Clinical Research Center, Seberang Jaya Hospital, Ministry of Health Malaysia, 13700, Seberang Perai, Penang, Malaysia.
Medical Department, Tengku Ampuan Rahimah Hospital, 41200, Klang, Selangor, Malaysia.
J Relig Health. 2020 Jun;59(3):1201-1216. doi: 10.1007/s10943-018-0730-z.
Evidence-based practices that rely upon pain relieving medications and interventional strategies for symptom alleviation in chronic pain survivors have shown modest benefits. The recent emphasis of spiritual care as a new dimension of treatment strategy incorporated within the biopsychosocial model has inspired new hopes to mediate mental and physical health for illness coping. This study aimed to explore the factors associated with spirituality needs among chronic pain patients in a general hospital in Malaysia. An analytical cross-sectional study was conducted among 117 chronic pain patients in a general hospital in Malaysia. Clinical features and assessments were evaluated by an experienced pain physician and retrieved from patient medical records. An interviewer-administered questionnaire that consisted of items on socio-demographics, the validated 19-items spiritual needs questionnaire and the visual analog scale was utilized. Multivariate linear regression analysis was conducted to identify the factors associated with spiritual needs in chronic pain patients. Patients had higher actively giving score as compared to other spirituality need domains. Central neuropathic pain (β = 1.691, p = 0.040) predicted existential. Renal problems (β = 5.061, p = 0.019) highly predicted religiosity; followed by head pain (β = 3.774, p = 0.036), central neuropathic pain (β = 2.730, p = 0.022), heart problems (β = 1.935, p = 0.041), income (β = 0.001, p = 0.003), living arrangement (β = - 3.045, p = 0.022), face (β = - 3.223, p = 0.005) and abdominal (β = - 4.745, p = 0.0001) pains. Predictors of inner peace include renal problems (β = 3.752, p = 0.021), shoulder pain (β = 1.436, p = 0.038) and pain duration (β = - 0.012, p = 0.027). Predictors of actively giving were renal problems (β = 3.803, p = 0.001), central neuropathic pain (β = 1.448, p = 0.017), heart problems (β = 1.004, p = 0.042), income (β = 0.001, p = 0.0001), age (β = - 0.046, p = 0.004) and abdominal pain (β = - 2.617, p = 0.0001). Chronic pain patients had higher actively giving score compared to other spirituality needs. Their spirituality needs were significantly influenced by pain type, duration and site, co-existing medical conditions and socio-demographics.
基于缓解疼痛药物和干预策略的循证实践，旨在缓解慢性疼痛幸存者的症状，已显示出适度的益处。最近，将精神关怀作为生物心理社会模式中纳入的治疗策略的新维度强调，为应对疾病带来的精神和身体健康带来了新的希望。本研究旨在探讨马来西亚一家综合医院慢性疼痛患者的精神需求相关因素。
在马来西亚的一家综合医院中，对 117 名慢性疼痛患者进行了横断面分析研究。由一名经验丰富的疼痛医师对临床特征和评估进行评估，并从患者病历中检索到。使用包含社会人口统计学、经过验证的 19 项精神需求问卷和视觉模拟量表项目的访谈者管理问卷进行评估。采用多元线性回归分析来确定慢性疼痛患者精神需求的相关因素。
患者的主动给予评分高于其他精神需求领域。中枢性神经病理性疼痛（β=1.691，p=0.040）预测存在；肾脏问题（β=5.061，p=0.019）高度预测宗教信仰；其次是头痛（β=3.774，p=0.036）、中枢性神经病理性疼痛（β=2.730，p=0.022）、心脏问题（β=1.935，p=0.041）、收入（β=0.001，p=0.003）、居住安排（β=-3.045，p=0.022）、面部（β=-3.223，p=0.005）和腹部（β=-4.745，p=0.0001）疼痛。内心平静的预测因素包括肾脏问题（β=3.752，p=0.021）、肩部疼痛（β=1.436，p=0.038）和疼痛持续时间（β=-0.012，p=0.027）。主动给予的预测因素包括肾脏问题（β=3.803，p=0.001）、中枢性神经病理性疼痛（β=1.448，p=0.017）、心脏问题（β=1.004，p=0.042）、收入（β=0.001，p=0.0001）、年龄（β=-0.046，p=0.004）和腹部疼痛（β=-2.617，p=0.0001）。
慢性疼痛患者的主动给予评分高于其他精神需求。他们的精神需求受到疼痛类型、持续时间和部位、并存的医疗状况和社会人口统计学的显著影响。
