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

Abstract

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

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.

Figures/Tables 4

References 22

[1]	解海霞, 魏燕, 高莹, 等. 社区脊髓损伤患者焦虑抑郁情况及其影响因素分析[J]. 中国康复医学杂志, 2022, 37(8):1093-1097, 1101.
	Xie HX, Wei Y, Gao Y, et al. Analysis of anxiety and depres-sion of patients with spinal cord injury in community and its influencing factors[J]. Chin J Rehabil Med, 2022, 37(8):1093-1097,1101.
[2]	解海霞, 王艳波. 脊髓损伤后患者成长历程的质性研究[J]. 中国康复理论与实践, 2015, 21(12):1451-1456.
	Xie HX, Wang YB. Qualitative study of growth process for people with spinal cord injury[J]. Chin J Rehabil Theory Pract, 2015, 21(12):1451-1456.
[3]	Szcześniak M, Świᶏtek AH, Cieślak M, et al. Disease acceptance and eudemonic well-being among adults with physical disa-bilities:the mediator effect of meaning in life[J]. Front Psychol, 2020, 11:525-560. doi: 10.3389/fpsyg.2020.00525
[4]	张旭, 李瑞玲, 朱冉君, 等. 伤残接受度的应用及研究进展[J]. 护理研究, 2018, 32(2):183-186.
	Zhang X, Li RL, Zhu RJ, et al. Application and research pro-gress on acceptance of disability[J]. Chin Nurs Res, 2018, 32(2):183-186.
[5]	Aaby A, Ravn S L, Kasch H, et al. The associations of accep-tance with quality of life and mental health following spinal cord injury:a systematic review[J]. Spinal Cord, 2020, 58(2):130-148. doi: 10.1038/s41393-019-0379-9
[6]	陈敏杰, 张小培, 欧翠玲, 等. 门诊脑卒中患者残疾接受度和功能锻炼依从性的相关性研究[J]. 中华护理教育, 2019, 16(9):710-713.
	Chen MJ, Zhang XP, Ou CL, et al. The correlational study of acceptance of disability and exercise compliance among stroke outpatients[J]. Chin J Nurs Educ, 2019, 16(9):710-713.
[7]	康海琼, 周红俊, 刘根林, 等. 脊髓损伤神经学分类国际标准检查表2019版最新修订及解读[J]. 中国康复理论与实践, 2019, 25(8):983-985. doi: 10.3969/j.issn.1006-9771.2019.00.009
	Kang HQ, Zhou HJ, Liu GL, et al. Modification and interpre-tation of the 2019 international standards for neurological classification of spinal cord injury worksheet[J]. Chin J Rehabil Theory Pract, 2019, 25(8):983-985. doi: 10.3969/j.issn.1006-9771.2019.00.009
[8]	中国残疾人实用评定标准[EB/OL]. 2006-12-02)[2023-07-24]. https://www.gov.cn/ztzl/gacjr/content_459939.htm.
[9]	张旭, 李瑞玲, 王静杰, 等. 缺血性脑卒中患者残疾接受度及相关因素[J]. 中国心理卫生杂志, 2018, 32(4):314-318.
	Zhang X, Li RL, Wang JJ, et al. Disability acceptance and rela-ted factors in patients with ischemic stroke[J]. Chin J Mental Health, 2018, 32(4):314-318.
[10]	吴晓蕾. 烧伤患者伤残接受度、希望水平及社会参与水平纵向研究[D]. 福州: 福建医科大学, 2018.
	Wu XL. Longitudinal study on disability acceptance,hope level and social participation level of burn patients[D]. Fuzhou: Fujian Medical University, 2018.
