脊髓损伤患者自我感受负担及影响因素分析

摘要

目的 探讨脊髓损伤患者的自我感受负担现状及其影响因素,为临床护理提供参考.方法 对100例住院治疗的脊髓损伤患者采用一般资料调查表、自我感受负担量表、中文版世界卫生组织生存质量简化量表、患者健康问卷抑郁量表进行问卷调查,其中一般资料纳入等量主要照顾者进行调查.结果 脊髓损伤患者的自我感受负担得分31.95±10.25,生活质量得分69.06±13.82,抑郁得分10.02±6.44.多因素回归分析显示家庭月收入、并发症情况、生活质量及照顾者角色是脊髓损伤患者自我感受负担的影响因素(调整R2=0.346,均P＜0.05).结论 脊髓损伤患者自我感受负担处于中等水平,受多种因素影响,医护人员在关注患者疾病康复的同时,应重视患者心理社会因素,尽量予以调适.%Objective To explore the level and factors associated with self-perceived burden in patients with spinal cord injury.Methods A sample of 100 patients with spinal cord injury were investigated by the general information questionnaire,Self-perceived Burden Scale(SPBS),World Health Organization's Quality of Life Questionnaire-Brief Version (WHOQOL-BREF),and Patient Health Questionnaire 9(PHQ-9).Results The sample scored 31.95±10.25 on self-perceived burden,69.06±13.82 on quality of life,and 10.02± 6.44 on depression.Multiple linear regression analysis showed that monthly family income,complications,quality of life and types of caregiver were predictors of patient's self-perceived burden (adjusted R2=0.346,P＜0.05 for all).Conclusion The self-perceived burden is at moderate level among patients with spinal cord injury,and is affected by several factors.Medical staff should not only focus on physical recovery but must also pay attention to psychosocial health and take corresponding measures.