[1]李梦诗,高远,顾申,等.慢性骨科疼痛患者心理灵活性现状及其影响因素[J].解放军护理杂志,2021,38(05):33.[doi:10.3969/j.issn.1008-9993.2021.05.009]
　LI Mengshi,GAO Yuan,GU Shen,et al.Status of Psychological Flexibility and Its Influencing Factors among Patients with Chronic Orthopedic Pain[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):33.[doi:10.3969/j.issn.1008-9993.2021.05.009]
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慢性骨科疼痛患者心理灵活性现状及其影响因素()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年05期
页码:
33
栏目:
论著
出版日期:
2021-05-15

文章信息/Info

Title:
Status of Psychological Flexibility and Its Influencing Factors among Patients with Chronic Orthopedic Pain
文章编号:
1008-9993(2021)05-0033-05
作者:
李梦诗1; 高远2; 顾申1; 周玲君3
1.海军军医大学 转化医学研究中心,上海200433; 2.解放军总医院第一医学中心 护理部,北京 100853; 3.海军军医大学 护理系
Author(s):
LI Mengshi1; GAO Yuan2; GU Shen1; ZHOU Lingjun3
1.Translational Medicine Research Center,Naval Medical University,Shanghai 200433,China; 2.Nursing Department of the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China; 3.College of Nursing,Naval Medical University
关键词:
慢性疼痛;  心理灵活性;  运动恐惧;  生活质量;  影响因素
Keywords:
Chronic pain;  psychological flexibility;  Kinesiophobia;  quality of life;  influencing factors
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2021.05.009
文献标志码:
A
摘要:
目的 了解慢性骨科疼痛患者心理灵活性的相关影响因素,以为更好地改善慢性骨科疼痛患者的治疗结局提供理论依据。方法 2020年7-9月,采用便利抽样法选取北京、上海两地5所三级甲等医院骨关节科刚入院的491例患者为研究对象,采用自制一般资料调查表、疼痛患者心理灵活性量表(psychological inflexibility in pain scale,PIPS)、疼痛功能障碍量表(pain disability index,PDI)、恐动症评估简表中文版(tampa scale of kinesiophobia,TSK-11)、世界卫生组织生存质量测定量表简表中文版对其进行调查。结果 慢性骨科疼痛患者的PIPS总得分为(51.06±14.35)分,其中回避维度为(30.54±10.67)分,认知融合维度为(20.52±5.30)分; 年龄、过去1周的平均疼痛程度、PDI、TSK-11对慢性骨科疼痛患者的PIPS有影响(均P<0.05),且TSK对PIPS的影响最大。结论 慢性骨科疼痛患者心理灵活性与年龄、过去1周的平均疼痛程度、疼痛功能障碍相关,提高慢性骨科疼痛患者心理灵活性可在分析识别具体影响因素的基础上进行有效干预。
Abstract:
Objective To investigate the related factors of psychological flexibility in patients with chronic orthopedic pain,so as to provide a theoretical basis for better improving the treatment outcome of patients with chronic orthopedic pain.Methods By convenience sampling method,491 patients who had just been admitted in the department of osteoarthritis of the five tertiary hospitals in Beijing and Shanghai were selected from July to September 2020.The self-made general information questionnaire,Psychological Inflexibility in Pain Scale(PIPS),Pain Disability Index(PDI),Tampa Scale of Kinesiophobia(TSK-11),WHOQOL-BREF were used for investigation.Results The score of PIPS of chronic orthopedic pain patients was(51.06±14.35),the score of Avoidance was(30.54±10.67)and the score of Cognitive Fusion was(20.52±5.30).Age,average pain degree in the past week,PDI and TSK-11 influenced PIPS of patients with chronic orthopedic pain(all P<0.05). The TSK had the greatest influence on the PDI score.Conclusions The psychological flexibility of patients with chronic orthopedic pain is related to age,the average degree of pain in the past week,and pain disability.Kinesiophobia has the greatest impact on the psychological flexibility of patients with chronic orthopedic pain.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-03-01 【 修回日期 】 2021-04-02
【 基金项目 】 国家自然科学基金面上项目(31171005)
【 作者简介 】 李梦诗,硕士,助理研究员,从事疼痛管理研究
【 通讯作者 】 周玲君,电话:021-81871483
更新日期/Last Update: 2021-05-15