The relationship of pain catastrophizing in principal caregivers of postoperative children with malignant bone tumors and children's kinesiophobia and pain perception: A cross-sectional survey

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Abstract

Objective

To examine the phenomenon of pain catastrophizing among the principal caregivers of postoperative children with malignant bone tumors and explore its impact on pain perception and kinesiophobia in children.

Design

A cross-sectional study design.

Methods

Using a cross-sectional study design, a questionnaire-based survey was conducted among 140 children with malignant bone tumors and their principal caregivers, who were admitted to a tertiary hospital in Shanghai from 2020 to 2023. Pearson's univariate and multiple regression analyses were conducted. The questionnaire included general data, the Parental Pain Catastrophizing Scale, the Short-Form McGill Pain Questionnaire, and the Tampa Scale of Kinesiophobia.

Results

The frequency of pain catastrophizing for the principal caregivers was 16.8%. The frequency of kinesiophobia in children was 93.1%. The level of pain catastrophizing was positively correlated with the level of kinesiophobia and pain perception (r = 0.556, 0.614, p < 0.05). Multiple logistic regression analysis showed that the level of pain catastrophizing in principal caregivers was an important factor of kinesiophobia in children (B = 0.370, Std. = 0.119, Wald = 9.687, Ex (P) = 1.448, p = 0.002). Multiple linear regression analysis showed that the incidence of pain catastrophizing and the level of kinesiophobia were important influencing factors in pain perception (p < 0.05), with R2 = 0.272, adjusted R2 = 0.249, F = 11.579, and p < 0.001.

Conclusions

The level of pain catastrophizing in the principal caregivers was an important factor in postoperative kinesiophobia and pain perception in children with a malignant bone tumor.

Practice implications

It is important to evaluate the patients' and their families' emotional changes and psychological needs during the perioperative period. Nurses play a crucial role in providing appropriate interventions for patients or families to reduce the negative pain experience and improve patients’ prognosis.

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恶性骨肿瘤术后患儿主要照顾者的疼痛灾难化与患儿运动恐惧和疼痛感的关系:横断面调查
摘要] 目的 研究恶性骨肿瘤术后患儿主要照顾者的疼痛灾难化现象,并探讨其对患儿疼痛知觉和运动恐惧的影响。采用皮尔逊单变量和多元回归分析。调查问卷包括一般数据、家长疼痛灾难化量表、短式麦吉尔疼痛问卷和坦帕运动恐惧症量表。儿童运动恐怖症的发生率为 93.1%。疼痛灾难化程度与运动恐怖症和疼痛知觉程度呈正相关(r = 0.556, 0.614, p <0.05)。多元逻辑回归分析表明,主要照顾者的疼痛灾难化水平是儿童运动恐惧的一个重要因素(B = 0.370,Std. = 0.119,Wald = 9.687,Ex (P) = 1.448,P = 0.002)。多元线性回归分析表明,疼痛灾难化的发生率和运动恐怖症的程度是疼痛知觉的重要影响因素(p < 0.05),R2 = 0.272,调整后 R2 = 0.249,F = 11.579,p < 0.001。结论主要护理人员的疼痛灾难化程度是影响恶性骨肿瘤患儿术后运动恐惧和疼痛知觉的重要因素。护士在为患者或家属提供适当的干预措施以减少负面疼痛体验和改善患者预后方面发挥着至关重要的作用。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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