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慢性疼痛患者的疼痛、疼痛信念与心理健康之间的关系。

Relations among Pain, Pain Beliefs, and Psychological Well-Being in Patients with Chronic Pain.

作者信息

Yildizeli Topcu Sacide

机构信息

Trakya University, Health Science Faculty, Surgical Nursing Department, Edirne, Turkey.

出版信息

Pain Manag Nurs. 2018 Dec;19(6):637-644. doi: 10.1016/j.pmn.2018.07.007. Epub 2018 Sep 1.

DOI:10.1016/j.pmn.2018.07.007
PMID:30181033
Abstract

BACKGROUND

Chronic pain influencing the quality of life and well-being of the patients are also affected by pain beliefs. Psychological well-being could make a person have positive pain beliefs and these could facilitate patients' coping skills. In the care of the patients with chronic pain, nursing interventions can improve patients' well-being.

AIMS

This study aimed to determine the relationship between pain, pain beliefs and psychological well-being in patients with chronic pain.

DESIGN

A cross-sectional and relational study.

SUBJECTS

This study was conducted with 86 patients with chronic joint pain.

METHODS

A convenience sample method was used in the research. Data were gathered using a Personel Information Form, The Pain Beliefs Questionnaire and Psychological Well-being Scale. Frequency, percentage, mean, standard deviation and correlation analysis were used for data assessment.

RESULTS

It was found that there was a statistically significant correlation between pain severity and organic pain beliefs, statistically significant negative correlation between frequency and severity of pain and psychological well-being, and statistically significant relationship between organic pain beliefs and the psychological well-being.

CONCLUSIONS

Organic pain beliefs and pain intensity affect the psychological well-being of the patients with chronic pain. To increase the psychological well-being level of patients with chronic pain, patients' informations, attitudes and beliefs about pain and pain control should be changed positively. Also, nursing care focused on improving well-being should be provided by nurses. Further studies should be carried out on other factors affecting the well-being of patients as well as pain and pain beliefs on larger samples.

摘要

背景

慢性疼痛影响患者的生活质量和幸福感,同时也受到疼痛信念的影响。心理健康能使人拥有积极的疼痛信念,而这些信念有助于提高患者的应对能力。在慢性疼痛患者的护理中,护理干预可改善患者的幸福感。

目的

本研究旨在确定慢性疼痛患者的疼痛、疼痛信念与心理健康之间的关系。

设计

一项横断面相关性研究。

对象

本研究对86例慢性关节疼痛患者进行。

方法

本研究采用便利抽样法。使用个人信息表、疼痛信念问卷和心理健康量表收集数据。采用频率、百分比、均值、标准差和相关性分析进行数据评估。

结果

发现疼痛严重程度与器质性疼痛信念之间存在统计学显著相关性,疼痛频率和严重程度与心理健康之间存在统计学显著负相关性,器质性疼痛信念与心理健康之间存在统计学显著关系。

结论

器质性疼痛信念和疼痛强度影响慢性疼痛患者的心理健康。为提高慢性疼痛患者的心理健康水平,应积极改变患者对疼痛及疼痛控制的信息、态度和信念。此外,护士应提供以改善幸福感为重点的护理。还应在更大样本上对影响患者幸福感的其他因素以及疼痛和疼痛信念进行进一步研究。

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