疼痛自我效能与慢性部疼痛患者患者报告的功能有关
Nicholas C Coyne1, Shelby Baez2, Millissia Murro3
1School of Medicine, West Virginia University, Morgantown, WV.
JOSPT open
|December 11, 2024
概括
心理因素,如疼痛自我效能和运动恐惧症,在慢性部疼痛中显著影响患者报告的部功能. 对这些因素的查可以帮助临床医生管理部疼痛患者.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 康复心理学 康复心理学
背景情况:
- 慢性部疼痛会影响功能和生活质量.
- 心理因素,如疼痛自我效能,运动恐惧症和疼痛灾难化可能会影响结果.
- 了解这些协会对于有效管理至关重要.
研究的目的:
- 研究心理因素 (疼痛自我效能,运动恐惧症,疼痛灾难化),身体活动和患者报告的部功能之间的关系.
- 在慢性部疼痛患者中确定部功能的预测因子.
主要方法:
- 观察性,横截面研究设计.
- 患有慢性部疼痛的参与者填写了经过验证的问卷 (TSK-11,PCS,PSEQ,iHOT-12).
- 使用加速度计在7天内客观测量身体活动;用线性回归分析数据.
主要成果:
- 一个包括疼痛自我有效性 (PSEQ),中度至强度体力活动和运动恐惧症 (TSK-11) 的模型解释了部功能的38%的差异 (iHOT-12得分).
- 仅仅疼痛自我有效性就占患者报告的关节功能变异的20%.
- 在诊断组之间没有发现身体活动或心理测量方面的显著差异.
结论:
- 疼痛自我效能和运动恐惧症与慢性部疼痛患者患者报告的部功能有显著的相关性.
- 临床医生应考虑评估慢性部疼痛患者的心理因素,以指导治疗.
- 这些发现强调了生物心理社会方法在治疗慢性关节疾病方面的重要性.
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