摘要目的 探讨慢性疼痛患者生活质量的影响因素.方法 采用一般调查问卷、简明MiGill疼痛量表、BECK抑郁自评问卷、BECK焦虑自评问卷、疼痛自我效能量表、阿森斯失眠量表、SF-12生活质量量表对114例健康人群和139例慢性疼痛患者进行对比分析.结果 慢性疼痛患者焦虑[(33.56±9.96)分]、抑郁[(17.14±11.22)分]、失眠[(13.19±6.14)分]得分均高于正常组[分别为(24.55±4.49)分,(24.55±4.49)分,(3.68±3.12)分],疼痛自我效能和生活质量得分均低于正常组,差异有显著性(P＜0.01);不同疼痛程度(F=3.92,P=0.005)、不同疼痛部位数目(F=2.39,P=0.041)的慢性疼痛患者生活质量得分差异有显著性,不同疼痛频率的患者生活质鼍得分差异无显著性(F=1.54,P=0.169);生活质量得分与疼痛总分r=-0.383)、感觉疼痛(r=-0.315)、情感疼痛(r=-0.434)、疼痛自我效能(r=0.570)、焦虑(r=-0.640)、抑郁(r=-0.523)及失眠(r=-0.508)得分均显著相关(P＜0.05);疼痛自我效能、抑郁、焦虑和失眠得分进入慢性疼痛患者生活质量的多元线性回归方程;失眠和抑郁可以通过疼痛自我效能,失眠也可以通过抑郁间接影响慢性疼痛患者的生活质量.结论 慢性疼痛患者生活质量受到多个因素的影响,要提高其生活质量,要多方位的采取干预措施.

abstractsObjective To explore the factors that influence the quality of life of patients with chronic pain.Methods Using serf-designed questionnaire,simple MiGill pain questionnaire,Beck depression inventory,Beck anxiety inventory,pain self-efficiency questionnaire,athens insomnia scale and SF-12 scale to investigate 114 health people and 139 patients with chronic pain,and analyze the data with analysis of variance and linear regression analysis and path analysis.Results Scores of anxiety(33.56±9.96),depression(17.14±11.22),and insomnia(13.19±6.14)in patients with chronic pain was significant higher(P＜0.01)than the health people (24.55±4.49,24.55±4.49,3.68±3.12 independently),and scores of pain self-control and quality of life(including physical health and mental health)scored lower(P＜0.01)than the health group.Scores of quality of life in chronic pain patients with different pain intensity(F=3.92,P=0.005)and different ache numbers(F=2.39,P=0.041)were significant different,while scores of quality of life in chronic pain patients with different ache frequency was not significant different(F=1.54,P=0.169);quality of life score was significantly correlated(P＜0.05)to the total pain(r=-0.383),the feeling pain(r=-0.315),the emotion pain(r=-0.434),pain selfcontrol(r=0.570),anxiety(r=-0.640),depression(r=-0.523)and insomnia(r=-0.508).Pain self-control,depression,anxiety and insomnia insomnia and depression may indirectly influence the chronic pain patient's quality of life through pain self-control,and insomnia also can affect the quality of life through depression.Conclusion The quality of life in patients with chronic pain was influenced by a number of factors,so it is necessary to take muhi-faceted interventions to improve their quality of life.