以质量求发展,以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (15): 64-68.doi: 10.16460/j.issn1008-9969.2023.15.064

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Mediating effect of pain self-efficacy between experiential avoidance and pain severity in patients with oral cancer

HUANG Xiu-yu1, SU Xi-xi2, ZHENG Xiao-yan3, WANG Rong-na4, LIU Huang-ju1, GUO Yu-lai1, GAO Ji1   

  1. 1. School of Nursing, Fujian Medical University, Fuzhou 350122, China;
    2. Dept. of Gynecology, Fujian Cancer Hospital, Fuzhou 350014, China;
    3. Dept. of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;
    4. Dept. of Otorhinolaryngology Head and Neck Surgery, Air Force Medical University, Xi’an 710000, China
  • Received:2022-12-07 Online:2023-08-10 Published:2023-09-08

Abstract: Objective To explore the mediating effect of pain self-efficacy between experiential avoidance and pain severity in patients with oral cancer before surgery. Methods A total of 206 patients who were hospitalized in a comprehensive tertiary grade-A hospital in Fujian Province were selected from February 2021 to August 2022. The general information questionnaire, Pain Self-Efficacy Questionnaire, Chinese version of Acceptance and Action Questionnaire and Visual Analogue Scale were used. Results The score of experiential avoidance, pain self-efficacy and pain severity in patients with oral cancer was 22.86±9.12, 40.79±13.63 and 4.23±1.94 respectively. Experiential avoidance had a direct effect on pain level (β=0.034, P=0.042), and pain self-efficacy (β=-0.884, P<0.001), and pain self-efficacy had a direct negative effect on pain level (β=-0.049, P<0.001). Pain self-efficacy partially mediated the relationship between experiential avoidance and pain severity, which accounted for 55.84% of the total effect. Conclusion Preoperative pain severity of patients with oral cancer is in the medium level, and the total score of experiential avoidance, and pain self-efficacy is in lower middle and upper middle level respectively. No deliberate control or avoid of pain, and more attention to the improvement of patients’ pain self-efficacy are conducive to promoting pain relief.

Key words: preoperative, oral cancer, experiential avoidance, pain self-efficacy, pain

CLC Number: 

  • R473.73
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