慢性疼痛病人自我效能感现状调查及影响因素分析  

Analysis on the status and influencing factors of self-efficacy in patients with chronic pain

作　　者：杨心雨 赵菁[2] 郭红[1] 许丽媛[3] 沈意娜 YANG Xin-yu;ZHAO Jing;GUO Hong;XU Li-yuan;SHEN Yi-na(School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Medicine and Engineering,China-Japan Friendship Hospital,Beijing 100029,China;Department of Pain,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学护理学院,北京100029 [2]中日友好医院医工处,北京100029 [3]中日友好医院疼痛科,北京100029

出　　处：《中国疼痛医学杂志》2024年第2期108-113,共6页Chinese Journal of Pain Medicine

摘　　要：目的:本研究探讨慢性疼痛病人自我效能水平现状,并分析其影响因素,为医护人员在疼痛管理过程中对病人提供针对性改善措施提供参考和依据。方法:采用便利抽样法,于2023年2月至6月使用慢性疼痛自我效能感评估量表(chronic pain self-efficacy scale,CPSS)对中日友好医院慢性疼痛病人进行问卷调查。该问卷包括3个维度和22个条目。结果:慢性疼痛病人自我效能总分为(65.5±20.7)分,慢性疼痛管理维度项目均分(2.2±0.8)分,躯体功能维度项目均分为(3.3±1.2)分,症状应对维度项目均分为(2.9±1.2)分。不同性别、年龄、教育程度和就业状况影响慢性疼痛病人自我效能感水平。回归分析显示,年龄是其最主要影响因素。结论:慢性疼痛病人自我效能处于中等偏下水平,医护人员在制订计划时,需根据病人的不同特征,关注病人的身心状况与社会文化背景,制订切实可行的个体化措施以提高慢性疼痛病人自我效能。Objective:This study explores the current situation of self-efficacy level of chronic pain patients and analyzes its influencing factors to provide reference and basis for healthcare professionals to provide targeted improvement measures for patients in the process of pain management.Methods:A convenience sampling method was adopted to conduct a questionnaire using the chronic pain self-efficacy scale(CPSS)on patients with chronic pain in a China-Japan Friendship Hospital in Beijing from April to June 2022.The questionnaire includes 22 items in three dimensions.Results:The total self-efficacy score of chronic patients was(65.5±20.7).The average scores of chronic pain management dimension,physical function dimension,symptom coping dimension were(2.2±0.8),(3.3±1.2)and(2.9±1.2),respectively.Gender,age,education level and employment status affect the level of self-efficacy of patients with chronic pain.Regression analysis showed that age was the most important factor influencing factor.Conclusion:The self-efficacy of chronic pain patients is at a moderate to low level.Health care providers need to develop plans to improve the self-efficacy based on the different characteristics of patients with chronic pain,pay attention to their physical and mental conditions and socio-cultural backgrounds,and develop practical and personalized measures.

关 键 词：自我效能 慢性疼痛 疼痛管理 横断面调查 现状调查 影响因素 

分 类 号：R473[医药卫生—护理学]