心理弹性在强直性脊柱炎患者疼痛与情绪的中介作用

Mediating Effect of Mental Resilience on Pain and Emotion in Patients with Ankylosing Spondylitis

目的:探讨心理弹性在强直性脊柱炎患者疼痛与情绪之间的中介作用。方法:选取太原市某三级甲等医院风湿免疫科192例强直性脊柱炎患者为研究对象,采用患者一般情况问卷、疼痛视觉模拟量表、正负性情绪量表、心理弹性量表进行调查。结果:强直性脊柱炎患者心理弹性为(58.63±13.20)分;正性情绪与心理弹性呈正相关(r=0.68,P<0.01),与总体疼痛程度呈负相关(r=-0.57,P<0.01),与总体疼痛程度呈负相关(r=-0.71,P<0.01)。负性情绪与心理弹性呈负相关(r=-0.42,P<0.01),与总体疼痛程度呈正相关(r=0.48,P<0.01),与夜间疼痛程度呈正相关(r=0.36,P<0.01)。心理弹性与总体疼痛程度和夜间疼痛程度均呈负相关(r=-0.84、-0.64,P<0.01);Bootstrap检验结果显示间接效应的95%CI(0.17,0.40),P<0.001。结论:强直性脊柱炎患者的正负性情绪可通过心理弹性影响疼痛程度,在临床工作中应积极采取有效的干预方法提高患者的心理弹性,从而缓解其疼痛。

Objective:To investigate the mediating effect of mental resilience on pain and emotion in patients with ankylosing spondylitis.Method:A total of 192 patients with ankylosing spondylitis in the Rheumatology and Immunology Department of a class a hospital in Taiyuan City were selected as the research objects,and the general situation questionnaire,visual analogue scale of pain,positive and negative emotion scale and mental resilience scale were used for the investigation.Result:The mental resilience of patients with ankylosing spondylitis was(58.63±13.20)scores.Positive emotions were positively correlated with psychological resilience(r=0.68,P<0.01),negatively correlated with the overall pain level(r=-0.57,P<0.01),and negatively correlated with the overall pain level(r=-0.71,P<0.01).Negative emotions were negatively correlated with psychological resilience(r=-0.42,P<0.01),positively correlated with overall pain level(r=0.48,P<0.01),and positively correlated with night pain level(r=0.36,P<0.01).Mental resilience was negatively correlated with overall pain(r=-0.84,P<0.01)and nighttime pain(r=-0.64,P<0.01).Bootstrap test results showed that 95%CI of indirect effect was(0.17,0.40),P<0.001.Conclusion:The positive and negative emotions of patients with ankylosing spondylitis can affect the degree of pain through mental resilience,and effective intervention methods should be actively adopted in clinical work to improve the psychological resilience of patients,so as to relieve their pain.