剖宫产术后产妇疼痛灾难化现状及其影响因素分析  

Influencing factors of catastrophized pain in cesarean section patients

作　　者：严艳 刘桂平[2] 吴亚婷 买茹[2] 刘建娟[2] Yan Yan;Liu Guiping;Wu Yating;Mai Ru;Liu Jianjuan(The Third Clinical School,Xinxiang Medical University;the Third Hospital,Xinxiang Medical University,Xinxiang,453000,China)

机构地区：[1]新乡医学院第三临床学院 [2]新乡医学院第三附属医院,河南新乡453000

出　　处：《现代临床护理》2020年第12期1-7,共7页Modern Clinical Nursing

摘　　要：目的了解剖宫产术后产妇的疼痛灾难化现状,并分析其影响因素,为制订剖宫产术后有效镇痛措施提供参考。方法采用简明疼痛量表、疼痛灾难化量表、爱丁堡产后抑郁量表、状态特质焦虑量表及疼痛自我效能感量表,对在本院住院196例剖宫产产妇进行横断面调查,通过多重线性回归分析探讨其影响因素。结果剖宫产产妇术后疼痛灾难化总分为(44.47±10.36)分,其疼痛灾难化发生率为57.14%。多重线性回归分析结果显示,疼痛强度可正向预测剖宫产产妇术后疼痛灾难化水平(β=0.207,P<0.01),自我效能感可负向预测剖宫产术后疼痛灾难化水平(β=-0.347,P<0.001)。结论剖宫产产妇术后疼痛灾难化发生率较高。剖宫产术后疼痛强度及产妇的疼痛自我效能感能可影响剖宫产产妇疼痛灾难化水平,护理人员应及时给予产妇有效镇痛并帮助产妇提高其自我效能感,降低产妇产后的疼痛灾难化水平,促进产妇健康行为的改变。Objective To investigate the status of pain catastrophizing in patients after cesarean section and look into its influencing factors so as to provide reference for effective analgesia after cesarean section.Methods A cross-sectional survey was conducted among 196 patients with cesarean section in a general hospital in Henan Province by using the concise pain scale,the pain catastrophizing scale,the Edinburgh postpartum depression scale,the state trait anxiety scale and the pain self-efficacy scale.Results The total score of pain catastrophes after cesarean section was(44.47±10.36),and the incidence of pain catastrophizing was 57.14%.Multiple linear regression analysis showed that pain intensity could positively predict the catastrophic pain after cesarean section(β=0.207,P<0.01),and self-efficacy could negatively predict the catastrophizing pain after cesarean section(β=-0.347,P<0.01).Conclusions Maternal pain after cesarean section is highly catastrophized.The pain intensity after cesarean section and maternal pain self-efficacy can significantly affect the level of catastrophized pain in patients with cesarean section.Nursing staff should timely give effective analgesia to puerpera and help them improve their self-efficacy,reduce the catastrophic level of postpartum pain,and promote the change of maternal health behavior.

关 键 词：剖宫产术后 疼痛灾难化 疼痛自我效能感 疼痛强度 

分 类 号：R473.71[医药卫生—护理学]