心理弹性在老年慢性疼痛患者疼痛管理自我效能与生活质量间的中介效应

目的 探讨心理弹性在老年慢性疼痛患者疼痛管理自我效能与生活质量间的中介效应。 方法 2021年1月至12月采用方便抽样法选取在南京大学医学院附属鼓楼医院就诊的老年慢性疼痛患者96例为研究对象，应用心理弹性量表、疼痛管理自我效能量表及老年生活质量评定表对入组患者进行调查，采用Bootstrap法行中介效果验证。 结果 老年慢性疼痛患者心理弹性与疼痛自我管理效能及生活质量呈正相关（r=0.456、0.478，P＜0.05）。心理弹性在老年慢性疼痛患者疼痛自我管理效能及生活质量间存在部分中介效应，占总效应52.1%。 结论 老年慢性疼痛患者心理弹性及疼痛自我管理水平处于中等偏低，生活质量还有待提高。心理弹性水平可影响老年慢性疼痛患者疼痛管理自我效能及生活质量，建议医院、社区及家庭可给予患者鼓励及支持，以增强患者心理弹性，提高患者疼痛管理自我效能，提高患者生活质量。

Mediating effect of mental resilience on pain management self-efficacy and quality of life in elderly patients with chronic pain

Objective To explore the mediating effect of mental resilience on pain management self-efficacy and quality of life in elderly patients with chronic pain. Methods A total of 96 elderly patients with chronic pain were selected from Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from January to December 2021 by convenient sampling method. Psychological resilience scale, pain management self-efficacy scale, and elderly quality of life assessment scale were used to investigate the enrolled patients, and the mediation effect was verified by Bootstrap method. Results Mental resilience was positively correlated with pain self-management efficacy and quality of life (r=0.456, 0.478, P＜0.05). Psychological resilience had a partial mediating effect between pain self-management efficacy and quality of life in elderly patients with chronic pain, accounting for 52.1% of the total effect. Conclusion The mental resilience and pain self-management of the elderly patients with chronic pain are in the middle and low level, and the quality of life needs to be improved. The level of mental resilience can affect pain management self-efficacy and quality of life in elderly patients with chronic pain. It is suggested that hospitals, communities and families can provide encouragement and support to patients to enhance their mental resilience, improve their pain management self-efficacy, and improve their quality of life.