老年脊髓损伤患者生存质量影响因素分析  

Analysis of influencing factors of quality of life in elderly patients with spinal cord injury

作　　者：程芳[1] 郑斌[1] 杨玉霞[1] 田小莉 金鑫 赵丽丽[1] Cheng Fang;Zheng Bin;Yang Yuxia(Tangshan Paraplegic Nursing Home,Tangshan 063000,China)

机构地区：[1]唐山市截瘫疗养院,河北唐山063000

出　　处：《中国康复》2018年第5期469-472,共4页Chinese Journal of Rehabilitation

摘　　要：目的:研究老年脊髓损伤(SCI)患者生存质量的相关影响因素,从而提出改善其生存质量的措施,提高老年SCI患者的生存质量。方法:选取60岁以上SCI患者100名,根据国内外文献及我国社会文化背景,选出可能影响老年SCI患者生存质量的因素15项,自行设计问卷进行调查,同时采用世界卫生组织生存质量测定量表简表(WHOQOL-BRIEF)进行生存质量评分。结果:经分析,15项因素中影响老年SCI患者生存质量的变量为8个,分别是年龄、神经损伤平面、损伤性质、生活自理能力、并发症及慢性病数、社会支持、医疗费用方式、居住方式,复相关系数为0.779。其中年龄、并发症及慢性病数与生存质量呈负相关(P<0.01),生活自理能力、社会支持与生存质量呈正相关(P<0.01)。损伤神经平面自上向下生存质量由低至高,脊髓不完全损伤的生存质量高于完全损伤的生存质量(P<0.01),医疗费用有保障的老年SCI患者生存质量更高(P<0.05),集中居住的老年SCI患者比分散居住的生存质量略高(P<0.05)。结论:年龄、损伤神经平面、损伤性质、生活自理能力、并发症及慢性病数、社会支持、医疗费用方式、居住方式都是影响老年SCI患者的生存质量的主要因素。Objective：To study the influencing factors of quality of life in elderly patients with spinal cord injury（SCI）,and to explore the intervention measures to improve the quality of life of SCI patients in elderly.Methods：A total of 100 patients over 60 years old with SCI were selected.According to domestic and foreign literature and the cultural background of China,15 factors probably affecting the quality of life of elderly patients with SCI were identified and analyzed by stepwise multiple reproducibility regression analysis.A self-designed questionnaire was used for investigation.The WHO quality of life measurement scale（WHOQOL-BRIEF）was used to assess the quality of their life.Results：Based on the analysis,8 variables were found which affected the total quality of life of elderly patients with SCI：age,self-care ability,injured nerve plane,injured quality,complications and chronic diseases,social support,burden way of medical expenses and living style.The multiple correlation coefficient was 0.779.Among them,age,complications and chronic diseases were negatively correlated with quality of life,while injured nerve plane,self-care ability,social support and quality of life were positively correlated with quality of life（P〈0.01）.One＇s quality of life with lower nerve surface injured was better then that with upper nerve surface injured（P〈0.01）.And the quality of life of patients with incomplete injured SCI was better than that of complete injured（P〈0.01）.The quality of life of the elderly SCI patients with guaranteed medical expenses was better（P〈0.05）,and that of the elderly patients with SCI living in centralized abode was slightly higher than that of ones living in scattered places（P〈0.05）.Conclusion：Age,ability to take care of oneself,complications and chronic diseases,social support,burden way of medical expenses and living style all have influence on the quality of life of elderly patients with SCI.

关 键 词：老年 脊髓损伤 生存质量 影响因素 

分 类 号：R49[医药卫生—康复医学] R651.3[医药卫生—临床医学]