肺腺癌晚期癌痛患者疼痛信念与应对方式的关系  

Relationship Between Pain Beliefs and Coping Styles in Patients with Advanced Cancer Pain in Lung Adenocarcinoma

作　　者：张永靖 靳晓冉 易善永 ZHANG Yongjing;JIN Xiaoran;YI Shanyong(Department of Medical Oncology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China)

机构地区：[1]郑州大学附属郑州中心医院肿瘤内科,河南郑州450007

出　　处：《河南医学研究》2023年第22期4076-4079,共4页Henan Medical Research

基　　金：吴阶平医学基金会(320.6750.2021-02-142)。

摘　　要：目的 分析肺腺癌晚期癌痛患者疼痛信念与应对方式的关系。方法 选取郑州大学附属郑州中心医院2019年1月至2022年8月收治的98例肺腺癌患者作为研究对象,采用简易应对方式问卷(SCSQ)评估患者应对方式并分组。设计一般资料调查表,收集并比较患者一般资料。比较患者疼痛信念[疼痛信念问卷(PBQ)],分析肺腺癌晚期癌痛患者疼痛信念与应对方式的关系。结果 98例肺腺癌晚期癌痛患者经SCSQ评估,56例(57.14%)消极评分更高;42例(42.86%)积极评分更高。消极应对组视觉模拟疼痛(VAS)评分、PBQ评分高于积极应对组(P<0.05);组间其他资料对比差异无统计学意义(P>0.05)。经双变量Pearson直线相关性检验结果显示,疼痛信念与积极应对呈负相关(r<0,P<0.05),与消极应对呈正相关(r>0,P<0.05)。经多元回归分析,结果显示,VAS评分高、PBQ评分高是肺腺癌晚期癌痛患者应对方式趋向消极的影响因素(OR>1,P<0.05)。结论 肺腺癌晚期癌痛患者应对方式更趋向于消极,与患者疼痛信念密切相关。Objective To analyze the relationship between pain belief and coping style in patients with cancer pain of advanced lung adenocarcinoma.Methods A total of 98 patients with lung adenocarcinoma admitted to the Zhengzhou Center Hospital Affiliated to Zhengzhou University from January 2019 to August 2022 were selected as the research subjects.Simple coping style questionnaire(SCSQ)was used to evaluate the coping style of patients and the patients were divided into groups.The baseline data questionnaire were designed,and baseline data of all patients were collected and compared.The pain belief[pain belief questionnaire(PBQ)]of patients was compared,and the relationship between pain belief and coping style in patients with cancer pain of advanced lung adenocarcinoma was analyzed.Results A total of 98 patients with advanced cancer pain from lung adenocarcinoma were evaluated by SCSQ,and 56 patients(57.14%)had higher negative scores;42 cases(42.86%)had higher positive scores.The visual analog pain(VAS)score and PBQ score of the negative coping group were higher than those of the positive coping group(P<0.05).There was no statistically significant difference in the comparison of other data between the groups(P>0.05).The results of the bivariate Pearson linear correlation test showed that pain belief was negatively correlated with positive coping(r<0,P<0.05),and positively correlated with negative coping(r>0,P<0.05).Through multiple regression analysis,the results showed that high VAS score and high PBQ score were negative influencing factors for coping styles in patients with advanced lung adenocarcinoma pain(OR>1,P<0.05).Conclusion The coping style of patients with advanced stage cancer pain in lung adenocarcinoma tends to be more negative,closely related to their pain beliefs.

关 键 词：肺腺癌 晚期 癌痛 疼痛信念 应对方式 

分 类 号：R734.2[医药卫生—肿瘤]