中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
28期
49-52
,共4页
依恋%疼痛信念%应对方式%疼痛调适%中介作用
依戀%疼痛信唸%應對方式%疼痛調適%中介作用
의련%동통신념%응대방식%동통조괄%중개작용
Attachment%Pain belief%Coping strategies%Adjustment to chronic pain%Mediation effects
目的 调查济南社区老年人慢性疼痛状况、应对方式、依恋风格和疼痛信念(感知)几个变量,探讨依恋和疼痛信念在疼痛调适与其应对方式间的中介效应,以期为社区老年慢性疼痛的机制和干预提供参考.方法 本研究应用简明疼痛程度量表(Chinese version of Brief Pain In-ventory,BPIC)、应对方式问卷-修订版(Coping Strategies Questionnaire-Revised,CSQ-R)、亲密关系体验量表(Experiences in Close Relationship-Revised,ECR-R)、疼痛信念与感知量表(Pain Beliefs and Per-ceptions Inventory,PBPI)对山东省济南市242名社区慢性疼痛老年人进行调查,运用中介效应检验方法检验依恋和疼痛信念在慢性疼痛与应对方式间的中介效应.结果 依恋回避在勇敢面对、厄运感、忽视疼痛应对方式与疼痛调适间起中介作用,效应值分别为0.047、0.031、0.017,分别占总效应的27.99％、6.28％、7.28％;疼痛信念与感知量表中的认为会持续疼痛分维度在厄运感应对方式与疼痛调适间起中介作用,效应值为0.043,占总效应的9.54％;而认为疼痛不可解除分维度在厄运感应对方式与疼痛调适间起中介作用,效应值为0.022,占总效应的4.89％.结论 在依恋中,依恋回避在应对方式与疼痛调适间起中介作用;在疼痛信念中,认为会持续疼痛、认为疼痛不可解除在应对方式与疼痛调适间起中介作用.其中,依恋回避在应对方式与疼痛调适间的中介效应较大.
目的 調查濟南社區老年人慢性疼痛狀況、應對方式、依戀風格和疼痛信唸(感知)幾箇變量,探討依戀和疼痛信唸在疼痛調適與其應對方式間的中介效應,以期為社區老年慢性疼痛的機製和榦預提供參攷.方法 本研究應用簡明疼痛程度量錶(Chinese version of Brief Pain In-ventory,BPIC)、應對方式問捲-脩訂版(Coping Strategies Questionnaire-Revised,CSQ-R)、親密關繫體驗量錶(Experiences in Close Relationship-Revised,ECR-R)、疼痛信唸與感知量錶(Pain Beliefs and Per-ceptions Inventory,PBPI)對山東省濟南市242名社區慢性疼痛老年人進行調查,運用中介效應檢驗方法檢驗依戀和疼痛信唸在慢性疼痛與應對方式間的中介效應.結果 依戀迴避在勇敢麵對、阨運感、忽視疼痛應對方式與疼痛調適間起中介作用,效應值分彆為0.047、0.031、0.017,分彆佔總效應的27.99％、6.28％、7.28％;疼痛信唸與感知量錶中的認為會持續疼痛分維度在阨運感應對方式與疼痛調適間起中介作用,效應值為0.043,佔總效應的9.54％;而認為疼痛不可解除分維度在阨運感應對方式與疼痛調適間起中介作用,效應值為0.022,佔總效應的4.89％.結論 在依戀中,依戀迴避在應對方式與疼痛調適間起中介作用;在疼痛信唸中,認為會持續疼痛、認為疼痛不可解除在應對方式與疼痛調適間起中介作用.其中,依戀迴避在應對方式與疼痛調適間的中介效應較大.
목적 조사제남사구노년인만성동통상황、응대방식、의련풍격화동통신념(감지)궤개변량,탐토의련화동통신념재동통조괄여기응대방식간적중개효응,이기위사구노년만성동통적궤제화간예제공삼고.방법 본연구응용간명동통정도량표(Chinese version of Brief Pain In-ventory,BPIC)、응대방식문권-수정판(Coping Strategies Questionnaire-Revised,CSQ-R)、친밀관계체험량표(Experiences in Close Relationship-Revised,ECR-R)、동통신념여감지량표(Pain Beliefs and Per-ceptions Inventory,PBPI)대산동성제남시242명사구만성동통노년인진행조사,운용중개효응검험방법검험의련화동통신념재만성동통여응대방식간적중개효응.결과 의련회피재용감면대、액운감、홀시동통응대방식여동통조괄간기중개작용,효응치분별위0.047、0.031、0.017,분별점총효응적27.99％、6.28％、7.28％;동통신념여감지량표중적인위회지속동통분유도재액운감응대방식여동통조괄간기중개작용,효응치위0.043,점총효응적9.54％;이인위동통불가해제분유도재액운감응대방식여동통조괄간기중개작용,효응치위0.022,점총효응적4.89％.결론 재의련중,의련회피재응대방식여동통조괄간기중개작용;재동통신념중,인위회지속동통、인위동통불가해제재응대방식여동통조괄간기중개작용.기중,의련회피재응대방식여동통조괄간적중개효응교대.
Objective To explore how attachment and pain belief mediate the relationship among coping strategies and adjustment to chronic pain in elderly community residents.Methods The demographic questionnaire,the Chinese version of Brief Pain Inventory,Coping Strategies Questionnaire-Revised,Experiences in Close Relationship-Revised,Pain Beliefs and Perceptions Inventory were used to investigate 242 patients in chronic pain.Results Attachment avoidance mediate the relationship between brace face,between bad feeling,between ignorance of pain and adjustment to chronic pain,with the mediation effects being 0.047,0.031 and 0.017 respectively,accounting for 27.99％,6.28％ and 7.28％ of total effect.The belief of continuing pain mediates the relationship between bad feeling and adjustment to chronic pain,with the mediation effect being 0.043,accounting for 9.54％ of total effect.The belief that pain can not be relieved mediates the relationship between bad feeling and adjustment to chronic pain,with the mediation effect being 0.022,accounting for 4.89％ of total effect.Conclusions Attachment avoidance,belief of continuing pain and belief that pain can not be relived play mediation roles between coping strategies and adjustment to chronic pain,attachment avoidance accounts for a more important role in all.
