Gandolfi Marialuisa, Donisi Valeria, Battista Simone, Picelli Alessandro, Valè Nicola, Del Piccolo Lidia, Smania Nicola
Neuromotor and Cognitive Rehabilitation Research Centre (CRRNC), Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.
UOC Neurorehabilitation, AOUI Verona, 37134 Verona, Italy.
Int J Environ Res Public Health. 2021 Mar 17;18(6):3089. doi: 10.3390/ijerph18063089.
This study aims at exploring disability, health-related quality of life (HrQoL), psychological distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patients with chronic pain reported statistically significant higher levels of disability and worse HrQoL, higher psychological distress and inflexibility, as well as a lower level of self-efficacy and problem-oriented coping strategies than patients without pain ( < 0.001). Finally, correlation analysis in the group of stroke survivors with pain showed that higher levels of disability were significantly related to higher psychological distress. This study confirms the negative influence of chronic pain on disability and HrQoL in post-stroke patients and presents preliminary insights on the association between chronic pain, disability, HrQoL, psychosocial distress, and the patient's approach in dealing with personal difficulties and emotions. These findings carry further implications for multidisciplinary management of post-stroke patients with chronic pain.
本研究旨在探讨慢性疼痛的中风后患者的残疾情况、健康相关生活质量（HrQoL）、心理困扰及心理特征。开展了一项观察性横断面研究，纳入50例中风后患者（25例有慢性疼痛，25例无疼痛）。主要结局是通过卒中影响量表3.0评估的自我报告残疾水平和健康相关生活质量。同时考察了心理困扰和特定心理特征（即自我效能感、应对策略、心理灵活性、感知到的社会支持）。与无疼痛的患者相比，有慢性疼痛的中风后患者报告的残疾水平在统计学上显著更高，健康相关生活质量更差，心理困扰和灵活性更高，自我效能感和以问题为导向的应对策略水平更低（<0.001）。最后，对有疼痛的中风幸存者组进行的相关分析表明，较高的残疾水平与较高的心理困扰显著相关。本研究证实了慢性疼痛对中风后患者残疾和健康相关生活质量的负面影响，并对慢性疼痛、残疾、健康相关生活质量、心理社会困扰以及患者应对个人困难和情绪的方式之间的关联提出了初步见解。这些发现对慢性疼痛中风后患者的多学科管理具有进一步的意义。
