在慢性腰部疼痛中,疲劳和抑郁情绪
Anitha Saravanan1, Prempreet Bajaj2, Herbert L Matthews3
1Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, Illinois.
概括
疲劳与慢性腰痛患者的抑郁情绪增加,疼痛严重程度和疼痛干扰有显著的相关性. 解决疲劳对于全面的疼痛管理至关重要.
科学领域:
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 疲劳是慢性腰部疼痛 (CLBP) 的常见和有影响的症状.
- 未经治疗的疲劳会加剧抑郁情绪,疼痛强度和CLBP患者的残疾.
- 了解疲劳和心理/疼痛症状之间的关系对于有效治疗至关重要.
研究的目的:
- 调查CLBP患者疲劳和抑郁情绪之间的关联.
- 检查疲劳与疼痛严重程度和疼痛干扰的关系.
- 为综合性疼痛管理策略提供证据.
主要方法:
- 采用了横截面研究设计.
- 评估了67名被诊断患有慢性腰部疼痛 (>6个月) 的成年人.
- 参与者完成了验证的心理测量仪器,评估疲劳,抑郁情绪,疼痛严重程度和疼痛干扰.
主要成果:
- 在疲劳和抑郁情绪之间发现了显著的积极关联 (系数=0.069,p=0.017).
- 疲劳与疼痛干扰 (系数=0.652,p=0.010) 和疼痛严重程度 (系数=0.359,p<0.05) 有显著的积极关联.
- 在调整人口统计因素后,这些关联仍然很重要.
结论:
- 疲劳显然与加剧抑郁情绪,疼痛严重程度和疼痛干扰有关.
- 应将疲劳和抑郁情绪的常规评估纳入CLBP管理计划.
- 针对疲劳可能会减少慢性腰痛患者的整体症状负担.
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