Department of Nursing, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Nursing, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Jiao Tong University School of Nursing, Shanghai, China.
Int J Orthop Trauma Nurs. 2024 Nov;55:101137. doi: 10.1016/j.ijotn.2024.101137. Epub 2024 Sep 14.
To examine the phenomenon of pain catastrophizing among the principal caregivers of postoperative children with malignant bone tumors and explore its impact on pain perception and kinesiophobia in children.
A cross-sectional study design.
Using a cross-sectional study design, a questionnaire-based survey was conducted among 140 children with malignant bone tumors and their principal caregivers, who were admitted to a tertiary hospital in Shanghai from 2020 to 2023. Pearson's univariate and multiple regression analyses were conducted. The questionnaire included general data, the Parental Pain Catastrophizing Scale, the Short-Form McGill Pain Questionnaire, and the Tampa Scale of Kinesiophobia.
The frequency of pain catastrophizing for the principal caregivers was 16.8%. The frequency of kinesiophobia in children was 93.1%. The level of pain catastrophizing was positively correlated with the level of kinesiophobia and pain perception (r = 0.556, 0.614, p < 0.05). Multiple logistic regression analysis showed that the level of pain catastrophizing in principal caregivers was an important factor of kinesiophobia in children (B = 0.370, Std. = 0.119, Wald = 9.687, Ex (P) = 1.448, p = 0.002). Multiple linear regression analysis showed that the incidence of pain catastrophizing and the level of kinesiophobia were important influencing factors in pain perception (p < 0.05), with R = 0.272, adjusted R = 0.249, F = 11.579, and p < 0.001.
The level of pain catastrophizing in the principal caregivers was an important factor in postoperative kinesiophobia and pain perception in children with a malignant bone tumor.
It is important to evaluate the patients' and their families' emotional changes and psychological needs during the perioperative period. Nurses play a crucial role in providing appropriate interventions for patients or families to reduce the negative pain experience and improve patients' prognosis.
研究恶性骨肿瘤术后患儿主要照顾者的疼痛灾难化现象，探讨其对患儿疼痛感知和运动恐惧的影响。
横断面研究设计。
采用横断面研究设计，对 2020 年至 2023 年在上海某三级医院住院的 140 例恶性骨肿瘤患儿及其主要照顾者进行问卷调查。采用 Pearson 单因素和多元回归分析。问卷包括一般资料、父母疼痛灾难化量表、短式麦吉尔疼痛问卷和坦帕运动恐惧量表。
主要照顾者疼痛灾难化频率为 16.8%。患儿运动恐惧发生率为 93.1%。照顾者疼痛灾难化程度与患儿运动恐惧和疼痛感知呈正相关(r=0.556、0.614，p<0.05)。多元逻辑回归分析显示，照顾者疼痛灾难化程度是患儿运动恐惧的重要因素(B=0.370，Std.=0.119，Wald=9.687，Exp(P)=1.448，p=0.002)。多元线性回归分析显示，疼痛灾难化发生率和运动恐惧程度是疼痛感知的重要影响因素(p<0.05)，R2=0.272，调整 R2=0.249，F=11.579，p<0.001。
恶性骨肿瘤患儿主要照顾者的疼痛灾难化程度是患儿术后运动恐惧和疼痛感知的重要因素。
在围手术期，评估患者及其家属的情绪变化和心理需求非常重要。护士在为患者或家属提供适当干预措施方面发挥着关键作用，以减轻负面疼痛体验，改善患者预后。
