing staff in a hospital in Shanghai

作　　者：王思逸 吴桂兰 沈英 金克峙[1] Wang Siyi;Wu Guilan;Shen Ying;Jin Kezhi(Key Laboratory of Public Health and Safety of Ministry of Education/School of Public Health,Fudan University,Shanghai 200032,China;Emergency Observation Room of Jinshan Hospital,Fudan University,Shanghai 201500,China;Nursing Department of Jinshan Hospital,Fudan University,Shanghai 201500,China)

机构地区：[1]复旦大学公共卫生学院/公共卫生安全教育部重点实验室,上海200032 [2]复旦大学附属金山医院急诊留观室,上海201500 [3]复旦大学附属金山医院护理部,上海201500

出　　处：《中国实用护理杂志》2020年第23期1825-1830,共6页Chinese Journal of Practical Nursing

摘　　要：目的验证上海市某医院护理人员恐惧-回避信念(FAB)是否在颈部疼痛(NP)和生命质量之间起中介效应。方法采用横断面研究,通过问卷调查研究对象的一般情况、NP情况及FAB和生命质量得分,使用中介效应分析探究FAB在NP和生命质量之间的中介效应。结果共收集有效问卷103份,NP组有60人(58.25%),无疼痛组43人(41.75%)。独立样本t检验发现,NP组FAB得分疼痛组高于无疼痛组(P<0.05);NP组生命质量得分疼痛组均低于无疼痛组,其中2组生理组成总分(PCS)差异有统计学意义(P<0.05)。Pearson相关分析显示FAB和生命质量得分存在负相关(rFABQ1-PCS=-0.32,rFABQ2-PCS=-0.34,rFABQ1-MCS=-0.20,rFABQ2-MCS=-0.32,P<0.05)。体力活动恐惧回避信念(FABQ-1)和工作恐惧回避信念(FABQ-2)均在NP和PCS之间起到完全中介效应,FABQ-1中介效应大小为0.575,FABQ-2中介效应大小为0.552。年龄作为协变量进入中介效应分析后FABQ-1中介效应增大,为0.601;FABQ-2的中介效应减小,为0.501。结论上海市某医院护理人员的恐惧-回避信念在NP和生命质量之间起到完全中介效应,且随着年龄增长,体力活动恐惧回避信念中介效应增强,而工作恐惧回避信念中介效应有所削弱。Objective To test whether the fear-avoidance beliefs(FAB)of nursing staff in a hospital in Shanghai have a mediating effect between neck pain and quality of life.Methods The cross-sectional survey method was used to obtain the general information,neck pain,FAB and quality of life scores of the subjects.The mediating effect analysis was used to verify potential mediating effect of FAB on neck pain and quality of life.Results A total of 103 valid questionnaires were collected,60(58.25%,60/103)in the neck pain group and 43(41.75%,43/103)in the pain-free group.The independent sample T test found that the FABQ score was higher in the pain group than in the pain-free group(P<0.05).The quality of life score was lower in the pain-free group,and the between-group difference of physical component summary(PCS)was statistically significant(P<0.05).The results of pearson correlation analysis showed a negative correlation between FABQ and quality of life scores(rFABQ1-PCS=-0.32,rFABQ2-PCS=-0.34,rFABQ1-MCS=-0.20,rFABQ2-MCS=-0.32,P<0.05).Both Physical Activity Fear Avoidance Belief(FABQ-1)and Work Fear Avoidance Belief(FABQ-2)have a complete mediating effect between neck pain and PCS.The mediating effect magnitude of FABQ-1 was 0.575,and the mediating effect of FABQ-2 was 0.552.The mediating effect magnitude of FABQ-1 was enlarged and FABQ-2 was reduced after adding age as a covariate in the mediating effect analysis.The mediating effect of FABQ-1 was 0.601,and the mediating effect magnitude of FABQ-2 was 0.501.Conclusion The fear avoidance belief of nursing staff in a hospital in Shanghai presents a complete mediating effect between neck pain and quality of life,and the mediating effect of Physical Activity Fear Avoidance Belief is stronger with age but the mediating effect of Work Fear Avoidance Belief is weaker.

关 键 词：护士 肌肉骨骼疾患 恐惧回避 生命质量 

分 类 号：R47[医药卫生—护理学]