摘要
目的调查社区慢性腰背痛患者自我效能水平并分析其影响因素。方法 2014年4月至2015年1月,便利抽样法选取南京市玄武区、栖霞区、河西新区以及常州市天宁区等8个社区的慢性腰背痛患者157例为研究对象,采用一般情况调查表、长海痛尺、慢性病管理自我效能感量表、简易应对方式问卷、简明健康状况量表、中文版恐惧-回避行为量表、社会支持评定量表和综合医院焦虑抑郁量表对其进行调查。结果慢性腰背痛患者自我效能得分为(6.55±1.89)分。患者对于腰背痛感觉描述中使用频率最高的是"痉挛牵扯痛"、"持续固定痛"和"腰痛"。不同婚姻状况及文化程度患者的自我效能评分的差异均有统计学意义(均P<0.05)。慢性腰背痛患者自我效能与其当前疼痛、积极应对、生理功能、生理职能、躯体疼痛、总体健康、活力、社会职能、情感职能、情感健康、恐惧-回避信念总分、社会支持总分、焦虑得分和抑郁得分等14个变量均具有相关性(均P<0.05)。多元线性回归结果显示,生理职能、总体健康、社会支持和积极应对是慢性腰背痛患者自我效能的主要影响因素。结论建议相关部门针对社区慢性腰背痛患者自我效能的主要影响因素制定相关政策,从而提高其自我效能水平。
Objective To investigate the influencing factors of self-efficacy in patients with chronic low back pain （CLBP ）in community.Methods A total of 157 patients with CLBP in eight communities were randomly selected and in-vestigated by using self-designed demographics questionnaire,Changhai Pain Scale,self-efficacy scale for managing chronic disease,simplified coping style questionnaire,short form health survey,the Chinese version of the fear-avoidance beliefs questionnaire,social support rating scale ,and the hospital anxiety and depression scale.Results The mean score of self-ef-ficacy was （6.55±1.89）.The most frequently used phrases to describe back pain by patients were ‘spasm referred pain’,‘continuous fixed pain’and‘backache’.The statistical significances of self-efficacy were found between patients with dif-ferent marital status and educational background.The self-efficacy of patients with CLBP was correlated with current pain, positive copying style,physiological function,physical role,physical pain,general health,vitality,social function,emotional function,emotional well-being,fear,avoidance,score of faith,total score of social support,anxiety score,depression score and other 14 variables （all P〈0.05）.Multiple linear regression analysis showed that role-physical,general health,social support and positive coping were the main influencing factors of self-efficacy.Conclusions It is suggests that the authorities to formulate related policies based on the influencing factors of self-efficacy,so that to increase their self-efficacy level.
出处
《解放军护理杂志》
CSCD
2016年第12期1-7,共7页
Nursing Journal of Chinese People's Liberation Army
基金
2014年度教育部人文社会科学研究青年基金(14YJCZH024)
2014年度江苏高校哲学社会科学研究基金指导项目(2014SJD140)
关键词
慢性腰背痛
社区护理
自我效能
chronic low back pain
community nursing
self-efficacy