[11]	侯灵仙, 李若和, 柳丽萍, 等. 脊髓损伤患者康复初期的焦虑抑郁和残疾程度关系研究[J]. 护理管理杂志, 2021, 21(1):6-9,14. doi: 10.1097/00005110-199101000-00002
	Hou LX, Li RH, Liu LP, et al. Study on the relationship bet-ween anxiety depression and disability degree in patients with spinal cord injury at the early stage of rehabilitation[J]. J Nurs Admin, 2021, 21(1):6-9,14. doi: 10.1097/00005110-199101000-00002
[12]	黄英丽, 司文, 周美玲, 等. 述情障碍与脊髓损伤患者残障接受度的相关性分析[J]. 中国实用护理杂志, 2022, 38(8):600-605.
	Huang YL, Si W, Zhou ML, et al. Correlation between alexi-thymia and disability acceptance in patients with spinal cord injury[J]. Chin J Prac Nurs, 2022, 38(8):600-605.
[13]	吴超超, 林昕, 方崇斌. 颈髓损伤患者残障接受度现状及影响因素分析[J]. 护理学杂志, 2014, 29(18):5-8.
	Wu CC, Lin X, Fang CB. Analysis of disability acceptance status and influencing factors in patients with cervical spinal cord injury[J]. J Nurs Sci, 2014, 29(18):5-8.
[14]	李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2018.
[15]	Groomes DAG, Linkowski D. Examining the structure of the Revised Acceptance Disability Scale[J]. J Rehabi, 2007, 73(3):3-9.
[16]	陈妮, 程云, 孙晓春, 等. 臂丛神经损伤患者伤残接受度与创伤后应激反应的相关性研究[J]. 中华护理杂志, 2009, 44(8):677-680.
	Chen N, Cheng Y, Sun XC, et al. Study on the relationship between disability acceptance and post-traumatic stress response in patients with brachial plexus injury[J]. Chin J Nurs, 2009, 44(8):677-680.
[17]	Herth K. Development and refinement of an instrument to mea-sure hope[J]. Sch Inq Nurs Pract, 1991, 5(1):39-51,53-56. pmid: 2063043
[18]	张静. 癌症化疗患者希望水平与应对方式、社会支持关系的研究[D]. 北京: 中国协和医科大学, 2006.
	Zhang J. The relationship of hope,coping style and social support in patients with cancer[D]. Beijing: Peking Union Medical College, 2006.
[19]	Nicholls E, Lehan T, Plaza SL, et al. Factors influencing acce-ptance of disability in individuals with spinal cord injury in Neiva,Colombia,South America[J]. Disabil Rehabil, 2012, 34(13):1082-1088. doi: 10.3109/09638288.2011.631684
[20]	宫宁. 老年脑卒中残疾患者伤残接受度与自我效能感的相关性研究[D]. 沈阳: 辽宁中医药大学, 2020.
	Gong N. Correlation between disability acceptance and self-efficacy in elderly patients with stroke disability[D]. Shen-yang: Liaoning University of Traditional Chinese Medicine, 2020.
[21]	李琳, 吴晓蕾, 许乐. 烧伤患者伤残接受度与希望水平现状及其相关性研究[J]. 中华烧伤杂志, 2018, 34(7):486-491.
	Li L, Wu XL, Xu L. Current status of acceptance of disability and hope level in burn patients and the correlation[J]. Chin J Burns, 2018, 34(7):486-491.
[22]	林雪, 庞永慧, 甘海洁, 等. 晚期肺癌化疗患者家庭韧性与希望水平、生活质量的关系研究[J]. 护理管理杂志, 2022, 22(4):266-270.
	Lin X, Pang YH, Gan HJ, et al. Correlation analysis of family resilience,hope level and quality of life in patients with advanced lung cancer undergoing chem-otherapy[J]. J Nurs Adm, 2022, 22(4):266-270.

