慢性疼痛患者疼痛灾难化认知与情绪状态、日常活动的现状分析

Analysis of catastrophizing cognition and daily activities and emotional state in the chronic pain patients

目的调查慢性疼痛患者的疼痛灾难化与情绪状态、日常活动,分析其心理现状,为临床实施个性化心理干预,有效管理慢性疼痛提供依据。方法采用横断面调查,方便抽样的方法,收集2020年6月1日至2021年6月30日在河南省河南大学淮河医院对120例慢性患者进行的一般资料调查表、疼痛灾难化量表(PCS)、欧洲五维度健康量表(EQ-5D)和简明疼痛量表(BPI)问卷调查评估。结果本研究120例慢性患者疼痛灾难化总分为(21±11)分,处于中等水平,说明本研究中的慢性疼痛患者有一定的疼痛灾难化倾向。经Pearson相关性分析,慢性疼痛患者疼痛灾难化认知与欧洲五维度健康量表和简明疼痛量表各维度呈显著正相关(P<0.01),经多元线性回归分析,慢性患者疼痛灾难化水平的影响因素有焦虑/抑郁、情绪状态、日常生活和行走能力。结论慢性患者的焦虑/抑郁、情绪状态及日常生活和行走能力均可正向预测疼痛灾难化水平。临床医务人员应针对性采取相应的干预措施,减轻患者负面情绪,提高患者的生活质量。

Objective To study the psychological status of chronic pain patients by analyzing their pain catastrophizing and daily activities,and to provide basis for clinical implementation of personalized psychological intervention and effective management of chronic pain.Methods Through convenience sampling method,120 chronic patients,in Huaihe Hospital of Henan University from June 1,2020 to June 30,2021,received questionnaire survey on the general data,pain catastrophizing scale(PCS),EuroQol five dimensions questionnaire(EQ-5D)and brief pain inventory(BPI).Results The total score of pain catastrophization in 120 chronic patients was(21±11),which was at a medium level,indicating that chronic pain patients had a certain tendency of pain catastrophization in this study.Pearson correlation analysis showed that there was a significant positive correlation between the catastrophizing cognition of pain in chronic pain patients and EQ-5D and BPI(P<0.01).Multivariate linear regression analysis showed that the influencing factors of the pain catastrophizing level included anxiety/depression,emotional state,daily life and walking ability in the chronic pain patients.Conclusion Anxiety,daily living and walking ability positively predicted the level of catastrophizing pain in chronic pain patients.Clinical medical staff should take targeted intervention measures to reduce the negative physiological and psychological effects and improve the patients'quality of life.