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拉脱维亚康复实践中腰痛患者的残疾、疼痛灾难化及压力应对情况

Disability, pain catastrophizing and stress coping of patients with low back pain in rehabilitation practice in Latvia.

作者信息

Millere Anna, Kalnberza-Ribule Zaiga, Mezals Matiss, Nulle Anda, Millere Inga, Deklava Liana

机构信息

Riga Stradins University, Riga, Latvia.

National Rehabilitation Center "Vaivari", Jurmala, Latvia.

出版信息

J Back Musculoskelet Rehabil. 2020;33(2):323-328. doi: 10.3233/BMR-170945.

Abstract

BACKGROUND

It is known that pain has emotional and behavioral consequences that influence the development of problems and outcome of treatment. Patients' attitudes and coping mechanisms seem to play a causal role in the chronification of low back pain (LBP) and augment a cycle of chronic pain and disability.

OBJECTIVE

To examine pain catastrophizing, stress coping strategies and disability among patients with low back pain in rehabilitation practice in Latvia.

METHODS

Seventy-four patients participated in the study. We used the Demographic questionnaire, Visual Analogue Scale, The Oswestry Low Back Disability Questionnaire, Pain Catastrophizing Scale and "The Ways of Coping scale".

RESULTS

According to our data there is a strong interrelationship of disability and pain catastrophizing. The research data shows significantly higher scores of pain catastrophizing in patients with a more severe disability.

CONCLUSIONS

Achieved research highlights the importance of a multifactorial approach to pain management and the enormous significance of pain catastrophizing in patients with low back pain.

摘要

背景

众所周知,疼痛具有情感和行为后果,会影响问题的发展和治疗结果。患者的态度和应对机制似乎在腰痛(LBP)的慢性化过程中起因果作用,并加剧慢性疼痛和残疾的循环。

目的

研究拉脱维亚康复实践中腰痛患者的疼痛灾难化、压力应对策略和残疾情况。

方法

74名患者参与了该研究。我们使用了人口统计学问卷、视觉模拟量表、奥斯威斯瑞腰痛残疾问卷、疼痛灾难化量表和“应对方式量表”。

结果

根据我们的数据,残疾与疼痛灾难化之间存在很强的相互关系。研究数据显示,残疾程度越严重的患者,疼痛灾难化得分越高。

结论

本研究强调了多因素疼痛管理方法的重要性以及疼痛灾难化在腰痛患者中的巨大意义。

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