| ObjectivesInvestigation of outpatient service in elderly patients with chronic pain fear of moving,quality of life situation,understand the fear of moving,the factors influencing the quality of life,analysis in elderly patients with chronic pain fear of moving the relationship with the quality of life,for the clinical nursing intervention measures,formulate the corresponding lower in elderly patients with chronic pain may movement disorder,and provide theoretical basis to improve the quality of life.MethodFrom May 2019 to December 2019,276 elderly patients with chronic pain in the pain clinic of three grade a hospitals in jinan were selected for a cross-sectional survey.The questionnaire consists of five parts,General Situation Questionnaire,Visual Analogue Scale,Brief Pain Inventory,The Scale for Kinesiophbia,The Medical Outcomes study 36-Item Short-Form Health survey.The SPSS 21.0 software was applied for statistical analysis of data.Specific methods included the descriptive statistics,one-way ANOVA,T test,Spearman correlation analysis,Pearson correlation analysis and multiple linear regression analysis.Results1.A total of 290 questionnaires were issued in this study,of which 276 were valid,with an effective rate of 95.17%.2.The average age of the included patients in this study was 70.53±9.16years,with 104 males accounting for 37.68%and 172 females for 62.32%.The course of chronic pain in elderly patients was 3.00(1～10)years,the pain degree was 4.00(3.00～5.00),the pain effect degree was 4.43(3.29～5.68),and the pain relief degree was 0.3(0.1～0.5).Patients with more than 2 or more pain sites(68.84%)were more likely to have pain,the most painful sites were lower extremities(50.36%),followed by lower back(25.28%),and pain frequency was 1～5 times/week(48.55%).3.The average score of kinesiophobia in outpatient chronic pain patients was 42.03±10.57 points,Of the 276 patients,a total of 126 cases had a kinesiophobia score>37,accounting for 45.65%.Univariate analysis showed that the level of kinesiophobia in elderly patients with chronic pain was statistically significant in terms of gender,age,education,family income per capita,type of chronic disease,BMI,number of pain sites,and frequency of pain(P<0.01,P<0.05).Spearman correlation analysis results showed that there was a significant positive correlation between the degree of pain and the degree of pain influence and kinesiophobia(r=0.293～0.312,P<0.01).The results of multiple linear regression analysis showed that age,education,economic status,BMI,and degree of pain entered the regression equation.The regression model fits well(R~2=0.757,F=72.378,P=0.000).These factors can explain the total number of kinesiophobia.The amount of variation is75.7%.According to the size of the standardized coefficient,the degree of impact on kinesiophobia is in order of the impact of pain,economic status,education,age,and BMI.4.The average score of quality of life in outpatient chronic pain patie nts was51.81±8.31points.The dimensions of physical functioning were 64.34±28.47points,rolephysical 29.79±15.46 points,bodily pain 57.01±29.28 points,general health 50.00±13.07 points,vitality 51.59±13.39 points,social functioning 56.96±12.90 points,rolephysical 44.60±28.54 points,mental health 60.19±27.79 points.Compared with the national norm,the results showed that the quality of life of the elderly patient s with chronic pain was lower than the national norm in all eight dimen-sions,with statistically significant differences(P<0.01).Spearman cor relation analysis showed that there was a negative correlation between d isease course and pain level and the total score of quality of life(r=-0.710,-0.804,P<0.01).The results of multiple linear regression analysis showed that education level,economic status,number of chronic diseas-es,marital status,and pain level entered the regression equation,which could explain 73.7%of the total variation in quality of life.5.Correlation analysis showed that there was a negative correlation bet ween kinesiophobia and total quality of life scores(r=-0.377,P<0.01).I n addition,it was negatively correlated with the seven dimensions of physical functioning,role-physical,bodily pain,general health,vit al-ity,role-emotional and mental health in the quality of life(r=-0.146～-0.423,P<0.05).6.Hierarchical regression results showed that the general data variables were introduced into the first layer of independent variables,and kinesiophobia was introduced as the second layer of independent variables.The hierarchical regression analysis was performed.The regression model fits well(Beta=-0.106,R~2=0.758,F=75.113,P<0.05),Controlling the impact of general data on quality of life,kinesiophobia can still explain 75.8%of the variation in quality of life.Conclusion1.Outpatient elderly chronic pain patients have higher kinesiophobia scores,higher incidence of kinesiophobia,age,education,family average monthly income,BMI,and pain impact levels are the predictive influencing factors of kinesiophobia in elderly chronic pain patients.2.The quality of life of elderly chronic pain patients in outpatient clinics is relatively low,and the predictive factors affecting the quality of life of elderly chronic pain patients with chronic disease number,family monthly income,marital status,and pain level.3.There was a significant negative correlation between kinesiophobia and total quality of life scores in outpatient elderly chronic pain patients,and it was negatively correlated with the seven dimensions of physical functioning,role-physical,bodily pain,general health,vitality,role-emotional,and mental health. |
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