慢性腰腿痛病人恐惧回避信念对恐动行为的影响

Effect of fear avoidance belief on the fear behavior in patients with chronic low back pain

目的:探讨慢性腰腿疼痛病人恐惧回避信念、心理灵活性与恐动行为三者的关系机制,提高医护人员对特异性疼痛心理的干预效果。方法:采用一般资料问卷、恐惧-回避信念问卷、接纳与行动问卷和恐动症Tampa评分对250例腰椎间盘突出病人进行问卷调查。运用SPSS24.0软件行统计分析。结果:恐惧-回避信念的总均分为48.00(33.75,59.00)分,心理灵活性的总均分为24.00(18.00,29.00)分,恐动症Tampa总均分为43.00(37.00,46.00)分,恐惧回避信念与心理灵活性呈负相关关系(P<0.01),与恐动评分呈正相关关系(P<0.01),心理灵活性与恐动评分呈负相关关系(P<0.01)。恐惧回避信念对恐动行为的直接效应为0.93,变革型领导对其关系的间接效应为0.46,中介效应占总效应的33%。结论:本研究中病人恐惧回避信念,恐动行为评分处于中等稍偏上水平,心理灵活性处于中等水平。医护人员应鼓励病人自我情绪的表达,不断提高疼痛应对信念,提高病人康复结局。

Objective:To explore the mechanism among fear avoidance belief,psychological flexibility and phobia behavior in patients with chronic low back and leg pain,and improve the intervention effects of medical staff on specific pain psychology.Methods:A total of 250 patients with lumbar disc herniation were surveyed using the General Information Questionnaire,Fear-Avoid Faith Questionnaire,Acceptance and Action Questionnaire and Tampa Score for Dysxia,and the data were statistically analyzed using SPSS24.0 software.Results:The total average scores of fear-avoidance belief,psychological flexibility and anxiety disorder Tampa were 48.00(33.75,59.00),24.00(18.00,29.00)and 43.00(37.00,46.00),respectively.The fear avoidance belief were negative correlation with psychological flexibility(P<0.01),and positive correlation with fear score(P<0.01).The psychological flexibility was negative correlation with fear score(P<0.01).The direct effect of fear avoidance belief on fear behavior was 0.93,the indirect effect of transformational leadership on its relationship was 0.46,and the mediation effect accounted for 33%of the total effect.Conclusions:In this study,the scores of fear avoidance belief and phobia behavior of patients is just above the medium level,and the psychological flexibility was at the medium level.Encouraging the expression of the own emotions and continuous improving the pain response belief can improve the recovery outcome of patients.