癌症相关性疼痛患者心理灵活性的影响因素分析

Factors affecting psychological flexibility among cancer-related pain patients

目的分析癌症相关性疼痛患者心理灵活性的影响因素,为改善癌症相关性疼痛患者的心理灵活性提供依据。方法选择安徽省肿瘤医院肿瘤内科住院的癌症相关性疼痛患者为调查对象,通过问卷调查收集人口学信息和疾病信息等资料;采用疼痛信念与感知量表评估疼痛信念,采用多伦多述情障碍量表评估述情障碍,采用疼痛患者心理灵活性量表评估心理灵活性。采用多重线性回归模型分析癌症相关性疼痛患者心理灵活性的影响因素。结果调查癌症相关性疼痛患者202例,其中男性114例,占56.44%;女性88例,占43.56%。年龄为(59.99±11.53)岁。病理诊断以消化系统肿瘤为主,121例占59.90%。过去24 h平均疼痛程度以轻度为主,150例占74.26%。癌症相关性疼痛患者的疼痛信念总分M(QR)为-0.19(0.39)分;述情障碍总分为(66.86±5.60)分;心理灵活性总分为(66.35±7.23)分。多重线性回归分析结果显示,疼痛信念(β'=0.321)、述情障碍(β'=0.222)和过去24 h平均疼痛程度(β'=-0.481)是癌症相关性疼痛患者心理灵活性的影响因素。结论癌症相关性疼痛患者的心理灵活性与疼痛信念、述情障碍和过去24 h平均疼痛程度有关。

Objective To analyze the influencing factors of psychological flexibility for cancer-related pain patients,so as to provide insights for improving their psychological flexibility.Methods Cancer-related pain patients hospitalized in the Oncology Department of Anhui Cancer Hospital were selected as the subjects of the survey.Demographic informa⁃tion and disease information were collected through questionnaires.Pain belief was assessed using the Pain Beliefs and Perceptions Inventory.Alexithymia was assessed using the Twenty-Item Toronto Alexithymia Scale-Ⅱ.Psychological flexi⁃bility was assessed using the Psychological Inflexibility in Pain Scale.The influencing factors of psychological flexibility among cancer-related pain patients was analyzed by using a multiple linear regression model.Results A total of 202 cancer-related pain patients were surveyed,including 114 males(56.44%)and 88 females(43.56%).The mean age was(59.99±11.53)years.The primary tumor type was digestive system cancer,with 121 cases(59.90%).The average pain intensity in the past 24 hours was mainly mild,with 150 cases(74.26%).The median pain beliefs score was-0.19(in⁃terquartile range,0.39)points.The total score of alexithymia was(66.86±5.60)points.The total score of psychological flexibility in cancer-related pain patients was(66.35±7.23)points.Multiple linear regression analysis showed that pain belief(β'=0.321),alexithymia(β'=0.222),and average pain intensity in the past 24 hours(β'=-0.481)were influencing factors for psychological flexibility in cancer-related pain patients.Conclusion The psychological flexibility of cancer-related pain patients is related to pain beliefs,alexithymia and average pain intensity in the past 24 hours.