癌症患者疼痛认知与自我效能现状及相关性  

Status and correlation of pain cognition and self-efficacy in cancer patients

作　　者：高娜[1] 柳洪飞 GAO Na;LIU Hongfei(Qilu Hospital of Shandong University,Jinan,250013)

机构地区：[1]山东大学齐鲁医院,山东省济南市250013

出　　处：《护理实践与研究》2022年第13期1916-1920,共5页Nursing Practice and Research

摘　　要：目的 调查癌症患者疼痛认知与疼痛自我效能现状,并探讨两者相关性。方法 于2021年3-7月,采用问卷调查法对山东大学齐鲁医院208例癌痛患者进行调查,采用单因素方差分析、相关分析及多元线性回归分析,探讨疼痛认知与自我效能现状及其之间的关系。结果 恶性肿瘤患者疼痛认知总分为51.53±8.79分,疼痛自我效能总分53.17±14.73分。单因素分析显示,不同年龄、文化程度、患者现住院与否、是否接受疼痛知识宣教的癌痛患者,其疼痛自我效能之间差异有统计学意义(P<0.05);疼痛认知与疼痛自我效能总分及各维度之间呈正相关(r=0.237~0.864,P<0.05)。多因素线性回归分析结果显示,在控制了其他因素的影响后,疼痛认知总分与癌痛患者自我效能仍然呈正相关关系,且在各影响因素中关系最为密切(P<0.05)。结论 癌痛患者疼痛认知处于中等水平,疼痛认知的改善可以帮助患者提高其疼痛效能,医护人员要积极关注提高癌痛自我效能感的方法,提高其疼痛管理效能,最终改善癌痛患者生活质量。Objective To investigate the status quo of pain cognition and pain self-efficacy in cancer patients and to explore the correlation. Methods From March to July 2021, 208 patients with cancer in Qilu Hospital of Shandong University were investigated by questionnaire. Single factor analysis of rariance correlation analysis and multiple linear regression analysis were used to explore the status quo and the relationship between pain cognition and self-efficacy between them. Results The total score of pain cognition and pain self-efficacy in patients with malignant tumor were 51.53±8.79 points and 53.17±14.73 points. Univariate analysis showed that there were statistically significant differences in pain self-efficacy among cancer pain patients with different age, education level, whether the patients were hospitalized or not, and whether they had received pain knowledge education(P<0.05). There was a positive correlation between pain cognition and the total score and the dimensions of pain self-efficacy(R = 0.237-0.864, P<0.05). The results of multi-factor linear regression analysis showed that the total score of pain cognition was still positively correlated with self-efficacy of cancer pain patients after controlling the influence of other factors, and the relationship was the closest among all factors(P<0.05). Conclusion The pain cognition of cancer pain patients was at a moderate level, and the improvement of pain cognition could help patients improve their pain efficacy. Medical staff should actively pay attention to the methods to improve the self-efficacy of cancer pain, improve the pain management efficiency, and finally improve the quality of life of cancer pain patients.

关 键 词：癌痛患者 疼痛认知 自我效能 现状 相关性 

分 类 号：R473.73[医药卫生—护理学]