Comparison of the Predictive Role of Spiritual Well-Being and Pain Intensity on Pain Catastrophizing in Acute and Chronic Pain

IF 2.1 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2025-01-22 DOI:10.1016/j.pmn.2024.12.024
Sevda Korkut PhD, RN
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Abstract

Aim

This study was conducted to compare the predictive effect of spiritual well-being and pain intensity on pain catastrophizing of individuals with acute and chronic pain.

Design

This research is a cross-sectional and comparative study.

Methods

The study included 116 individuals with chronic pain and 111 individuals with acute pain. The study data were collected using the Descriptive Characteristics Questionnaire, Pain Catastrophizing Scale, Three-Factor Spiritual Well-Being Scale, Turkish Graded Chronic Pain Scale–Revised (TurGCPS-R) and Numerical Rating Scale.

Results

The pain catastrophizing levels of individuals with chronic pain were significantly higher than individuals with acute pain. There was a statistically significant negative correlation between spiritual well-being and pain catastrophizing levels in both groups. The strength of this relationship was stronger in individuals with chronic pain. Spiritual well-being and pain intensity explained 53% of the total variance in pain catastrophizing in the chronic pain group, while they explained 34% in the acute pain group.

Conclusions

As a result of the study, it was determined that as the level of spiritual well-being increased, the pain catastrophizing and pain intensity decreased in acute and chronic pain patients. In addition, spiritual well-being was an important predictor of pain catastrophizing in both acute and chronic pain patients.

Clinical Implications

Because pain has a multidimensional structure, evaluating all dimensions of pain and providing holistic care for all dimensions will increase the effectiveness of optimal treatment. If nurses understand all dimensions of pain, they can create a pain management plan specific to the patient's needs. In this way, more effective, personalized and comprehensive care is provided and significant contributions are made to the patient and the healthcare system. In addition, the patient's autonomy whose spiritual practices are allowed will be supported.
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精神幸福感和疼痛强度对急性和慢性疼痛灾难化预测作用的比较。
目的:比较精神幸福感和疼痛强度对急性和慢性疼痛患者疼痛灾难化的预测作用。设计:本研究为横断面比较研究。方法:研究对象为116例慢性疼痛患者和111例急性疼痛患者。采用描述性特征问卷、疼痛灾变量表、三因子精神幸福感量表、土耳其慢性疼痛分级量表(TurGCPS-R)和数值评定量表收集研究数据。结果:慢性疼痛患者的疼痛灾难化水平显著高于急性疼痛患者。在两组中,精神幸福感与痛苦灾难化水平之间存在统计学上显著的负相关。这种关系的强度在患有慢性疼痛的个体中更强。精神幸福感和疼痛强度解释了慢性疼痛组中53%的疼痛灾难化总方差,而在急性疼痛组中,它们解释了34%。结论:研究结果表明,随着精神幸福感水平的提高,急性和慢性疼痛患者的疼痛灾变和疼痛强度均有所下降。此外,精神幸福感是急性和慢性疼痛患者疼痛灾难化的重要预测因子。临床意义:由于疼痛具有多维结构,评估疼痛的所有维度并为所有维度提供整体护理将提高最佳治疗的有效性。如果护士了解疼痛的所有方面,他们就可以根据病人的需要制定一个具体的疼痛管理计划。通过这种方式,提供更有效,个性化和全面的护理,并为患者和医疗保健系统做出重大贡献。此外,允许患者进行精神实践的自主权将得到支持。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
期刊介绍: This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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