全膝关节置换术患者疼痛灾难化及影响因素调查  

Pain catastrophe and its influencing factors in patients undergoing total knee arthroplasty

作　　者：李晨菲 贺玲[2] 黄幼玲[2] 刘艳[2] 高蒙蒙 闫浚玮 路小纤 马珍珍[2] Li Chenfei;He Ling;Huang Youling;Liu Yan;Gao Mengmeng;Yan Junwei;Lu Xiaoqian;Ma Zhenzhen(School of Nursing,Xinxiang Medical University,Xinxiang 453003,China)

机构地区：[1]新乡医学院护理学院,河南新乡453003 [2]中国人民解放军陆军第八十三集团军医院 [3]新乡医学院第一附属医院 [4]新乡医学院三全学院

出　　处：《护理学杂志》2020年第23期22-24,38,共4页Journal of Nursing Science

基　　金：新乡医学院2019年研究生科研创新项目(YJSCX201941Y)。

摘　　要：目的探讨全膝关节置换术患者疼痛灾难化水平及其影响因素,为制定针对性的干预措施提供参考。方法采用便利抽样法,选取豫北地区5所三级综合医院的356例全膝关节置换术患者,采用一般资料调查表、疼痛灾难化量表、膝关节功能评分、正性负性情绪量表进行调查。结果全膝关节置换术患者疼痛灾难化总分为(31.01±7.05)分,74例(20.79%)患者疼痛灾难化总分≥38分,即达到疼痛灾难化水平。多元线性回归分析结果显示,膝关节功能、正性情绪、职业、年龄是影响疼痛灾难化的主要因素(均P<0.01)。结论全膝关节置换术患者疼痛灾难化水平较高,膝关节功能低下、正性情绪得分较低、务农人员及高龄患者更容易发生疼痛灾难化,医护人员应针对主要影响因素制定干预措施,以降低疼痛灾难化的发生。Objective To investigate the level of pain catastrophe in total knee arthroplasty patients and its influencing factors,so as to provide reference for developing targeted intervention.Methods Totally 356 total knee arthroplasty patients from 5 tertiary gene-ral hospitals in northern part of Henan province were selected by convenience sampling,then they were investigated using the ge-neral information questionnaire,pain catastrophizing scale,hospital for special surgery knee score and positive and negative affect scale.Results The total pain catastrophe score of patients undergoing total knee arthroplasty was(31.01±7.05),and 74(20.79%)patients scored 38 or more,which reached the level of pain catastrophe.Multiple linear regression analysis showed that,knee function,positive emotions,occupation and age were the main influencing factors of pain catastrophe(P<0.01 for all).Conclusion Patients undergoing total knee arthroplasty suffer from a high level of pain catastrophe,those farmer and elderly patients with a lower knee function and positive emotion scores are more likely to experience pain catastrophe.Medical staff should develop targeted intervention according to the major influencing factors,so as to reduce pain catastrophe for the patients.

关 键 词：全膝关节置换术 疼痛灾难化 情绪状态 膝关节功能 疼痛 影响因素 

分 类 号：R473.6[医药卫生—护理学]