慢性腰背痛病人疼痛、自我效能、功能障碍与生活质量的关系研究

Study on correlation among pain,self-efficacy,dysfunction and quality of life of patients with chronic low back pain

[目的]调查慢性腰背痛病人疼痛、自我效能、功能障碍和生活质量的相互关系。[方法]采用疼痛数字评价量表(NRS)、中文版疼痛自我效能量表(PSEQ)、Oswestry功能障碍指数问卷(ODI)和简明健康状况量表(SF-36)对94例慢性腰背痛病人进行调查。[结果]慢性腰背痛病人疼痛得分为(4.13±1.54)分,疼痛自我效能得分为(39.09±9.31)分,ODI为(17.26±6.55)分,生活质量各维度均低于常模。Oswe-stry功能障碍指数与疼痛强度呈正相关,与疼痛自我效能呈负相关,疼痛自我效能与生活质量呈正相关。[结论]慢性腰背痛病人总体生活质量较差,疼痛、疼痛自我效能、腰痛功能障碍和生活质量之间的相互影响程度不一,应指导护理人员有针对性地实施干预措施,从而改善病人生活质量。

Objective：To investigate the pain,self-efficacy,dysfunction and quality of life conditions of patients with chronic low back pain,and their mutual relations.Methods：NRS pain digital assessment scale,Chinese version of pain self-efficacy scale,Oswestry dysfunction index questionnaire and SF-36 life quality scale were used to survey 94 cases of chronic low back pain patients.Results：Pain score of chronic low back pain patients was（4.13±1.54）,pain self-efficacy score was（39.09±9.31）,ODI was（17.26±6.55）,and all dimensions of quality of life were lower than norm.Oswestry disability index was positively correlated with the intensity of pain,and negatively correlated with pain self-efficacy,pain self-efficacy was positively correlated with quality of life of chronic low back pain patients.Conclusion：Overall quality of life of patients with chronic low back pain is poor,and interaction among pain,pain self-efficacy,low back pain dysfunction and quality of life is varying.Nurses should guide the nursing staff for implementation of targeted interventions,so as to improve patients＇ quality of life.