慢性非癌性疼痛患者心理灵活性现状及影响因素探讨  

Current Status and Influencing Factors of Psychological Flexibility in Patients with Chronic Non Cancerous Pain

作　　者：陈弦[1] 

机构地区：[1]杭州市红十字会医院疼痛科,浙江 杭州

出　　处：《临床医学进展》2024年第5期1508-1514,共7页Advances in Clinical Medicine

摘　　要：目的:探讨慢性非癌性疼痛患者心理灵活性现状及影响因素。方法:以2022年12月~2023年2月的308例慢性非癌性疼痛患者为研究对象,通过对308名患者进行心理灵活性评分分析患者的心理灵活性现状,并采用独立样本t检验,以及方差分析,分析慢性非癌性疼痛患者心理灵活性现状的影响因素。结果:从心理灵活性现状上来看,总评分为(54.73 ± 16.49)分、回避维度评分为(35.28 ± 11.22)分、融合维度评分为(19.56 ± 5.69)分。其中,心理灵活性现状评分条目最高的项目为“需了解疼痛原因,才能更好生活”,评分最低项为“受疼痛影响,无法计划未来”。从影响因素上来看,P < 0.05的因素包括年龄、职业状态、月收入、医保类型、民族、自觉生活质量。结论:慢性非癌性疼痛患者的心理灵活性现状较差,同时患者的心理灵活性现状受年龄、职业状态、月收入、医保类型、民族、自觉生活质量这几项因素影响。Objective: To explore the current status and influencing factors of psychological flexibility in patients with chronic non cancerous pain. Method: 308 patients with chronic non cancerous pain from December 2022 to February 2023 were selected as the research subjects. The psychological flexibility status of 308 patients was analyzed through psychological flexibility score analysis. Independent sample t-test and analysis of variance were used to analyze the influencing factors of psychological flexibility status in patients with chronic non cancerous pain. Result: From the perspective of psychological flexibility, the total score was (54.73 ± 16.49) points, the avoidance dimension score was (35.28 ± 11.22) points, and the fusion dimension score was (19.56 ± 5.69) points. Among them, the item with the highest score for psychological flexibility status is “need to understand the causes of pain in order to live better”, and the item with the lowest score is “unable to plan for the future due to the impact of pain.” From the perspective of influencing factors, factors with P < 0.05 include age, occupational status, monthly income, medical insurance type, ethnicity, and perceived quality of life. Conclusion: The psychological flexibility of patients with chronic non cancerous pain is relatively poor, and the psychological flexibility of patients is influenced by several factors such as age, occupational status, monthly income, medical insurance type, ethnicity, and perceived quality of life.

关 键 词：慢性非癌性疼痛 心理灵活性 疼痛患者 

分 类 号：R47[医药卫生—护理学]