Yazdi-Ravandi Saeid, Taslimi Zahra, Jamshidian Narges, Saberi Hayede, Shams Jamal, Haghparast Abbas
Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Basic Clin Neurosci. 2013 Spring;4(2):117-24.
The quality of life (QOL) has been defined as "a person's sense of well-being that stems from satisfaction or dissatisfaction with the areas of life that are important to him/her". It is generally accepted that pain intensity and duration have a negative impact on the QOL. One specific type of control is "self-efficacy", or the belief that one has the ability to successfully engage in specific actions. The ability to adapt to pain may play an important role in maintaining the QOL. In this study, we investigated the role of self-efficacy, pain intensity, and pain duration in various domains of quality of life such as physical, psychological, social and environmental domains. In this study, 290 adult patients (146 men, 144 women) completed coping self-efficacy and the WHOQOL-BREF Questionnaire. Moreover, we illustrated numerical rating scale for pain intensity. The results were analyzed using SPSS version of 19.0 and means, descriptive correlation, and regression were calculated. Our data revealed that self-efficacy but not the pain duration could significantly anticipate the QOL and its four related domains (P<0.001). In addition, it is noticeable that the effect of self-efficacy on the prediction of QOL is much more obvious in the psychological domain. However, the pain intensity could predict all of the QOL domains (P<0.001) except social and environmental ones. In conclusion, to predict the quality of life (QOL) in person suffering from chronic pain, self-efficacy and pain intensity are more important factors than the pain duration and demographic variables.
生活质量（QOL）被定义为“一个人的幸福感，它源于对其生活中重要领域的满意或不满意”。人们普遍认为疼痛强度和持续时间会对生活质量产生负面影响。一种特定类型的控制是“自我效能感”，即相信自己有能力成功地参与特定行动。适应疼痛的能力可能在维持生活质量方面发挥重要作用。在本研究中，我们调查了自我效能感、疼痛强度和疼痛持续时间在生活质量各个领域（如身体、心理、社会和环境领域）中的作用。在本研究中，290名成年患者（146名男性，144名女性）完成了应对自我效能感和世界卫生组织生活质量简表（WHOQOL - BREF）问卷。此外，我们说明了疼痛强度的数字评定量表。使用SPSS 19.0版对结果进行分析，并计算均值、描述性相关性和回归。我们的数据显示，自我效能感而非疼痛持续时间能够显著预测生活质量及其四个相关领域（P<0.001）。此外，值得注意的是，自我效能感对生活质量预测的影响在心理领域更为明显。然而，疼痛强度能够预测除社会和环境领域之外的所有生活质量领域（P<0.001）。总之，对于预测慢性疼痛患者的生活质量（QOL）而言，自我效能感和疼痛强度比疼痛持续时间和人口统计学变量更为重要。
