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The Level of Pain according to Depression, Coping strategies and Self-efficacy in Patients with chronic low back pain

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KMID : 0928020010050020019
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Abstract

The purpose of this study was to identify the differences in the level of pain according to depression, coping strategies and self-efficacy in the patients with chronic low back pain in order to provide a basis for efficient nursing interventions.
The subjects of the study were 143 out patients or in patients with chronic low back pain in one general hospital and one spine clinic located in Daegu city.
The method used in the study was the structured self-reporting questionnaire and the data were collected from September 5 to September 30, 2000.
The instruments for this study were the depression scale developed by Shelich & Yesavage(1986) and revised by Song, Mee Sun(1991), the coping strategies scale developed by Brown & Nicassio(1987) and adapted by Park, Choon Ja(1994), and the self-efficacy scale developed by Kim, Jong Im(1994) and another developed by Long et al.(1989) and revised by Kim, In Ja(1994).
The level of pain was measured by 10cm Graphic Rating Scale.
The collected data were analyzed into the real quantity and percentage, 2-way ANOVA and Pearson Correlation Coefficient by using the SPSS/PC+ program.
The results of this study are as follows
1. There were no statistically significant differences in the level of pain according to depression(F=0.001, p=0.9800), and self-efficacy(F=0.430, p=0.5l00). However there was statistically significant differences in the level of pain according to coping strategies(F=9.817, p=0.0000).
2. There were no statistically significant differences in the level of pain according to the interaction of not only depression and coping strategies(F=1.446, p=0.2300) but also depression and self-efficacy(F=2.125, p=0.l400).
3. The analysis of the relation among depression, coping strategies, self-efficacy and pain showed the significant negative correlation between depression and coping strategies(r=-.5464, p=0.001), depression and self-efficacy(r=-.6033, p=0.00l), the significant positive correlation between coping strategies and self-efficacy(r=.6087, p=0.001), and the significant negative correlation between coping strategies and pain(r=-.3229, p=0.001).
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