腰椎间盘突出症患者疼痛灾难化影响因素研究

The analysis of influencing factors of pain catastrophic among lumbar disc herniation patients

目的 调查腰椎间盘突出症患者疼痛灾难化水平及影响因素,为制订护理策略提供参考。方法 采用横断面调查,便利选取2022年1月至2023年5月安徽省某中医院针灸科收治的腰椎间盘突出症患者101例为调查对象。采用一般资料调查表、疼痛灾难化量表、疼痛应对策略问卷、正负情绪量表进行调查。结果 疼痛灾难化量表得分为(30.95±6.59)分,疼痛应对策略问卷得分为(61.11±12.74)分,正性情绪量表得分为(23.68±5.25)分,负性情绪量表得分为(31.19±6.49)分。多元逐步回归分析显示,病程、疼痛应对策略、正性情绪、负性情绪可影响腰椎间盘突出症患者疼痛灾难化水平(P<0.05)。结论 腰椎间盘突出症患者疼痛灾难化处于中等偏上水平,临床护理工作者应根据患者不同疾病病程、疼痛应对策略、情绪状态及时对腰椎间盘突出症患者疼痛灾难化进行评估,强化个体化疼痛干预与管理。

Objective To investigate the status and influencing factors of pain catastrophic in lumbar disc herniation patients,and to provide reference for formulating nursing countermeasures.Methods By a cross-sectional study,a convenient sampling method was implemented to collect a total of 101 lumbar disc herniation patients who were treated in a Anhui TCM hospital from January 2022 to May 2023.General Information Questionnaire,Pain Catastrophizing Scale,Coping Strategies Questionnaire,Positive and Negative Affect Scale were conducted for investigation.Results The scores of pain catastrophizing scale,coping strategies questionnaire,positive affect scale,and negative affect scale were(30.95±6.59),(61.11±12.74),(23.68±5.25),(31.19±6.49),respectively.Multiple linear regression analysis demonstrated that the course of disease,and the scores of coping strategies questionnaire,positive and negative affect scale were influencing factors for pain catastrophic in lumbar disc herniation patients(P<0.05).Conclusion The pain catastrophic in patients with lumbar disc herniation is at a moderate to high level.Clinical nursing workers should timely evaluate the catastrophizing of pain in patients with lumbar disc herniation based on their different disease course,pain coping strategies,and emotional states,and strengthen individualized pain intervention and management.