| BackgroundChronic pain has become an important public health problem in the world,which brings enormous economic pressure and mental burden to individuals,families and society.With the emergence of bio-psycho-social medical model and positive psychology,some positive psychological factors should be considered in the management and diagnosis of chronic pain.Studies at home and abroad have shown that optimism and pain,resilience and pain are interrelated,but there are few studies on chronic pain in the elderly community.This study explores the correlation between chronic pain and optimism and resilience in the elderly in the community,providing a theoretical basis for community medical staff to develop intervention measures to reduce the degree of chronic pain in the elderly.ObjectiveTo investigate the status quo of chronic pain,optimism and resilience of the elderly in the community,analyze the correlation between pain and optimism and resilience of the elderly in the community,and further explore the relevant factors affecting the pain degree of the elderly in the community with chronic pain,so as to provide a theoretical basis for the development of intervention measures to relieve chronic pain in the elderly.MethodA total of 275 elderly patients with chronic pain in the community meeting the inclusion and exclusion criteria were selected from November 2020 to January 2022 by convenience sampling method.The questionnaire was carried out mainly through the general demographic data questionnaire,the concise pain Assessment Scale,the optimistic-pessimism scale and the psychological resilience scale.Epi Data3.1 software was used to input the data,and SPSS25.0 software was used for statistical analysis.Statistical analysis methods include:descriptive analysis with case number（n）,component ratio（%）,percentage（%）,mean（x）and standard deviation（s）,two-independent sample t test,one-way ANOVA,Pearson correlation analysis and multiple linear regression analysis.P<0.05was statistically significant.Results1.The pain degree score of elderly patients with chronic pain in the community was（4.14?1.46）points,ranging from 1 to 8.75 points;The degree of living affected by pain was（3.94?1.84）points,ranging from 1 to 9.71 points.The total score of optimism is（28.39?7.78）,among which the score of two dimensions is as follows:the score of optimism factor dimension is（11.98?4.02）;The score of pessimism factor was（16.41?4.78）.The total score of resilience was（53.85?11.33）,among which the score of three dimensions was as follows:the score of toughness was（26.31?7.59）;The score of self-strengthening dimension was（19.56?4.67）;The score for optimism was（7.99?2.68）.2.Univariate analysis showed that the pain degree score of elderly chronic pain patients in the community had statistical significance in gender,age,educational background,per capita monthly family income,participation in physical exercise,number of chronic diseases,course of disease,types of analgesic methods and number of pain sites（P<0.05）.There were statistically significant differences in the total score of optimism in education background,marital status,social support sources and physical exercise（P<0.05）.There were significant differences in the total score of mental resilience in gender,age,education background,per capita monthly family income,previous occupation type,source of social support and physical exercise（P<0.05）.3.Pearson correlation analysis showed that the pain degree of elderly patients with chronic pain in the community was negatively correlated with optimism（r=-0.550,P<0.01）.The degree of pain was negatively correlated with resilience,tenacity,self-reliance and optimism(r mental resilience=-0.431,r resilience=-0.206,r self-reliance=-0.570,r optimism=-0.244,P<0.01).Optimism was positively correlated with resilience（r=0.315,P<0.01）.4.The results of multiple linear regression analysis showed that age,participation in physical exercise,number of chronic diseases,course of disease,optimism and resilience were included in the regression equation,which could explain 48%of the total variation of pain degree in elderly patients with chronic pain in the community.Conclusion1.The pain degree of elderly patients with chronic pain in the community is mainly mild.Age,participation in physical exercise,number of chronic diseases and course of disease are the factors influencing the degree of pain of elderly patients with chronic pain in the community.2.Optimism and resilience of elderly patients with chronic pain in the community were at a low level,which were negative predictors of pain degree. |
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