目的:本研究旨在探讨神经性疼痛患者的家庭功能与心理健康之间的关系,以及讨论疼痛强度的中介作用,自我感知的负担,痛苦的灾难,和功能状态。
方法:使用STROBE指南报告的横断面设计。
方法:总共277名神经性疼痛患者完成了面对面的问卷调查,以评估家庭功能,疼痛强度,痛苦的灾难,自我感知的负担,功能状态,和心理健康。构建结构方程模型(SEM)来分析这些变量之间的路径。
结果:家庭功能与心理健康之间的积极总效应是显着的,部分由自我感知的负担介导,痛苦的灾难,和功能状态。此外,更好的家庭功能与更高的疼痛强度有关,这加剧了自我感知的负担,痛苦的灾难,和功能状态,掩盖了23.68%的家庭功能和心理健康之间的积极影响。
结论:更好的家庭功能与更好的心理健康有关,正如自我感知负担减轻所解释的那样,减少痛苦灾难,和改善功能状态。然而,这种获益可能被以下关系部分掩盖,即更好的家庭功能可以解释更高的疼痛强度.
结论:护士从家庭和个人层面全面评估和管理神经性疼痛,比如家庭功能,疼痛强度,自我感知的负担,痛苦的灾难,和功能状态,可能有利于促进患者的心理健康。此外,有必要确定为什么良好的家庭功能与较高的疼痛强度相关,并在这方面进行干预。
OBJECTIVE: This study aimed to explore the pathways between family functioning and mental health in people with neuropathic pain, as well as to discuss the mediating role of pain intensity, self-perceived burden, pain catastrophizing, and functional status.
METHODS: Cross-sectional design reported using the STROBE guidelines.
METHODS: A total of 277 people with neuropathic pain completed face-to-face questionnaires to evaluate family functioning, pain intensity, pain catastrophizing, self-perceived burden, functional status, and mental health. Structural equation modeling (SEM) was constructed to analyze the pathways between these variables.
RESULTS: The positive total effect between family functioning and mental health was significant and partially mediated by self-perceived burden, pain catastrophizing, and functional status. In addition, better family functioning was associated with higher pain intensity, which worsens self-perceived burden, pain catastrophizing, and functional status, masking 23.68% of the positive effects between family functioning and mental health.
CONCLUSIONS: Better family functioning was associated with better mental health, as explained by reduced self-perceived burden, reduced pain catastrophizing, and improved functional status. However, this benefit may be partially masked by the relationship that better family functioning explains higher pain intensity.
CONCLUSIONS: Nurses\' comprehensive assessment and management of neuropathic pain from both the family and individual levels, such as family functioning, pain intensity, self-perceived burden, pain catastrophizing, and functional status, may be beneficial in promoting patients\' mental health. In addition, it is necessary to identify why good family functioning is associated with higher pain intensity and intervene in this regard.