慢性疼痛患者自我效能感现状调查及影响因素分析

Analysis on the status and influencing factors of self-efficacy in patients with chronic pain

摘要:

目的：疼痛超过3个月以上被认为是慢性疼痛，它是一种复杂且需要治疗的疾病，大量患者长期遭受病痛的折磨，严重影响患者生活质量。自我效能水平的提升可影响患者的行为，从而增进患者的生活质量。因此，本研究探讨慢性疼痛患者自我效能水平现状，并分析其影响因素，为医护人员在疼痛管理过程中对患者提供针对性改善措施提供参考和依据。方法：采用便利抽样法，于2023年2月~6月使用慢性疼痛自我效能感评估量表对北京市某三甲医院慢性疼痛患者进行问卷调查。该问卷包括3个维度和22个条目。结果：慢性疼痛患者自我效能总分为（65.52±20.77）分，慢性疼痛管理维度项目均分（2.24±0.89）分，躯体功能维度项目均分为（3.39±1.24）分，症状应对维度项目均分为（2.98±1.21）分。不同性别、年龄、教育程度和就业状况影响慢性疼痛患者自我效能感水平。回归分析显示，年龄是其最主要影响因素。结论：慢性疼痛患者自我效能处于中等偏下水平，医护人员在制定计划时，需根据患者的不同特征，关注患者的身心状况与社会文化背景，制定切实可行的个体化措施以提高慢性疼痛患者自我效能。

Abstract:

Objective:Pain that lasts more than 3 months is considered chronic pain, which is a complex and treatment-demanding condition, and a large number of patients suffer from it for a long period of time, seriously affecting their quality of life. Improvement of self-efficacy level can influence patients' behaviors and thus improve their quality of life. Therefore, this study explores the current situation of self-efficacy level of chronic pain patients and analyzes its influencing factors to provide reference and basis for healthcare professionals to provide targeted improvement measures for patients in the process of pain management.. Methods:A convenience sampling method was adopted to conduct a questionnaire using the Chronic Pain Self-Efficacy Scale to patients with chronic pain in a tertiary hospital in Beijing from April to June 2022. The questionnaire includes 22 items in three dimensions. Results:The total self-efficacy score of chronic patients was (65.52±20.77).The item mean scores of chronic pain management dimension, physical function dimension, symptom coping dimension were (2.24±0.89),(3.39±1.24)and(2.98±1.21) respectively. Different gender, age, education and employment status affect the level of self-efficacy of chronic pain patients. Regression analysis showed that age was the most important factor influencing it. Conclusion:The self-efficacy of chronic pain patients is at a moderate to low level, and health care providers need to develop plans to improve the self-efficacy of chronic pain patients according to their different characteristics, paying attention to their physical and mental conditions and socio-cultural backgrounds, and developing practical and individualized measures.