基于hlm模式分析心理弹性、正负性情绪与骨折患者术后疼痛变化的相关性

目的：探讨基于HLM模式分析心理弹性、正负性情绪与骨折患者术后疼痛变化的相关性。方法：采取整群便利抽样法随机选取2019年1月-2019年6月我院收治的骨折患者110例为研究对象，使用一般调查表、心理弹性量表、正负性情绪量表及疼痛评估量表对骨折患者进行资料收集，并采用多层线性模型(HLM)模式分析心理弹性、正负性情绪与骨折患者术后疼痛变化的相关性。结果：术后1d骨折患者的疼痛平均得分为(5.81±1.69)，2~6d的疼痛平均得分逐渐降低；在心理弹性得分上术后1d平均得分为(56.83±3.84)为最低，术后2~6d后得分逐渐上升，最高为(79.82±2.95)分；正负情绪在术后1d为最低(52.43±3.71)，术后2~6d逐渐上升，最高得分为(76.85±4.59)；不同时间节点得分比较均具有统计学意义(P＜0.05)；经HLM模型分析结果显示，疼痛会随着时间的增长呈现下降趋势；心理弹性越高则感知疼痛得分越高，疼痛得分下降趋势越明显；积极情绪越高者，疼痛得分会随着时间下降的越；反之，负性情绪越高者，疼痛得分会随着时间下降的越慢。结论：心理弹性和正负情绪对骨折患者术后疼痛变化有着明显的相关性，心理弹性程度越高，患者术后疼痛感知敏感性越低，积极情绪越高则疼痛感知度越低，反之，消极情绪越高，则疼痛感知越明显。

Analysis of the correlation between psychoelasticity, positive and negative emotions and postoperative pain in patients with fracture based on HLM model

Objective:To explore the correlation between psychological elasticity, positive and negative emotions and postoperative pain changes in fracture patients based on HLM model analysis. Methods:From January 2019 to June 2019, 110 patients with fracture were randomly selected by cluster convenient sampling. The data of fracture patients were collected by general questionnaire, psychometric elasticity scale, positive and negative emotion scale and pain assessment scale, and the correlation between positive and negative emotion and postoperative pain changes of fracture patients was analyzed by multi-layer linear model (HLM) model.Results:After 1 day fracture, the average score of pain was (5.81±1.69), the average score of 2~6 days was gradually decreased, the average score of 1 day was (56.83±3.84), the highest score of 2~6 days was (79.82±2.95), the highest score of positive and negative emotion was the lowest (52.43±3.71), the highest score of 2~6 days was (76.85±9), and the highest score of 4.5 was different. Conclusion:Psychological elasticity and positive and negative emotions were significantly correlated with postoperative pain changes in fracture patients. the higher the degree of psychological elasticity, the lower the sensitivity of postoperative pain perception, the higher the positive emotion, the lower the pain perception. On the contrary, the higher the negative emotion, the more obvious the pain perception.