慢性髋关节疼痛患者的功能障碍及相关心理因素分析

doi:10.3969/j.issn.1006-9771.2022.12.015

Abstract

Abstract:

Objective To analyze the characteristics of dysfunction in patients with chronic hip pain and clarify the relationship between dysfunction and psychological factors.

Methods A total of 55 patients with chronic hip pain admitted to the First Medical Center, Chinese PLA General Hospital from April, 2021 to March, 2022 were selected as experimental group, and 34 healthy subjects were selected as control group. The basic information and clinical data were collected by questionnaire. They were evaluated with the Hip Outcome Score Activities of Daily Living (HOS-ADL), the Hip Outcome Score sport-specific subscale (HOS-SSS), modified Harris Hip Score (mHHS), the 12-Item Short-Form Health Survey (SF-12), Visual Analogue Scale (VAS), Hospital Anxiety and Depression Scale (HADS including HADS: A and HADS:D), State-Trait Anxiety Inventory (STAI) and Pain Catastrophizing Scale (PCS), and their corelation with clinical indicators were analyzed.

Results The scores of mHHS、HOS-ADL、HOS-SSS and SF-12 were significantly lower in the experimental group than in the control group (|Z| > 6.251, P < 0.001). The scores of mHHS, HOS-ADL, HOS-SSS and SF-12 were negatived related with the score of Pain Catastrophizing Scale (PCS) (|r| > 0.480, P < 0.01). The risk factors of PCS were HADS:A, HADS:D and HOS-ADL.

Conclusion The functional level of patients with chronic hip pain is closely related to the catastrophic pain, and the influencing factors of catastrophic pain are anxiety, depression, and the motor function required for daily life of the hip joint.

Key words: chronic hip pain, dysfunction, Pain Catastrophizing Scale, anxiety, depression

CLC Number:

R684.3

ZHANG Xiaotan,LI Jun,ZHANG Lingling,XIE Huimin,SUN Lijun,PAN Yu,LI Chunbao,JIA Zishan,ZHANG Lining. Functional disorders and related psychological factors in patients with chronic hip pain[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1484-1488.

Figures/Tables 4

References 27

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组别	n	性别(男/女)/n	年龄/岁	BMI/kg·m^-2
对照组	34	17/17	51(28.25, 59.25)	24.35(20.40, 26.06)
患者组	55	23/32	40(31, 53)	22.58(20.31, 24.44)
Z/χ²值		-0.750	-0.887	-1.142
P值		0.453	0.375	0.156

组别	n	HOS-ADL	HOS-SSS	mHHS	SF-12
对照组	34	100(99, 100)	100(100, 100)	91(88, 91)	42(41, 43)
患者组	55	78(57, 91)	56(11, 72)	70(54, 78)	36(31, 39)
Z值		-7.775	-7.759	-7.162	-6.251
P值		< 0.001	< 0.001	< 0.001	< 0.001

项目	mHHS	HOS-SSS	HOS-ADL	SF-12
年龄	0.258	0.232	0.280^a	0.265
病程	-0.253	-0.272^a	-0.213	-0.083
BMI	0.205	0.319^a	0.326^a	0.216
HADS:A	-0.476^b	-0.303^a	-0.369^b	-0.522^b
HADS:D	-0.441^b	-0.219	-0.356^b	-0.423^b
PSQI	-0.153	0.084	-0.010	-0.122
S-Anxiety	0.097	-0.028	-0.006	-0.012
T-Anxiety	-0.071	-0.065	-0.092	-0.035
PCS	-0.577^b	-0.506^b	-0.577^b	-0.480^b
VAS	-0.071	-0.261	-0.284^a	-0.224

变量	β	S.E	t	P	95%CI
常量	12.015	5.088	2.361	0.022	1.801~22.229
HADS:A	1.264	0.322	3.928	0	0.618~1.910
HADS:D	0.679	0.311	2.185	0.033	0.055~1.303
HOS-ADL	-0.164	0.054	-3.061	0.004	-0.272~-0.057

Functional disorders and related psychological factors in patients with chronic hip pain

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