慢性疼痛患者疼痛信念研究的范围综述

doi:10.3761/j.issn.0254-1769.2023.04.017

摘要/Abstract

摘要：

目的对国内外慢性疼痛患者疼痛信念相关研究进行范围综述，了解疼痛信念在慢性疼痛领域的研究现状。方法根据范围综述的研究方法，计算机检索PubMed、CINAHL、Web of Science、中国知网、万方数据库、维普数据库、中国生物医学文献数据库和中华医学期刊全文数据库中的相关研究。检索时限为建库至2022年2月28日。对纳入文献进行分析和讨论。结果最终纳入21篇文献，其中4篇随机对照试验、4篇类实验研究、13篇横断面研究。疼痛信念相关理论框架包括恐惧-回避模型、自我效能理论、ABC理论、自我调节常识模型和关系框架理论。评估工具可分为疼痛鉴别信念、原因信念、后果信念和可控性信念评估4类。干预方法主要包括认知行为疗法、接纳与承诺疗法和疼痛健康教育3种类型。结论国内护理研究者应重视慢性疼痛患者疼痛信念相关理论框架的发展和完善，并在其指导下选择规范统一的评价工具，依据慢性疼痛患者的疼痛信念现状，制订科学、适用和规范的疼痛信念修正干预方案。

关键词: 慢性疼痛, 疼痛信念, 范围综述, 信念修正, 疼痛管理, 护理

Abstract:

Objective To review the research on pain beliefs in chronic pain patients at home and abroad，and to understand the research status of pain beliefs in the field of chronic pain. Methods We searched relevant literature available in such academic databases as PubMed，CINAHL，Web of Science，Wan fang，CNKI，VIP，CBM and Chinese Medical Journal Full-text Database. The retrieval time limit was from the establishment of the database to February 28，2022. The results of the literature were analyzed and discussed. Results Totally 21 studies were included，among which there were 4 randomized controlled trials，4 quasi-experimental studies and 13 cross-sectional studies. The theoretical framework related to pain beliefs includes fear-avoidance model，self-efficacy theory，ABC theory，the Common-Sense Model of Self-Regulation and Relational Fame Theory. Assessment tools include the assessment of pain discrimination beliefs，cause beliefs，consequence beliefs，and controllability beliefs. Interventions mainly include Cognitive Behavioral Therapy，Acceptance and Commitment Therapy and pain health education. Conclusion Domestic nursing researchers should pay attention to the development and improvement of the theoretical framework related to pain beliefs in patients with chronic pain，explore the best belief revision strategies，select standardized and unified evaluation tools，formulate scientific，applicable and normative pain belief revision management program based on the current situation of pain beliefs of chronic pain patients.

Key words: Chronic Pain, Pain Beliefs, Scope Review, Belief Revision, Pain Management, Nursing Care

王荣娜, 黄修妤, 苏汐锡, 刘黄菊, 郭语籁, 郑晓燕, 高骥. 慢性疼痛患者疼痛信念研究的范围综述[J]. 中华护理杂志, 2023, 58(4): 499-506.

WANG Rongna, HUANG Xiuyu, SU Xixi, LIU Huangju, GUO Yulai, ZHENG Xiaoyan, GAO Ji. A scoping review of pain belief research in chronic pain patients[J]. Chinese Journal of Nursing, 2023, 58(4): 499-506.

图/表 3

图1 PubMed的检索策略

Figure 1 Retrieval strategies based on PubMed

表1 慢性疼痛患者疼痛信念的评估工具（n=11）

Table 1 Tools for assessing pain beliefs in patients with chronic pain（n=11）

表2 慢性疼痛患者疼痛信念的干预方式及评价指标（n=6）

Table 2 Intervention mode and evaluation index of pain beliefs in patients with chronic pain（n=6）

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