高级检索

    疼痛自我效能在中青年腰椎间盘突出病人恐惧回避信念与锻炼态度间的中介效应

    Analysis the mediating effect of pain self-efficacy between fear avoidance beliefs and exercise attitudes in middle-aged and young patients with lumbar disc herniation

      摘要
    • 摘要:
      目的 探讨中青年腰椎间盘突出症(lumbar disc herniation，LDH)病人疼痛自我效能在恐惧回避信念和锻炼态度间的中介作用。
      方法 采用横断面研究设计，选取305例中青年LDH病人。采用自行设计一般资料量表、锻炼态度量表(EAS)、疼痛自我效能问卷(PSEQ)、恐惧回避信念量表(FABQ)进行评估。采用Pearson相关分析探讨各变量间相关性。采用线性回归构建中介效应模型并进行模型拟合效果验证。
      结果 LDH病人FABQ评分为(55.31±19.01)分，PSEQ评分为(35.33±10.28)分，EAS评分为(198.33±32.99)分。中青年LDH病人恐惧回避与疼痛自我效能、锻炼态度之间呈负相关关系(r=-0.117, P < 0.01、r=-0.052, P < 0.05)，疼痛自我效能与锻炼态度之间呈正相关关系(r=0.390, P < 0.01)。中青年LDH病人的疼痛自我效能在恐惧回避信念与锻炼态度之间起部分中介效应(效应值：-0.042，95%CI: -0.078~0.004)，中介效应占总效应的51.34%。
      结论 中青年LDH病人锻炼态度处于较低水平，恐惧回避信念处于较高水平，疼痛自我效能处于较低水平。疼痛自我效能对锻炼态度具有正向影响作用。

       

      Abstract:
      Objective To analyze the mediating effect of pain self-efficacy between fear avoidance beliefs and exercise attitudes in middle-aged and young patients with lumbar disc herniation(LDH).
      Methods Using a cross-sectional study design, 305 middle-aged and young LDH patients were selected.The patients were assessed using the self-designed general information scale, Exercise Attitude Scale(EAS), Pain Self-Efficacy Questionnaire(PSEQ) and Fear Avoidance Beliefs Scale(FABQ).Pearson correlation analysis was used to explore the correlations among various variables.The mediation effect model was constructed by using linear regression, and the fitting effect of the model was verified.
      Results The FABQ score of LDH patients was (55.31±19.01), the PSEQ score was (35.33±10.28), and the EAS score was (198.33±32.99).There was a negative correlation between fear avoidance and pain self-efficacy and exercise attitude in young and middle-aged LDH patients(r=-0.117, P < 0.01;r=-0.052, P < 0.05), and a positive correlation between pain self-efficacy and exercise attitude(r=0.390, P < 0.01).The pain self-efficacy of young and middle-aged LDH patients played a partial mediating effect between fear avoidance beliefs and exercise attitude(Effect value: -0.042, 95%CI: -0.078~0.004), and the mediating effect accounted for 51.34% of the total effect.
      Conclusions Young and middle-aged LDH patients′ exercise attitude is at a low level, the fear avoidance belief is at a high level, and the pain self-efficacy is at a low level.The pain self-efficacy has a positive effect on exercise attitude.

       

      • HTML全文
      • 参考文献(25)
      • 相关文章
      • 施引文献
    • 资源附件(0)

    /

    返回文章
    返回