胸腰椎骨质疏松性骨折患者出院准备度与疼痛程度的相关性分析  

Correlation analysis between the readiness for hospital discharge and the pain degree in patients with thoracolumbar osteoporotic fractures

作　　者：章雪芳 郑林宏[3] 李辉[3] 王莉[3] 杨小彬[3] 尹新华[3] 吴谦[1] Zhang Xuefang Zheng Linhong Li Hui Wang Li Yang Xiaobin Yin Xinhua Wu Qian(Department of Epidemiology and Biostatistics, School of Public Heath, Xi＇ an Jiaotong University Health Science Center, Xi＇an 710061, China)

机构地区：[1]西安交通大学附属红会医院脊柱外科,710061 [2] 西安交通大学附属红会医院脊柱外科 [3]西安交通大学公共卫生学院流行病与统计教研室,710061

出　　处：《中国实用护理杂志》2017年第21期1615-1618,共4页Chinese Journal of Practical Nursing

摘　　要：目的 探讨胸腰椎骨质疏松性骨折患者出院准备度现状、疼痛程度及其相关性.方法 利用患者基本资料问卷、患者出院准备度量表（RHDS）和疼痛数字分级法（NRS）对2016年1月1日至6月30日出院的252例胸腰椎骨质疏松性骨折患者进行横断面调查,采用Pearson相关分析法进行分析.结果 胸腰椎骨质疏松性骨折患者出院准备度平均得分为（7.71±1.55）分,NRS评分从入院时的（7.8±0.8）分降为出院前的（2.7±0.6）分.胸腰椎骨质疏松性骨折患者出院准备度各维度得分从高到低依次为预期性支持、个人状态、适应能力.胸腰椎骨质疏松性骨折患者出院准备度和疼痛程度呈负相关（r=-0.537,P＜0.05）.结论 胸腰椎骨质疏松性骨折患者出院准备度处于较高水平,出院前疼痛程度缓解明显,且处于较低水平,二者呈负相关.Objective To investigate the status of the readiness for hospital discharge and pain degree in inpatients with thoracolumbar osteoporotic fractures, and the correlation between them.Methods A cross-sectional analysis of survey data from a sample of 252 patients with thoracolumbar osteoporotic fractures was conducted in a grade A tertiary hospital in Xi′an from January 1st, 2016 to June 30th, 2016. The status of the readiness for hospital discharge and pain level were investigated through the Readiness for Hospital Discharge Scale and Numerical Rating Scale （NRS） respectively. Pearson correlation coefficient method was used to detect the correlation between the two target factors. Results The average score of readiness for hospital discharge was 7.71±1.55. The mean NRS score decreased from 7.8 ± 0.8 at baseline to 2.7 ± 0.6 before discharge. The scores of each dimensions of readiness for hospital discharge from high to low were expected support, personal status, and coping capacity. There was a negative correlation between discharge readiness and pain degree in patients with thoracolumbar osteoporotic fractures （r =-0.537, P〈0.05）. Conclusions The status of the readiness for hospital discharge among the patients with thoracolumbar osteoporotic fractures is in a medium to high level before discharge. The pain degree is significantly decreased to a lower level. There is a negative correlation between the readiness for hospital discharge and the pain degree.

关 键 词：胸腰椎 骨质疏松骨折 出院准备度 疼痛 

分 类 号：R473.6[医药卫生—护理学]