Korkut Sevda
Department of Nursing, Erciyes University, Faculty of Health Sciences, Kayseri, Turkey.
Pain Manag Nurs. 2025 Jun;26(3):e254-e260. doi: 10.1016/j.pmn.2024.12.024. Epub 2025 Jan 22.
This study was conducted to compare the predictive effect of spiritual well-being and pain intensity on pain catastrophizing of individuals with acute and chronic pain.
This research is a cross-sectional and comparative study.
The study included 116 individuals with chronic pain and 111 individuals with acute pain. The study data were collected using the Descriptive Characteristics Questionnaire, Pain Catastrophizing Scale, Three-Factor Spiritual Well-Being Scale, Turkish Graded Chronic Pain Scale-Revised (TurGCPS-R) and Numerical Rating Scale.
The pain catastrophizing levels of individuals with chronic pain were significantly higher than individuals with acute pain. There was a statistically significant negative correlation between spiritual well-being and pain catastrophizing levels in both groups. The strength of this relationship was stronger in individuals with chronic pain. Spiritual well-being and pain intensity explained 53% of the total variance in pain catastrophizing in the chronic pain group, while they explained 34% in the acute pain group.
As a result of the study, it was determined that as the level of spiritual well-being increased, the pain catastrophizing and pain intensity decreased in acute and chronic pain patients. In addition, spiritual well-being was an important predictor of pain catastrophizing in both acute and chronic pain patients.
Because pain has a multidimensional structure, evaluating all dimensions of pain and providing holistic care for all dimensions will increase the effectiveness of optimal treatment. If nurses understand all dimensions of pain, they can create a pain management plan specific to the patient's needs. In this way, more effective, personalized and comprehensive care is provided and significant contributions are made to the patient and the healthcare system. In addition, the patient's autonomy whose spiritual practices are allowed will be supported.
本研究旨在比较精神幸福感和疼痛强度对急慢性疼痛患者疼痛灾难化的预测作用。
本研究为横断面比较研究。
该研究纳入了116名慢性疼痛患者和111名急性疼痛患者。研究数据通过描述性特征问卷、疼痛灾难化量表、三因素精神幸福感量表、土耳其修订版慢性疼痛分级量表（TurGCPS-R）和数字评定量表收集。
慢性疼痛患者的疼痛灾难化水平显著高于急性疼痛患者。两组中精神幸福感与疼痛灾难化水平之间均存在统计学意义的负相关。这种关系在慢性疼痛患者中更强。精神幸福感和疼痛强度在慢性疼痛组中解释了疼痛灾难化总变异的53%，而在急性疼痛组中解释了34%。
研究结果表明，随着精神幸福感水平的提高，急慢性疼痛患者的疼痛灾难化和疼痛强度均降低。此外，精神幸福感在急慢性疼痛患者中都是疼痛灾难化的重要预测因素。
由于疼痛具有多维结构，评估疼痛的所有维度并为所有维度提供整体护理将提高最佳治疗的效果。如果护士了解疼痛的所有维度，他们可以制定针对患者需求的疼痛管理计划。通过这种方式，可以提供更有效、个性化和全面的护理，并为患者和医疗保健系统做出重大贡献。此外，允许患者进行精神实践的自主权将得到支持。
