意外创伤疼痛患者恐动症的影响因素及路径分析  

Influencing factors and paths of postoperative kinesiophobia in accidental trauma pain patients

作　　者：周阳[1] 刘晓彤 黄颐殊 郭亚彬 周杨 曾必云[4] ZHOU Yang;LIU Xiaotong;HUANG Yishu;GUO Yabin;ZHOU Yang;ZENG biyun(Teaching and Research Section of Clinical Nursing,Xiangya Hospital of Central South University,Changsha,410008,China)

机构地区：[1]中南大学湘雅医院护理教研室,长沙市410008 [2]中南大学湘雅护理学院 [3]中南大学湘雅医院国际医疗部,长沙市410008 [4]中南大学湘雅医院骨科,长沙市410008

出　　处：《中国护理管理》2023年第10期1462-1466,共5页Chinese Nursing Management

基　　金：湖南省护理学会立项课题(HNKY202202);湖南省自然科学基金项目(2022JJ40766);2023年中南大学教改项目(2023jy084)。

摘　　要：目的:分析因意外创伤住院的疼痛患者的恐动症影响因素,并探讨影响因素间的作用路径,为临床干预提供参考依据。方法:采用便利抽样法,于2022年2月—3月选取长沙市某三级甲等医院急诊入院的意外创伤疼痛患者作为调查对象,采用一般资料调查表、疼痛数字评分表、疼痛灾难化量表、社会支持量表以及恐动症评分量表进行调查,采用广义线性模型进行影响因素分析,并进行路径分析。结果:440例意外创伤疼痛患者的疼痛得分为3.5(2.0,5.0)分,恐动症得分为44.0(38.0,48.8)分。患者发生恐动症的影响因素为文化程度、职业类型、是否有疼痛灾难化、社会支持和疼痛强度。路径分析结果显示,疼痛灾难化和社会支持可直接影响恐动症,社会支持与疼痛强度可通过疼痛灾难化间接影响恐动症。结论:意外创伤疼痛患者的疼痛程度较为严重,恐动症发生率高,医护人员应及时进行疼痛干预,通过减轻疼痛灾难化程度来降低患者恐动症水平。Objective:To analyze the influencing factors of kinesiophobia in patients with pain due to accidental trauma,and then to further explore the impact path of factors,so as to provide reference for clinical intervention.Methods:Emergency trauma patients were selected by convenience sampling method from February to March in 2022 in a tertiary grade A hospital in Changsha,the subjects were investigated with general condition questionnaire,pain numerical rating scale,pain catastrophe scale,social support scale,and Tampa scale for kinesiophobia.Generalized linear model was used to analyze the influencing factors and the structural equation modeling was used to analyze the path.Results:The pain score of 440 trauma patients was 3.50(2.0,5.0),the score of kinesiophobia was 44.00(38.0,48.8).The influencing factors of kinesiophobia were education level,occupation type,catastrophic pain,social support and pain degree.Path analysis result showed that catastrophic pain and social support directly predict the level of kinesiophobia,and social support and pain severity influence the level of kinesiophobia by the mediating of catastrophic pain.Conclusion:The incidence of kinesiophobia in patients with accidental trauma is high,medical staff should intervene pain as soon as possible,so as to reduce the level of kinesiophobia by alleviating the degree of catastrophic pain.

关 键 词：意外创伤 恐动症 疼痛 疼痛灾难化 社会支持 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学] R441.1