疼痛灾难化在痛风患者自我效能感与整体疼痛评估间的中介效应

Mediating Effect of Pain Catastrophizing Between Self-efficacy and Global Pain Assessment in Gout Patients

目的:探讨痛风患者疼痛灾难化在自我效能感与整体疼痛评估之间的中介效应。方法:抽取2020年8月至2021年3月在山东省痛风病临床医学中心就诊的痛风患者357例,采用疼痛自我效能感量表、疼痛灾难化量表、整体疼痛评估量表进行调查。采用SPSS 25.0软件分析痛风患者自我效能感、疼痛灾难化与整体疼痛评估的相关性,采用AMOS 24.0分析疼痛灾难化在自我效能感与整体疼痛评估之间的中介效应。结果:痛风患者的自我效能感与疼痛灾难化、整体疼痛评估均呈负相关(P < 0.01),疼痛灾难化与整体疼痛评估呈正相关(P < 0.01)。痛风患者的疼痛灾难化在自我效能感与整体疼痛评估之间存在部分中介效应(β=-0.312,P < 0.01)。结论:痛风患者的自我效能感可以通过疼痛灾难化间接影响其整体疼痛评估结果,提示临床工作者应积极采取措施改善痛风患者自我效能感,及时控制疼痛灾难化,以减轻其整体性疼痛程度。

Objective:To explore the mediating effect of pain catastrophe in gout patients between self-efficacy and global pain assessment.Methods:Three hundred and fifty-seven patients with gout treated in Shandong Gout Clinical Medical Center from August 2020 to March 2021 were investigated by pain self-efficacy scale,pain disaster scale and global pain assessment scale.SPSS 25.0 was used to analyze the correlation between self-efficacy,pain catastrophization and global pain assessment in gout patients,and Amos 24.0 was used to analyze the mediating effect of pain catastrophization between self-efficacy and global pain assessment.Results:Self-efficacy of gout patients was negatively correlated with pain catastrophization and global pain assessment(P < 0.01),and pain catastrophization was positively correlated with global pain assessment(P < 0.01).There is a partial mediating effect between self-efficacy and global pain assessment(β=-0.312,P < 0.01)。Conclusion:The self-efficacy of gout patients can indirectly affect their global pain assessment results through pain catastrophization,suggesting that clinical workers should actively take measures to improve the self-efficacy of gout patients and control the pain catastrophization in time,so as to reduce their global pain.