腰椎间盘突出症患者术后恐动症现状及影响因素分析
摘要
目的调查腰椎间盘突出症(LDH)患者术后恐动症现状及其影响因素,旨在为临床医护人员制订针对性干预措施提供依据。方法采用横断面调查,选取2017年3-10月入住北京某三甲医院脊柱外科的LDH术后患者为研究对象,采评分表、疼痛视觉模拟评分、自我效能感量表、医院焦虑抑郁量表进行调查。结果 216例LDH患者中,145例患者存在恐动症状,恐动症发生率67.13%。Logistic多元回归分析结果显示,疼痛程度(OR=5.416,95%CI:3.578～8.142)、自我效能(OR=0.571, 95%CI:0.358～0.743)、社会支持(OR=0.624, 95%CI:0.569～0.754)、焦虑抑郁状况(OR=0.518, 95%CI:0.369～0.762)为LDH人员应及早识别患者术后恐动症状,进行相关健康宣教及个性化干预以缓解患者疼痛,提高患者自我效能,以降低其恐动程度。
引文
[1]李星凤,熊钰,谭旭妍,等.腰椎间盘突出症患者疼痛信念及影响因素分析[J].护理管理杂志,2016,16(8):569-571.
[2]Kori SH,Miller RP,Todd DD.Kinesophbia:A new view of chron?ic pain behavior[J].Pain Management,1990,3(1):35-43.
[3]宋莹莹,张岚,梁瑛琳,等.慢性下腰痛患者恐动症的研究进展[J].护理管理杂志,2018,18(8):572-575.
[4]Ferrari S,Chiarotto A,Pellizzer M,et al.Pain self-efficacy and fear of movement are similarly associated with pain intensity and disability in Italian patients with chronic low back pain[J].Pain Pract,2016,16(8):1040-1047.
[5]Gregg CD,Mcintosh G,Hall H,et al. The relationship between the Tampa Scale of Kinesiophobia and low back pain rehabilita?tion outcomes[J]. Spine J,2015,15(12):2466-2471.
[6]Miller RP,Kori S,Todd D. The tample scale:a measure of kine?siophosia[J].Clin Pain,1991,7(1):51-52.
[7]Svensson GL,Lundberg M,Ostgaard HC,et al. High degree of kinesiophobia after lumbar disc herniation surgery:a cross sec?tional study of 84 patients[J]. Acta Orthop,2011,82(6):732-736.
[8]Misterska E,Jankowski R,Glowacki J,et al. Kinesiophobia in pre-operative patients with cervical discopathy and coexisting de?gerative changes in relation to pain-related variablss,psychologi?cal stste and sports activity[J].Med Sci Monit,2015,21(4):181-194.
[9]Waddell G,Newton M,Henderson I,et al.A fear avoidance be?liefs questionnaire(FABQ)and the role of fear-avoidance beliefs in chronic low back pain and disability[J].Pain,1993,52(2):157-68.
[10]田晓飞,李晓鹏.疼痛强度和疼痛自我效能的关系:应对策略的中介效应[J].中国疼痛医学杂志,2014,20(9):650-654.
[11]岳晶晶,李瑞博,吕晓娟,等.肝癌患者自我效能感对生命质量及其应对方式的影响[J].东南国防医药,2018,20(6):633-635.
[12]范飞,姜贵云.下背痛与心理因素的临床相关性研究进展[J].中华物理医学与康复杂志,2017,39(3):237-240.
[13]Bunzli S,Smith A,Watkins R,et al. What Do People Who Score Highly on the Tampa Scale of Kinesiophobia Really Believe? A Mixed Methods Investigation in People With Chronic Nonspecif?ic Low Back Pain[J].Clin J Pain,2015,31(7):621-632.
[2]Kori SH,Miller RP,Todd DD.Kinesophbia:A new view of chron?ic pain behavior[J].Pain Management,1990,3(1):35-43.
[3]宋莹莹,张岚,梁瑛琳,等.慢性下腰痛患者恐动症的研究进展[J].护理管理杂志,2018,18(8):572-575.
[4]Ferrari S,Chiarotto A,Pellizzer M,et al.Pain self-efficacy and fear of movement are similarly associated with pain intensity and disability in Italian patients with chronic low back pain[J].Pain Pract,2016,16(8):1040-1047.
[5]Gregg CD,Mcintosh G,Hall H,et al. The relationship between the Tampa Scale of Kinesiophobia and low back pain rehabilita?tion outcomes[J]. Spine J,2015,15(12):2466-2471.
[6]Miller RP,Kori S,Todd D. The tample scale:a measure of kine?siophosia[J].Clin Pain,1991,7(1):51-52.
[7]Svensson GL,Lundberg M,Ostgaard HC,et al. High degree of kinesiophobia after lumbar disc herniation surgery:a cross sec?tional study of 84 patients[J]. Acta Orthop,2011,82(6):732-736.
[8]Misterska E,Jankowski R,Glowacki J,et al. Kinesiophobia in pre-operative patients with cervical discopathy and coexisting de?gerative changes in relation to pain-related variablss,psychologi?cal stste and sports activity[J].Med Sci Monit,2015,21(4):181-194.
[9]Waddell G,Newton M,Henderson I,et al.A fear avoidance be?liefs questionnaire(FABQ)and the role of fear-avoidance beliefs in chronic low back pain and disability[J].Pain,1993,52(2):157-68.
[10]田晓飞,李晓鹏.疼痛强度和疼痛自我效能的关系:应对策略的中介效应[J].中国疼痛医学杂志,2014,20(9):650-654.
[11]岳晶晶,李瑞博,吕晓娟,等.肝癌患者自我效能感对生命质量及其应对方式的影响[J].东南国防医药,2018,20(6):633-635.
[12]范飞,姜贵云.下背痛与心理因素的临床相关性研究进展[J].中华物理医学与康复杂志,2017,39(3):237-240.
[13]Bunzli S,Smith A,Watkins R,et al. What Do People Who Score Highly on the Tampa Scale of Kinesiophobia Really Believe? A Mixed Methods Investigation in People With Chronic Nonspecif?ic Low Back Pain[J].Clin J Pain,2015,31(7):621-632.