分析腰椎间盘突出症患者积极度与疼痛自我效能、功能障碍的关系,为改善患者的健康结局提供理论依据.本研究对260 例腰椎间盘突出症患者进行问卷调查,构建腰椎间盘突出症患者积极度与疼痛自我效能、功能障碍指数的结构方程模型.结果表明,腰椎间盘突出症患者积极度得分为(51.86±11.37)分,说明腰椎间盘突出症患者对健康管理信心和知识的掌握仍有所欠缺;患者积极度与疼痛自我效能、功能障碍指数之间存在相关关系,并具有显著影响(P<0.01).结构方程模型拟合良好,患者积极度在疼痛自我效能和功能障碍指数之间存在中介效应.疼痛自我效能可通过患者积极度来影响腰椎间盘突出症患者的功能障碍程度,应鼓励患者积极主动参与疼痛自我管理,不断提高其生活质量.
To investigate the status quo of positivity and its relationship with pain self-efficacy and dysfunction in patients with lumbar disc herniation,and to provide theoretical basis for improving the health outcomes of patients.260 patients with lumbar disc herniation were investigated by questionnaire with objective sampling method.The study constructs structural equation model of positive degree,pain self-efficacy and dysfunction index of patients with lumbar disc herniation.The positive score of patients with lumbar disc herniation is(51.86±11.37),indicating that the confidence and knowledge of health management of patients with lumbar disc herniation are still lacking.There is significant correlation between patients'positivity,and pain self-efficacy and dysfunction index,with statistically significant difference(P<0.01).The constructed structural equation model is well fitted.Positivity had an intermediary effect between pain self-efficacy and the dysfunction index.Pain self-efficacy can indirectly influence the degree of dysfunction in patients with lumbar disc herniation through positive degree.It is suggested to encourage patients'active participation and pain self-management of patients,and continuously improve the quality of life.