The Correlation Among Pain Belief,Negative Emotion And Quality Of Life In Patients With Lumbar Degenerative Diseases

Objective:To investigate the status of pain belief,negative emotion and quality of life in patients with lumbar degenerative diseases and analyze the relationship among them;explore the factors that influence the quality of life,aiming to provide a theoretical basis for improving the quality of life.Methods:A total of 340 patients with lumbar degenerative diseases were selected from the Department of Orthopedics in two tertiary first-class hospitals in Chengde from September 2019 to January 2020 by convenient sampling.The baseline questionnaire,Pain Beliefs and Perceptions Inventory(PBPI),Hospital Anxiety and Depression Scale(HADS),Quality of Life Scale for Patients with Spinal Degenerative Diseases(QLS-DSD),Brief Pain Inventory(BPI),and modified ODI were used.The collected data were analyzed using SPSS 22.0,Descriptive analysis,t-test,one-way ANOVA,multiple linear regression,and Pearson correlation analysis were performed for statistical analyses.Results:1.A total of 348 questionnaires acquired and 340 were effective,the recovery rate was 97.7%.The respondents were mainly female(55.6%),and the mean age was 54.77±12.59(range:22 to 84).2.Current situation of pain belief: The total score of pain belief in patients with lumbar degenerative diseases was 3.35±8.95.The highest score was the Pain as Mystery dimension(2,34±2.96)and the lowest was the Pain as Constant dimension(-1.11±3.42).3.Current situation of negative emotion: The score of anxiety in patients with lumbar degenerative diseases was 5.67±3.41,and the positive rate of anxiety was 26.18%.The depression score was 6.39±3.59,and the positive rate of depression was 31.76%.4.Current situation of quality of life and dysfunction: The mean total score of quality life of patients with lumbar degenerative diseases was74.68±15.50,including physical function score(22.02±5.02),physiological function score(25.72±6.51),psychological function score(12.76±3.48),and social function score(14.18±2.96).The dysfunction score of patients with lumbar degenerative disease was 28.43±9.91.5.Univariate analysis showed that there were statistically significant differences in quality of life scores among different places of residence,education level,medical payment method,pain time pattern,pain time and pain degree(all P value < 0.05).The multiple linear regression analysis showed that education level,24-hour maximum pain degree,total score of pain belief,anxiety,depression and dysfunction were the risk factors of quality of life(P<0.05).6.Pearson correlation analysis showed that pain belief and its dimensions,anxiety and depression were positively correlated with quality of life and its dimensions(P < 0.05),the correlation coefficient range from0.110 to 0.795.Conclusion:1.The level of pain belief,negative emotion and quality of life in patients with lumbar degenerative diseases were worse.2.The quality of life of patients with lumbar degenerative diseases can be improved by improving the level of relevant knowledge and reducing the level of pain,negative beliefs,anxiety and depression,and the degree of dysfunction.