Status and influencing factors of disability acceptance in patients with spinal cord injury

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 4

References 22

Related Articles 15

Metrics

Comments

Recommended 10

[1]	CHEN Xiangjun, HU Fang, TANG Li, TAN Xiaomei. Analysis of reflective practice level and its influencing factors in clinical nurses [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1120-1125.
[2]	ZHOU Xinxin, SHI Yan, CHEN Qin, JIANG Lili, WANG Jingjing. Implementation status and suggestions on the “double tutorial system” for master of nursing specialist students [J]. Chinese Journal of Nursing Education, 2024, 21(8): 956-961.
[3]	LI Shumin, WEI Zhengxin, SHANG Shaomei, HOU Shuxiao. Current situation and development suggestions for the cultivation of master of nursing specialist students [J]. Chinese Journal of Nursing Education, 2024, 21(8): 962-967.
[4]	SUN Yumei, ZHOU Qiang, YE Minghui, SUN Hongyu, ZHAO Guodong. An investigation on the learning approaches of nursing undergraduates in the blended learning [J]. Chinese Journal of Nursing Education, 2024, 21(5): 557-561.
[5]	GAO Xiao, WEI Lili, ZHOU Haiqing, GONG Hui, SUN Yaru, GU Ruting. The reliability and validity of the Chinese version of Multidimensional Nursing Generations Questionnaire [J]. Chinese Journal of Nursing Education, 2024, 21(5): 580-586.
[6]	XIE Yuqing, ZHANG Xiangeng, WANG Yuting, WANG Hongyan, YANG Shenbi, GUO Qin. A study on the impact of social support on quality of life of women of childbearing age in ethnic areas of Sichuan Province [J]. Chinese Journal of Nursing Education, 2024, 21(3): 348-352.
[7]	ZHANG Jian, JING Jie, GAI Yubiao, XUE Xue, LIU Qingwei, WEI Lili, ZHANG Yuchen, LI Zunzhu, SUN Jianhua, LIU Yanyan, LUO Hongbo. Study on the current situation about ICU nurses’ knowledge，attitude and practice of acute skin failure and its influencing factors [J]. Chinese Journal of Nursing Education, 2024, 21(3): 336-341.
[8]	WANG Lijuan, ZHANG Miao, ZHANG Xin, LI Juanjuan, XIAO Wenyi, GE Yurong. Meta analysis of influencing factors of frailty in maintenance hemodialysis patients [J]. Chinese Journal of Nursing Education, 2024, 21(3): 365-371.
[9]	ZHANG Fan, LIU Tuanhui, XU Zhaoning, LÜ Jingwen, ZHANG Lei, LI Yahong, JIANG Wenhui. The mediating effect of ego-resiliency between perceived stress and occupational commitment in newly graduated nurses [J]. Chinese Journal of Nursing Education, 2024, 21(2): 159-164.
[10]	BAO Bin, CAO Meijuan, HE Xin, XIE Chunqi, LI Qiang. The current status and influencing factors of ethical sensitivity of nursing students [J]. Chinese Journal of Nursing Education, 2024, 21(2): 183-188.
[11]	WANG Honglian, XIE Wenjuan, HUANG Hui, LIU Yuyao, YOU Xuelian, CHEN Hui. Translation and validation of the Adaptive Capacity Index for advanced cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(2): 218-223.
[12]	MEI Yongxia,LIU Zhiwei,ZHANG Zhenxiang,WANG Zhengjun,LIN Beilei,CHEN Suyan,ZHAO Zhixin,ZHANG Weihong. Investigation of ideological and political quality in 9 978 nursing students [J]. Chinese Journal of Nursing Education, 2024, 21(1): 37-41.
[13]	ZHANG Ruiqiu, WANG Yiang, ZHANG Bei, ZHU Guodong. Research progress of the impact of nursing home environment on the older adults [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1118-1124.
[14]	GUO Qin, ZHANG Xiangeng, WANG Hongyan, LIU Linfeng, LIU Shan, LIU Yunqi, ZHANG Yunqiu. Analysis of the current situation and factors influencing the benefit finding of patients with hypertension in pension institutions [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1095-1099.
[15]	CAI Jianzheng, WANG Haifang, HU Xiuying, MAO Lifen, ZHAO Xiaoqing, QIN Ziyu. Analysis on the characteristics of nurses who suffer from workplace violence repeatedly [J]. Chinese Journal of Nursing Education, 2023, 20(8): 919-924.