脊髓损伤患者残疾接受度及影响因素的调查研究

doi:10.3761/j.issn.1672-9234.2023.12.017

摘要/Abstract

摘要：

目的调查脊髓损伤患者的残疾接受度现状，并分析其影响因素。方法采用便利抽样法，选取2019年1月—2022年12月北京市某三级甲等医院收治的161例脊髓损伤患者为研究对象，采用一般资料问卷、残疾接受度量表修订版、Herth希望量表对其进行调查。结果脊髓损伤患者残疾接受度得分为（70.48±14.76）分，瘫痪类型、受伤时长、希望得分对脊髓损伤患者残疾接受度得分有影响（P<0.05），可解释脊髓损伤患者残疾接受度39.4%的变异。结论脊髓损伤患者残疾接受度处于中等偏低水平（残疾接受度量表修订版总得分的理论中值为80分），瘫痪类型、受伤时长、希望得分是脊髓损伤患者残疾接受度的影响因素，医护人员可针对上述影响因素制订旨在提升其残疾接受度的干预方案，进而改善其心理状态，提升其康复依从性与效果。

关键词: 脊髓损伤, 残疾接受度, 问卷调查, 影响因素分析, 康复护理

Abstract:

Objective To investigate the status of disability acceptance in patients with spinal cord injury and analyze its influencing factors. Methods A total of 161 patients with spinal cord injury admitted to a Grade-A hospital in Beijing from January 2019 to December 2022 were selected by convenience sampling method. General data questionnaire，Revised Acceptance Disability Scale and Chinese version of Herth Hope Index were used to investigate the patients. Results The total score of disability acceptance in patients with spinal cord injury was（70.48±14.76）. Injury lesion，injury duration and hope level could explain 39.4% variation in disability acceptance. Conclusion The disability acceptance of patients with spinal cord injury is at a medium low level of acceptance. Injury lesion，injury duration and hope level are the influencing factors of disability acceptance. Medical staffs can develop intervention programs to improve disability acceptance of patients with spinal cord injury according to the characteristics of different injury lesion，injury duration and hope level，eventually improving the psychological condition，and rehabilitation adherence and efficacy of patients.

Key words: Spinal cord injury, Disability acceptance, Questionnaire, Root cause analysis, Rehabilitation nursing

王楚, 杨凤巧, 李子锋, 贾彦梅. 脊髓损伤患者残疾接受度及影响因素的调查研究[J]. 中华护理教育, 2023, 20(12): 1507-1512.

WANG Chu, YANG Fengqiao, LI Zifeng, JIA Yanmei. Status and influencing factors of disability acceptance in patients with spinal cord injury[J]. Chinese Journal of Nursing Education, 2023, 20(12): 1507-1512.

图/表 4

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