老年骨质疏松性压缩骨折患者心理弹性与疼痛的相关性分析

Correlation analysis of mental resilience and pain in senile patients with osteoporosis and compression fracture

目的调查老年骨质疏松性压缩骨折患者心理弹性与疼痛的相关性。方法采取便利抽样法选取2019年10月至2021年10月西南医科大学附属医院收治的189例老年骨质疏松性压缩骨折患者作为调查对象,采取一般资料调查表、心理弹性量表及视觉模拟评分法对其进行问卷调查。结果受试患者心理弹性得分为(51.29±8.67)分,处于较低水平;不同体重指数(BMI)、发生部位、文化水平、骨质疏松T值患者心理弹性得分比较,差异有统计学意义(P<0.05)。老年骨质疏松性压缩骨折患者心理弹性、各维度得分与评估疼痛的视觉模拟评分不同等级疼痛、平均疼痛均呈负相关(r<0,P<0.05)。多因素线性回归分析显示,骨质疏松T值、发生部位、BMI、心理弹性总分进入方程,方程具有统计学意义(P<0.05),骨质疏松T值、发生部位、BMI、心理弹性总分共同解释了25.2%的疼痛评分变异。结论老年骨质疏松性压缩骨折患者的心理弹性与疼痛水平均处于低水平,且当心理弹性提高可缓解疼痛程度。

Objective To investigate the relationship between mental resilience and pain in senile patients with osteoporosis compression fracture.Methods A total of 189 elderly patients with osteoporosis and compression fracture admitted to the Affiliated Hospital of Southwest Medical University from October 2019 to October 2021 were selected by convenience sampling method.General data questionnaire,mental resilience scale,and visual analogue scale score were adopted to conduct a questionnaire survey.Results The mental resilience score of the subjects was(51.29±8.67)points,which was at a low level;there were statistically significant differences in psychological resilience scores among patients with different body mass index(BMI),location,education level,and T value of osteoporosis(P<0.05).There was a negative correlation between the score of mental resilience and the score of all dimensions and the visual analog scale score of pain assessment in the aged patients with osteoporosis and compression fracture(r<0,P<0.05).Multifactor linear regression analysis showed that T value of osteoporosis,site of occurrence,BMI,and the total score of entered the equation,and the equation had statistical significance(P<0.05).T value of osteoporosis,site of occurrence,BMI,and the total score of mental resilience together explained 25.2%of the variation in pain score.Conclusion The mental resilience and pain levels of elderly patients with osteoporosis and compression fracture are both at a low level,and the degree of pain can be relieved when the mental resilience is increased.