自我管理对慢性疼痛患者生活质量的影响

Effect of self-management on life quality of patient with chronic pain

目的探讨自我管理模式对慢性疼痛患者生活质量的影响。方法按照随机数字表法将符合慢性疼痛诊断标准的80例住院患者随机分为观察组和对照组各40例，均按常规给予生活护理。观察组同时给予自我管理健康教育和自我管理能力训练。采用简版McGill疼痛问卷（SF．MPQ）和简版健康状况调查问卷（SF-12）对两组患者进行评估，评价干预效果。结果干预前，两组SF．MPQ及SF-12量表评分比较差异均无统计学意义（P〉0．05）。实施自我管理3个月后，SF．MPQ量表观察组PRI感觉项总分、情感项总分、VAS以及PPI分别为（12．5±3．8），（6．3±2．9），（2．7±3．8），（1．5±1．9）分，对照组分别为（22．9±3．5），（9．0±1．5），（4．7±2．3），（2．5±2．0）分，两组比较差异均有统计学意义（t值分别为11．08，9．07，8．17，8．22；P〈0．05）。干预后SF-12量表8个维度除躯体疼痛外，其他维度差异均有统计学意义（P〈0．05）。结论慢性疼痛自我管理行为可有效提高患者生活质量。

Objective To study the effect of self-management on life quality of patient with chronic pain. Methods Totals of 80 hospitalized patients who fit the diagnostic criteria for choric pain were randomly divided into the observation group and the control group, each with 40 cases. Both groups received conventional life care, while the observation group was given health education and skill training of self-management in addition. Short-Form McGill Pain Questionnaire （SF-MPQ） and Short Form Quality of Life Questionnaire-12 （ SF- 12） were used to evaluate the intervention effect of two groups. Results There was no statistically significant difference of SF-MPQ and SF-12 between two groups before intervention （ P 〉 0. 05 ）. 3 months after self- management, the scores of PRI, emotional items, VAS and PPI were respectively （12.5 ± 3.8 ）, （6.3±2.9）, （2.7 ± 3.8）, （ 1.5 ± 1.9） in the observation group, and （22.9 ± 3.5 ）, （ 9.0 ± 1.5 ）, （4.7 ± 2.3 ）, （2.5 ± 2.0） in the control group, and the differences were statistically significant （t = 11.08,9.07,8. 17,8.22, respectively;P 〈 0. 05 ）. There were also statistically significant differences in 8 dimensions of SF-12 scale after intervention, except for body pain （ P 〈 0. 05 ）. Conclusions Self-management can effectively improve the quality of life of patient with chronic pain.