三叉神经痛患者疾病不确定感与疼痛、焦虑及生活

Correlation Analysis of Illness Uncertainty with Pain, Anxiety, and Quality of Life in Patients with Trigeminal Neuralgia

摘要:

目的:调查了解三叉神经痛患者疾病不确定感与疼痛、焦虑及生活质量的相关性分析结果。方法:2024年10月-2025年12月便利抽取安徽医科大学第一附属医院疼痛科住院诊治的三叉神经痛患者62例，采用基本情况调查表、疾病不确定感成人量表（MUIS-A）、疼痛评估量表（VAS），焦虑自评量表（Self-rating Anxiety Scale，SAS），健康状况调查量表 ( SF-36 ) 进行问卷调查，并进行疾病不确定感、疼痛评估得分，焦虑评分，生活质量评分的相关性分析。结果:共回收有效问卷60份，有效回收率96.8％。三叉神经痛患者的疾病不确定感量表总得分为（110.30±24.96）分，处于中高等水平；疼痛评估量表总得分为（5.75±0.44）分至（8.50±1.11）分，疼痛情况为中重度，焦虑自评量表得分(57.67±1.53）分至（75.33±2.96 ）分,三叉神经痛患者的疾病不确定感与疼痛呈正相关（ｒ＝0.627，Ｐ＜0.01）。三叉神经痛患者的疾病不确定感与焦虑程度呈正相关。调查显示，生活质量各维度得分为( 30.42±17.58) 分至 ( 70.42±15.60 ) 分，三叉神经痛患者疾病不确定感与生活质量呈负相关 ( P < 0.05 )。结论:三叉神经痛患者疾病不确定感水平不容乐观，疼痛引起的焦虑，导致生活质量下降，疼痛情况越严重，焦虑越明显，生活质量越差，疾病不确定感水平越高。医护人员需针对三叉神经痛患者疾病不确定感进行积极干预，改善其健康状况，以提升生活质量。

Abstract:

Objective:To investigate and analyze the correlations among illness uncertainty, pain, anxiety, and quality of life in patients with trigeminal neuralgia. Methods:From October 2024 to December 2025, 62 patients diagnosed with trigeminal neuralgia were conveniently recruited from the Pain Department of the First Affiliated Hospital of Anhui Medical University. The following assessment tools were used: a general information questionnaire, the Mishel Uncertainty in Illness Scale for Adults (MUIS-A), the Visual Analogue Scale (VAS) for pain assessment, the Self-rating Anxiety Scale (SAS), and the 36-Item Short Form Health Survey (SF-36). Correlation analyses were performed between illness uncertainty, pain scores, anxiety scores, and quality of life scores. Results:A total of 60 valid questionnaires were collected, with an effective response rate of 96.8%. The total illness uncertainty score of patients with trigeminal neuralgia was (110.30 ± 24.96), indicating a moderate-to-high level of uncertainty. The pain assessment scores ranged from (5.75 ± 0.44) to (8.50 ± 1.11), suggesting moderate-to-severe pain. The anxiety scores ranged from (57.67 ± 1.53) to (75.33 ± 2.96). Illness uncertainty was positively correlated with pain intensity (r = 0.627, P < 0.01) and with anxiety levels. The scores across the quality of life domains ranged from (30.42 ± 17.58) to (70.42 ± 15.60), and illness uncertainty showed a negative correlation with quality of life (P < 0.05). Conclusion: Illness uncertainty in patients with trigeminal neuralgia is considerable. Pain-induced anxiety contributes to a decline in quality of life, with more severe pain associated with greater anxiety, worse quality of life, and higher levels of illness uncertainty. Healthcare professionals should implement proactive interventions targeting illness uncertainty in patients with trigeminal neuralgia to improve their health status and enhance their quality of life.