摘要
目的探讨以心理因素以及社会因素与退变性慢性下腰痛患者疼痛程度的相关性。方法选择在昆明医学院第二附属医院骨科治疗的80例退变性下腰痛患者。所有患者一次性全部完成五项问卷,按照汉密尔顿抑郁量表评分的划界分7分将所有患者分为抑郁组与非抑郁组,按照汉密尔顿焦虑量表评分的划界分6分将所有患者分为焦虑组与非焦虑组。80例患者全部进入统计学分析,中间无一例脱落。采用Pearson相关性分析方法分析以抑郁和焦虑为主的心理因素以及性别、年龄、文化程度、职业等社会因素与患者疼痛程度的相关性。结果退变性慢性下腰痛患者的疼痛程度与文化程度呈负相关(r=-0.340,P<0.05),与性别、年龄、职业等社会因素无明显相关性。患者的疼痛程度评分与抑郁评分(r=0.815,P<0.01)及焦虑评分(r=0.694,P<0.01)均呈显著正相关。结论退变性慢性下腰痛患者的痛量与文化程度呈负相关,退变性慢性下腰痛患者的痛量与抑郁及焦虑均呈显著正相关,应关注社会心理因素对下腰痛治疗的影响。
Objective To investigate the correlation between the degree of pain of patients with cataplasia chronic low back pain and psychological factors and social factors. Methods Totally 80 patients with cataplasia chronic low back in department of orthopaedics of our hospital were surveyed by using a questionnaire of five items.According to the 7-cut-off score of Hamilton Depression Scale（HDS）,the patients were divided as depression group and non-depression group;and they also were divided as anxiety group and non-anxiety group according to the 6-cut-off score of Hamilton Anxiety Scale（HAS）.All the 80 patients got into statistic analysis,with no missed case.The Pearson Correlation Analytical Method was taken to analyze the correlations of the degree of pain of patients with such psychological factors as depression and anxiety,and such social factors as sex,age,education background,and occupation. Results There was a negative correlation between the degree of chronic low back pain and educational background（r=-0.340,P0.05）,and no obvious correlation was found of the degree of chronic low back pain with sex,age,and occupation.There were obvious positive correlations between the degree of chronic low back pain and depression score（r=0.815,P0.01）,and anxiety score（r=0.694,P0.01）. Conclusion The degree of pain of patients with cataplasia chronic low back pain is negatively correlated with the educational background,and is not obviously correlated with sex,age,and occupation.And it is positively correlated with depression score and anxiety score.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第4期442-445,共4页
Chinese General Practice
关键词
慢性下腰痛
社会心理因素
抑郁
焦虑
Chronic low back pain
Social psychological factor
Depression
Anxiety
