外来务工人员急性创伤截肢后希望水平与家庭支持及生命质量的相关性研究  

Correlation between hope level,family support and quality of life of migrant workers after acute traumatic amputation

作　　者：刘文华[1] 黄丽玉[1] 张晓剑[1] 李莹 阮阳 曹晓红 LIU Wen-hua;HUANG Li-yu;ZHANG Xiao-jian;LI Ying;RUAN Yang;CAO Xiao-hong(Injury Center of Changzhou Second People’s Hospital,Changzhou Jiangsu, 213000, China)

机构地区：[1]常州市第二人民医院创伤中心,江苏常州213000

出　　处：《职业与健康》2019年第6期810-813,共4页Occupation and Health

摘　　要：目的探讨外来务工人员急性创伤截肢后希望水平与家庭支持及生命质量的相关性。方法按照随机抽样原则抽取2015年3月1日—2018年2月28日江苏省常州市第二人民医院创伤中心收治的外来务工急性创伤截肢患者150例为研究对象,采用人口学调查表、Herth希望指数、家庭亲密度与适应性量表及生命质量综合测评问卷-74测评分析外来务工人员急性创伤截肢后希望水平与家庭支持及生命质量的相关性。结果有配偶患者希望得分明显高于无配偶患者[(23.31±4.02)vs(18.18±6.41)],家庭月收入≥4 000元患者希望得分明显高于家庭月收入<2 000元的患者[(21.93±4.12)vs(16.27±5.11)],差异均有统计学意义(均P<0.01);外来务工人员急性创伤截肢后家庭支持与生命质量总分均显著低于国内理想值或常模[(89.67±10.52) vs(121.16±9.84)、(48.94±13.05) vs(60.14±11.37)],差异均有统计学意义(均P<0.01);经Pearson相关性分析,外来务工人员急性创伤截肢后希望水平与家庭支持、生命质量各维及总分之间均呈现正相关关系(r=0.219～0.637,均P<0.05);经分层回归法进行分析,婚姻状况、家庭月收入、家庭支持与生命质量均是患者希望水平的影响因素。结论外来务工人员急性创伤截肢后希望水平、家庭支持与生命质量较低,且患者的希望水平与家庭支持、生命质量呈正相关关系。临床工作者可将家庭支持、生命质量作为新路径进行精准化干预,以提高外来务工人员急性创伤截肢后的希望水平,促进其重返社会。[Objective]To explore the correlation between hope level, family support and quality of life of migrant workers after acute traumatic amputation.[Methods] In accordance with the principle of random sampling, 150 cases of migrant workers with acute traumatic amputation were collected from the Injury Center of Changzhou Second People’s Hospital from March 1, 2015 to February 28, 2018 as the research objects. The demographic questionnaire, Herth hope index, family intimacy and adaptability scale and quality of life assessment and comprehensive assessment questionnaire-74 were used to analyze the correlation between hope level, family support and quality of life of migrant workers after acute traumatic amputation.[Results] The score of the patients with spouse was significantly higher than that of the patients without spouse[(23.31±4.02) vs(18.18±6.41)], the score of the patients with family monthly income ≥4 000 yuan was significantly higher than that of the patients with family monthly income<2 000 yuan[(21.93±4.12) vs(16.27±5.11)], and the differences were statistically significant(both P<0.01). The total scores of family support and life quality of migrant workers after acute trauma amputation were significantly lower than the ideal values or norms[(89.67±10.52) vs(121.16±9.84),(48.94±13.05) vs(60.14±11.37)], and the differences were statistically significant(both P <0.01). Pearson correlation analysis showed that the hope level of migrant workers after acute trauma amputation was positively correlated to total score and dimension score of family support and life quality(r=0.219~0.637, both P<0.05). Hierarchical regression method showed that the marital status, monthly family income, family support and life quality were all factors influencing patients’ hope level.[Conclusion] The hope level, family support and quality of life of migrant workers after acute trauma amputation are relatively low, and the hope level of patients is positively correlated with family support and quality of life.Clinical w

关 键 词：外来务工人员 急性创伤 截肢 希望水平 家庭支持 

分 类 号：R181.32[医药卫生—流行病学]