颞下颌关节紊乱病患者疼痛心理弹性现状及影响因素分析

Analysis of the Status Quo and Influencing Factors of Pain Psychoelasticity in Patients with Temporomandibular Disorders

目的 了解颞下颌关节紊乱病患者疼痛心理弹性现状,明确其影响因素,为针对这类患者实施心理干预提供参考。方法 采用方便抽样法,选取在国内某三级甲等口腔医院就诊的164例颞下颌关节紊乱病患者为研究对象,采用一般资料调查问卷、疼痛心理弹性量表、口腔颌面部疼痛问卷、压力感知量表、领悟社会支持量表、生活定向测验(修订版)进行调查。结果 颞下颌关节紊乱病患者疼痛心理弹性量表得分为(34.63±14.60)分,患者年龄、性别、是否有口腔相关不良习惯、婚姻状况、乐观和领悟社会支持是其心理弹性的影响因素。结论 颞下颌关节紊乱病患者的疼痛心理弹性处于中等水平,临床医务工作者应结合疼痛心理弹性的影响因素,实施针对性的心理护理和干预措施,提高患者疼痛心理弹性水平,促进其康复。

Objective To leam the current situation of pain resilience in patients with Temporomandibular Disorders(TMD) and identify the influencing factors,so as to provide reference for psychological intervention in such patients.Methods The convenient sampling method was used to select 164 patients with TMD who were treated in a Grade-A dental hospital in China as the research objects.The general data questionnaire,pain psychoelasticity scale,craniofacial pain and disability inventory,perceived stress scale,perceived social support scale,as well as revised life orientation test(revised version) were used for investigating.Results The score of TMD patients′ pain resilience scale was(34.63 ± 14.60).Their age,gender and whether they had bad habits related to oral cavity,marital status,optimism and perceived social support were the influencing factors of their resilience.Conclusion The pain resilience of patients with temporomandibular disorders is at a medium level.Clinical medical workers should combine the influencing factors of pain resilience and implement targeted psychological care as well as pre-measures to improve the patients′ pain resilience and promote their rehabilitation.