胸腰椎压缩性骨折患者卧床依从性的影响因素分析  

作　　者：刘飞勇[1] 曾丽雯[1] 何瑾云[1] 刘良菊[1] 

机构地区：[1]中山大学附属第一医院黄埔院区脊柱外科,广东广州510700

出　　处：《现代临床护理》2007年第5期33-34,共2页Modern Clinical Nursing

摘　　要：目的分析影响胸腰椎压缩性骨折患者卧床依从性的影响因素。方法采用自制的一般情况调查表和影响胸腰椎压缩性骨折患者卧床依从性问卷调查表,对胸腰椎压缩性骨折患者中不配合卧床的22例患者进行调查。结果22例不配合卧床的患者中,入院1～2 d时,不遵医者占9.1%,入院3～10 d时,不遵医者占72.7%;因中度疼痛不遵医者占36.4%,因轻度疼痛不遵医占63.6%;因不适应床上小便不遵医者占72.7%,不适应床上大便不遵医者占40.9%;因不理解私自离床活动所致后果的严重性不遵医者占9.1%。结论患者病程、自身症状、生活自理因素及知识缺乏是影响胸腰椎压缩性骨折患者卧床依从性的主要因素。Objective To investigate the factors which influence the lying-in-bed compliance in patients with thoracic waist vertebral compression fracture. Method A self-designed questionnaire was adopted to investigate the medical compliance among 22 patients with vertebral compression fractures. Results 36.4% of patients who suffered from moderate pain did not comply with the medical orders and 63.6% of the patients who suffered from mild pain did not comply with the medical orders. 72. 7% of them did not comply with the medical orders only because they were not used to in-bed urination and 40. 9% of them did not only because they were not used to in-bed defecation. 9.1% of them did not comply with the medical orders, only because they did not know the terrible consequences of getting out of bed without permission. Conclusion Course of disease, self-conditions, self-care and short of knowledge are critical compliance factors in conservative treatment of vertebral compression fractures.

关 键 词：胸腰椎压缩性骨折 卧床 依从性 护理 

分 类 号：R473.6[医药卫生—护理学]