糖尿病周围神经病理性疼痛患者运动恐惧现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2024.09.004

摘要/Abstract

摘要：

目的了解糖尿病周围神经病理性疼痛（diabetic peripheral neuropathic pain，DPNP）患者运动恐惧发生现状并分析其影响因素。方法采用便利抽样法，选取2023年2月—6月在江西省南昌市某三级甲等综合医院就诊的192例DPNP患者作为调查对象，采用一般资料调查表、恐动症Tampa评分表、疼痛数字评分表、医学应对方式问卷、糖尿病痛苦量表、糖尿病自我管理行为量表进行调查。采用多元线性回归分析DPNP患者运动恐惧的影响因素。结果 DPNP患者运动恐惧总分为（36.68±3.88）分，运动恐惧发生率为38.5%。多元线性回归分析结果显示，婚姻状况、疼痛程度、应对方式、糖尿病痛苦及自我管理行为是DPNP患者运动恐惧的影响因素（均P<0.05）。结论 DPNP患者运动恐惧处于中等水平，护理人员应重视对患者运动恐惧的早期评估，及时发现并采取有效措施以降低患者运动恐惧水平，提高其运动积极性，改善预后和生活质量。

关键词: 糖尿病神经病变, 神经痛, 运动恐惧, 影响因素分析, 护理

Abstract:

Objective To understand the status and influencing factors of kinesiophobia in patients with diabetic peripheral neuropathic pain（DPNP）. Methods From February to June 2023，192 patients with DPNP in a tertiary general hospital in Nanchang City，Jiangxi Province were selected by convenience sampling method. The patients were investigated by the demographic information questionnaire，Tampa Scale for Kinesiophobia，Numerical Rating Scale，Medical Coping Modes Questionnaire，Diabetes Distress Scale，and Summary of Diabetes Self-care Activities.Multiple linear regression were used to analyze the influencing factors of kinesiophobia in patients with DPNP. Results The score of kinesiophobia in patients with DPNP was（36.68±3.88），and the incidence of kinesiophobia was 38.5%. Multiple linear regression analysis showed that marital status，pain level，coping style，diabetic distress and self-management behavior were influential factors for kinesiophobia in patients with DPNP（all P<0.05）. Conclusion Patients with DPNP have a moderate level of kinesiophobia. Nursing staff should pay attention to the early assessment of patients’ kinesiophobia，promptly identify and take effective measures to reduce the level of patients’ kinesiophobia，increase their motivation to exercise，and improve their prognosis and quality of life.

Key words: Diabetic Neuropathies, Neuralgia, Kinesiophobia, Root Cause Analysis, Nursing Care

王丽梅, 李露, 李玉霞, 喻鹏, 罗倩, 张翀旎. 糖尿病周围神经病理性疼痛患者运动恐惧现状及影响因素分析[J]. 中华护理杂志, 2024, 59(9): 1051-1056.

WANG Limei, LI Lu, LI Yuxia, YU Peng, LUO Qian, ZHANG Chongni. The status and influencing factors of kinesiophobia in patients with diabetic peripheral neuropathic pain[J]. Chinese Journal of Nursing, 2024, 59(9): 1051-1056.

图/表 4

表1 调查对象的一般资料及运动恐惧影响因素的单因素分析结果（n=192）

Table 1 The general information of the subjects and the results of the univariate analysis on the influencing factors of kinesiophobia（n=192）

表2 糖尿病周围神经病理性疼痛患者运动恐惧与各量表得分的相关性分析结果（n=192）

Table 2 Correlation analysis between kinesiophobia and other related scales in patients with DPNP（n=192）

表3 自变量赋值方式

Table 3 The assignment of independent variables

表4 糖尿病周围神经病理性疼痛患者运动恐惧影响因素的多元线性回归分析结果（n=192）

Table 4 Results of multiple linear regression analysis of factors influencing kinesiophobia in patients with DPNP （n=192）

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