绝经期女性骨质疏松性骨折住院患者心理状况及影响因素分析
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摘要
目的探讨绝经期女性骨质疏松性骨折住院患者心理状况及影响因素。方法选取2016年9月～2018年9月我院收治的100例绝经期女性骨质疏松性骨折患者作为研究对象,收集患者临床相关资料,回顾性分析患者住院期间心理状况,采用多元Logistic回归分析影响绝经期骨质疏松性骨折患者住院期间心理状况发生的独立危险因素。结果研究对象抑郁、焦虑、孤独及总分分值均明显高于常模(P<0.05);经单因素回归分析结果显示,年龄、婚姻状况、住院时间是影响研究对象心理状态的单因素(P<0.05);经多元Logistic分析结果显示,婚姻状况、住院时间是影响研究对象心理状态的独立危险因素(P<0.001)。结论绝经期女性骨质疏松性骨折住院患者心理状况较差,婚姻状况、住院时间是影响其心理状况的独立危险因素。
Objective This study aimed to explore the psychological status and influencing factors of inpatients with osteoporotic fractures in menopausal women.Methods A total of 100 menopausal women with osteoporotic fractures admitted to our hospital from September 2016 to September 2018 were selected. MSSNS was used to analyze the psychological status of inpatients during hospitalization. Multivariate logistic regression was employed to analyze the independent risk factors affecting the psychological status of menopausal patients with osteoporotic fracture during hospitalization. Results According to the questionnaire, the scores of depression, anxiety, loneliness and total scores of the subjects' psychological scales were higher than those of the norm(P<0.05). The results of single factor analysis showed that age, marital status and hospitalization time were single factors affecting the psychological status of the subjects(P<0.05).The number of fractures and the degree of education were not single factors affecting their psychological status(P>0.05). Further multivariate logistic analysis showed that marital status and hospitalization time were independent risk factors affecting the psychological status of the subjects(P<0.001).Age(>60 years) was not an independent risk factor affecting their psychological status(P>0.05). Conclusion Inpatients with osteoporotic fractures in menopausal women have poor psychological status, and marital status and hospitalization time are risk factors that affect their psychological status.
Objective This study aimed to explore the psychological status and influencing factors of inpatients with osteoporotic fractures in menopausal women.Methods A total of 100 menopausal women with osteoporotic fractures admitted to our hospital from September 2016 to September 2018 were selected. MSSNS was used to analyze the psychological status of inpatients during hospitalization. Multivariate logistic regression was employed to analyze the independent risk factors affecting the psychological status of menopausal patients with osteoporotic fracture during hospitalization. Results According to the questionnaire, the scores of depression, anxiety, loneliness and total scores of the subjects' psychological scales were higher than those of the norm(P<0.05). The results of single factor analysis showed that age, marital status and hospitalization time were single factors affecting the psychological status of the subjects(P<0.05).The number of fractures and the degree of education were not single factors affecting their psychological status(P>0.05). Further multivariate logistic analysis showed that marital status and hospitalization time were independent risk factors affecting the psychological status of the subjects(P<0.001).Age(>60 years) was not an independent risk factor affecting their psychological status(P>0.05). Conclusion Inpatients with osteoporotic fractures in menopausal women have poor psychological status, and marital status and hospitalization time are risk factors that affect their psychological status.
引文
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[2] 钟娇,张洋,兰亚佳.女性原发性骨质疏松性骨折患者生命质量影响因素分析[J].川北医学院学报,2016,31(5):713-716.
[3] 刘斌,董芬,任晓岚,等.甘肃省20岁～80岁和绝经后女性骨质疏松症患病影响因素分析[J].中国骨质疏松杂志,2018,24(5):101-108.
[4] 叶龙,陈林,吕龙龙,等.绝经后女性骨质疏松性椎体骨折与腰椎体骨密度的相关性[J].中国骨质疏松杂志,2016,22(6):771-776.
[5] 崔军丽.妇女围绝经期心理问题、临床症状及保健措施分析[J].中国妇幼保健,2018,32(3):145-147.
[6] 王凌,林静.卵巢衰老在骨质疏松症发生发展中的作用及其分子机制[J].老年医学与保健,2017,22(6):455-458.