心理弹性对老年创伤骨折患者术后疼痛作用的研究

Research of the effect of resilience on postoperative pain of elderly patients with traumatic fracture

目的探讨心理弹性在老年创伤骨折患者术后疼痛与应对方式之间的作用。方法采用问卷调查方式,对160例老年创伤骨折患者进行疼痛、心理弹性、应对方式的调查。结果文化程度、经济状况、疼痛强度与患者心理弹性有显著相关性;术后疼痛和积极应对方式呈负相关(P<0.01),与消极应对呈正相关(P<0.01);心理弹性在术后疼痛与应对方式之间起着中介作用。结论心理弹性是影响老年创伤骨折患者术后疼痛应对方式的重要因素。

Objective To investigate the effect of resilience on postoperative pain of elderly patients with traumatic fracture. Methods A questionnaire-based survey was conducted to investigate the general situation, level of postoperative pain (Numerical Rating Scale,NRS), resilience (Connor-Davidson Resilience Scale, CD-RISC) and coping style (Simplified Coping Style Questionnaire, SCSQ) of patients. Results There was a significant difference in the total score of CD-RISC among patients with different education level, economic status and degree of pain. The degree of postoperative pain was negatively correlated with the positive coping style ( P <0.01), and positively correlated with negative coping style ( P <0.01). Resilience played a mediating role in relations between postoperative pain and coping style. Conclusion The resilience is a key factor influencing the postoperative pain of elderly patients with traumatic fracture.