创伤性脊髓损伤患者家庭亲密度和适应性
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摘要
目的:探讨脊髓损伤患者家庭亲密度和适应性的现状以及影响因素。方法:采用一般资料调查表和家庭亲密度和适应性量表中文版对186例脊髓损伤病人进行调查。结果:髓损伤患者实际家庭亲密度评分(66.25±6.77),高于国内常模(t=4.74,P=0.000);实际家庭适应性评分(47.91±9.12),低于国内常模(t=-4.472,P=0.000)。回归分析显示,实际家庭亲密度的主要影响因素是婚姻状况、并发症(R~2=0.254,F=75.930,P=0.000);实际家庭适应性的主要影响因素是文化程度、家庭收入(R~2=0.313,F=13.054,P=0.000)。结论:临床护士应该根据脊髓损伤患者家庭亲密度和适应性的特点,提供有针对性的支持和干预,发挥家庭功能在脊髓损伤患者康复治疗中的作用。
Objective:To investigate the status and influencing factors of family cohesion and adaptability in patients with traumatic spinal cord injury.Methods:A total of 186 patients with spinal cord injury were investigated using the Chinese version of the General Information Questionnaire and Family Cohesion and Fitness Scale.Results:The actual family intimacy score in patients with spinal cord injury was higher than the national norm(t=4.74,P<0.001).The actual fitness score was lower than the domestic norm(t=-4.472,P <0.001).Regression analysis showed that the main influencing factors of actual family cohesion were marital status and complications(R~2=0.254,F=75.930,P<0.000).The main influencing factors of actual family adaptability were education level and family income(R~2=0.313,F=13.054,P<0.000).Conclusion:The clinical nurse should provide targeted support and intervention according to the characteristic of family intimacy and adaptability of patients with spinal injury and play a role in the rehabilitation of patients with spinal cord injury.
Objective:To investigate the status and influencing factors of family cohesion and adaptability in patients with traumatic spinal cord injury.Methods:A total of 186 patients with spinal cord injury were investigated using the Chinese version of the General Information Questionnaire and Family Cohesion and Fitness Scale.Results:The actual family intimacy score in patients with spinal cord injury was higher than the national norm(t=4.74,P<0.001).The actual fitness score was lower than the domestic norm(t=-4.472,P <0.001).Regression analysis showed that the main influencing factors of actual family cohesion were marital status and complications(R~2=0.254,F=75.930,P<0.000).The main influencing factors of actual family adaptability were education level and family income(R~2=0.313,F=13.054,P<0.000).Conclusion:The clinical nurse should provide targeted support and intervention according to the characteristic of family intimacy and adaptability of patients with spinal injury and play a role in the rehabilitation of patients with spinal cord injury.
引文
[1]施龙保,唐佩福.急性脊髓损伤概述[J].中国卫生标准管理,2017(10):65-68
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[9]杜月娥,张娴,裴新荣,等.肠造口病人家庭亲密度与适应性的调查研究[J].护理研究,2017,33(16):1947-1950
[10]朱甲麟,贺西京.脊髓损伤患者流行病学调查和相关因素分析.第三届全国脊髓损伤治疗与康复研讨会论文集[C].2012:520-538
[11]杨晓姗,李会,林岳卿,等.已婚脊髓损伤患者婚姻结局的调查及影响因素分析[J].中国脊柱脊髓杂志,2016,26(11):999-1004
[12]Zhang J.Survey of the needs of and services for persons with physical disability in China[J].Asia Pac Disabil Rehabil J,2007,18(2):49-84
[13]何胜昔,胡佩诚,甄宏丽,等.婚姻与性治疗追踪研究[J].中国性科学,2013,22(11):61-64
[14]欧阳亚涛,廖哲安,洗庆林,等.62例男性外伤性脊髓损伤患者性功能障碍及生活质量调查分析[J].中华物理医学与康复杂志,2008,30(8):534-536
[15]Sanja Trgovcevic,Milena Milicevic,Goran Nedovic.Health condition and quality of life in persons with spinal cord injury[J].I-ranian Journal of Public Health,2014,43(9):1229-1238
[16]Nogueira P C,Rabeh S A,Caliri M H,et al.Burden of care and its impact on health-related quality of life of caregivers of individuals with spinal cord injury[J].Revista Latino-Americana de Enfermagem,2012,20(6):1048-1056
[17]杨永红,刘沙鑫,张仁刚,等.康复期脊髓损伤患者家属压力现状及影响因素分析[J].中国康复,2014,29(5):365-367
[2]Olsen D H,Gorall D M.FACESIV&the Circumplex Model[EB/OL].http://www.facesiv.com.1982
[3]费立鹏,沈其杰,郑延平,等.“家庭亲密度和适应性量表”和“家庭环境量表”的初步评价[J].中国心理卫生杂志,1991,5(5):198-203
[4]游金华,焦海花,邹有香,等.家庭亲密度和适应性对脑外伤患者高压氧治疗依从性的影响[J].中国当代医药,2016,23(13):183-185
[5]叶慧芳,陈秀丽.家庭亲密度和适应性对脑外伤患者韧性的影响[J].中华护理杂志,2015,50(10):1231-1235
[6]叶日春,朱乐英,彭雪密,等.家庭亲密度和适应性、心理韧性对脑卒中病人自我效能感的影响[J].护理研究,2017,31(33):4221-4225
[7]汗向东,王希林,马弘,等.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志出版社,1999:123-127
[8]华路敏,刘宇.乳腺癌术后化疗患者家庭亲密度与适应性的调查櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏分析[J].中华护理杂志2009,44(l):67-68
[9]杜月娥,张娴,裴新荣,等.肠造口病人家庭亲密度与适应性的调查研究[J].护理研究,2017,33(16):1947-1950
[10]朱甲麟,贺西京.脊髓损伤患者流行病学调查和相关因素分析.第三届全国脊髓损伤治疗与康复研讨会论文集[C].2012:520-538
[11]杨晓姗,李会,林岳卿,等.已婚脊髓损伤患者婚姻结局的调查及影响因素分析[J].中国脊柱脊髓杂志,2016,26(11):999-1004
[12]Zhang J.Survey of the needs of and services for persons with physical disability in China[J].Asia Pac Disabil Rehabil J,2007,18(2):49-84
[13]何胜昔,胡佩诚,甄宏丽,等.婚姻与性治疗追踪研究[J].中国性科学,2013,22(11):61-64
[14]欧阳亚涛,廖哲安,洗庆林,等.62例男性外伤性脊髓损伤患者性功能障碍及生活质量调查分析[J].中华物理医学与康复杂志,2008,30(8):534-536
[15]Sanja Trgovcevic,Milena Milicevic,Goran Nedovic.Health condition and quality of life in persons with spinal cord injury[J].I-ranian Journal of Public Health,2014,43(9):1229-1238
[16]Nogueira P C,Rabeh S A,Caliri M H,et al.Burden of care and its impact on health-related quality of life of caregivers of individuals with spinal cord injury[J].Revista Latino-Americana de Enfermagem,2012,20(6):1048-1056
[17]杨永红,刘沙鑫,张仁刚,等.康复期脊髓损伤患者家属压力现状及影响因素分析[J].中国康复,2014,29(5):365-367