Construction of structural equation model of psychological flexibility in patients with chronic pain
10.3760/cma.j.cn115682-20201126-06410
- VernacularTitle:慢性疼痛患者心理灵活性的结构方程模型构建
- Author:
Mengshi LI
1
;
Yuan GAO
;
Shen GU
;
Lingjun ZHOU
Author Information
1. 海军军医大学转化医学研究中心，上海 200433
- Keywords:
Pain;
Chronic pain;
Psychological flexibility;
Kinesiophobia;
Quality of life;
Structural equation model
- From:
Chinese Journal of Modern Nursing
2021;27(21):2820-2825
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the correlation among psychological flexibility, pain stimulation and adaptation of patients with chronic pain.Methods:From July to September 2020, convenience sampling was used to select 491 patients admitted to the Department of Orthopedics in 5 Class Ⅲ Grade A hospitals in Beijing and Shanghai. The survey was conducted with the self-designed General Information Questionnaire, Psychological Inflexibility in Pain Scale (PIPS) , Pain Disability Index (PDI) , Tampa Scale of Kinesiophobia (TSK-11) and the Chinese version of World Health Organization Quality of Life-BREF (WHOQOL-BRIF) , and the structural equation model hypothesis was proposed.Results:Among patients with chronic pain, the total PIPS score, PDI score, and the total TSK-11 score were (51.06±14.35) , (31.41±18.31) and (30.42±6.43) respectively. The scores of physical health, psychological health, social relationships, environment, overall quality of life and general health were (12.55±2.19) , (13.04±2.42) , (14.29±2.97) , (12.98±2.79) , (3.17±0.98) and (2.73±0.99) respectively. Painful stimulation could produce exercise fear ( β=3.382, t=21.754, P<0.05) , and exercise fear affected stereotype psychology ( β=3.382, t=21.754, P<0.05) , and stereotype psychology had a direct negative impact on the quality of life ( β=-0.092, t=-6.516, P<0.05) . Conclusions:The pain stimulus of patients with chronic pain affects the patient's psychological flexibility through exercise fear, thereby further affecting the patient's quality of life.
