多发骨折患者疼痛灾难化的现况调查及影响因素分析  

A survey on the current situation and influencing factors of catastrophic pain in patients with multiple fractures

作　　者：刘若歆 方曙静[2] 刘梅[2] 袁慧[2] 吴琼 宋美谕 宋寒梅 郑明明 朱媛媛 张俊[1] LIU Ruoxin;FANG Shujing;LIU Mei;YUAN Hui;WU Qiong;SONG Meiyu;SONG Hanmei;ZHENG Mingming;ZHU Yuanyuan;ZHANG Jun(School of Nursing of Nanjing Medical University,Nanjing,Jiangsu,211166;Department of Orthopaedics,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学护理学院,江苏南京211166 [2]南京医科大学第一附属医院骨科,江苏南京210029

出　　处：《实用临床医药杂志》2024年第11期110-113,118,共5页Journal of Clinical Medicine in Practice

基　　金：2022年大学生创新创业训练计划立项项目经费(202210312084Y)。

摘　　要：目的探讨多发骨折患者疼痛灾难化(PC)水平及其影响因素。方法采用便利抽样法对南京医科大学第一附属医院骨科创伤病区的156例多发骨折患者进行调查,问卷包括患者一般资料调查表、数字化疼痛评定量表、PC量表、正性及负性情绪量表和社会支持量表。结果多发骨折患者PC平均得分为(23.22±12.05)分,有27例(17.20%)患者达到PC水平;数字化疼痛评定量表平均得分(6.30±1.49)分,正性情绪量表得分为(27.92±6.06)分,负性情绪量表得分为(23.18±7.00)分,社会支持量表总分为(27.90±4.61)分;多元线性回归分析结果表明,疼痛评分、负性情绪水平和社会支持水平对多发骨折患者PC具有预测作用。结论多发骨折患者PC发生率处于中等偏上水平;高疼痛评分、高负性情绪得分和低社会支持患者更容易发生PC。Objective To explore the pain catastrophizing(PC)level of pain in patients with multiple fractures and its influencing factors.Methods A convenience sampling method was used to investigate 156 patients with multiple fractures in the orthopedic trauma department of the First Affiliated Hospital of Nanjing Medical University.The questionnaire included a general information survey,a Digital Pain Rating Scale,PC scale,Positive and Negative Emotion Scale,and Social Rating Scale.Results The average PC score of patients with multiple fractures was(23.22±12.05),with 27 patients(17.20%)reaching the PC level.The average score of the Digital Pain Rating Scale was(6.30±1.49),the score of the Positive Emotion Scale was(27.92±6.06),the score of the Negative Emotion Scale was(23.18±7.00),and the total score of the Social Rating Scale was(27.90±4.61).The results of multiple linear regression analysis showed that pain score,negative emotion level,and social support level had predictive effects in PC among patients with multiple fractures.Conclusion The incidence of PC among patients with multiple fractures is at a moderate to high level.Patients with high pain scores,high negative emotion scores,and low social support are more likely to develop PC.

关 键 词：多发骨折 疼痛灾难化 负性情绪 社会支持水平 影响因素 

分 类 号：R473.6[医药卫生—护理学] R816.8[医药卫生—临床医学] R319