慢性骨科疼痛患者心理灵活性现状及其影响因素  

Status of Psychological Flexibility and Its Influencing Factors among Patients with Chronic Orthopedic Pain

作　　者：李梦诗 高远[2] 顾申 周玲君 LI Mengshi;GAO Yuan;GU Shen;ZHOU Lingjun(Translational Medicine Research Center,Naval Medical University,Shanghai 200433,China;Nursing Department of the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China;College of Nursing,Naval Medical University)

机构地区：[1]海军军医大学转化医学研究中心,上海200433 [2]解放军总医院第一医学中心护理部,北京100853 [3]海军军医大学护理系

出　　处：《解放军护理杂志》2021年第5期33-36,40,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：国家自然科学基金面上项目(31171005)。

摘　　要：目的了解慢性骨科疼痛患者心理灵活性的相关影响因素,以为更好地改善慢性骨科疼痛患者的治疗结局提供理论依据。方法 2020年7-9月,采用便利抽样法选取北京、上海两地5所三级甲等医院骨关节科刚入院的491例患者为研究对象,采用自制一般资料调查表、疼痛患者心理灵活性量表(psychological inflexibility in pain scale, PIPS)、疼痛功能障碍量表(pain disability index, PDI)、恐动症评估简表中文版(tampa scale of kinesiophobia, TSK-11)、世界卫生组织生存质量测定量表简表中文版对其进行调查。结果慢性骨科疼痛患者的PIPS总得分为(51.06±14.35)分,其中回避维度为(30.54±10.67)分,认知融合维度为(20.52±5.30)分;年龄、过去1周的平均疼痛程度、PDI、TSK-11对慢性骨科疼痛患者的PIPS有影响(均P<0.05),且TSK对PIPS的影响最大。结论慢性骨科疼痛患者心理灵活性与年龄、过去1周的平均疼痛程度、疼痛功能障碍相关,提高慢性骨科疼痛患者心理灵活性可在分析识别具体影响因素的基础上进行有效干预。Objective To investigate the related factors of psychological flexibility in patients with chronic orthopedic pain, so as to provide a theoretical basis for better improving the treatment outcome of patients with chronic orthopedic pain.Methods By convenience sampling method, 491 patients who had just been admitted in the department of osteoarthritis of the five tertiary hospitals in Beijing and Shanghai were selected from July to September 2020.The self-made general information questionnaire, Psychological Inflexibility in Pain Scale(PIPS),Pain Disability Index(PDI),Tampa Scale of Kinesiophobia(TSK-11),WHOQOL-BREF were used for investigation.Results The score of PIPS of chronic orthopedic pain patients was(51.06±14.35),the score of Avoidance was(30.54±10.67) and the score of Cognitive Fusion was(20.52±5.30).Age, average pain degree in the past week, PDI and TSK-11 influenced PIPS of patients with chronic orthopedic pain(all P<0.05). The TSK had the greatest influence on the PDI score.Conclusions The psychological flexibility of patients with chronic orthopedic pain is related to age, the average degree of pain in the past week, and pain disability.Kinesiophobia has the greatest impact on the psychological flexibility of patients with chronic orthopedic pain.

关 键 词：慢性疼痛 心理灵活性 运动恐惧 生活质量 影响因素 

分 类 号：R473.6[医药卫生—护理学]