创伤性截肢术后患者疾病感知及影响因素调查分析  

The level and factors associated with illness perception in patients after limb amputation

作　　者：袁颖 刘瑛 刘彦林 许文娟 宋小燕 余荣臻 娄湘红 Yuan Ying;Liu Ying;Liu Yanlin;Xu Wenjuan;Song Xiaoyan;Yu Rongzhen;Lou Xianghong(Department of Hand Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院手外科,湖北武汉430022 [2]武汉市第六医院

出　　处：《护理学杂志》2020年第3期27-30,共4页Journal of Nursing Science

摘　　要：目的了解创伤性截肢术后患者的疾病感知现状及影响因素,为针对性干预提供参考。方法对188例截肢术后患者采用一般资料调查表、Barthel指数评定量表、简易疾病感知问卷及医院焦虑抑郁量表进行问卷调查。结果患者的疾病感知得分50.57±9.11,Barthel指数得分65.08±13.30,焦虑及抑郁得分分别为14.38±3.70、15.12±3.20。多元回归分析显示截肢部位、焦虑及抑郁、住院时间及生活自理能力是患者疾病感知的影响因素(调整R^2=0.442,P<0.05,P<0.01)。结论创伤性截肢术后患者的疾病感知度中等偏高,截肢部位及其导致的功能改变及心理是主要影响因素;临床护理人员应重点关注并实施针对性干预,以促进其康复和改善疾病认知。Objective To investigate the level of and factors associated with illness perception in patients after limb amputation,and to provide reference for targeted intervention.Methods A cross-sectional survey was conducted in 188 patients after limb amputation by employing a general data questionnaire,the Barthel Index,Illness Perception Questionnaire,and the Hospital Anxiety and Depression Scale.Results The samples scored 50.57±9.11 on illness perception,65.08±13.30 on the Barthel index,14.38±3.70 on anxiety and 15.12±3.20 on depression.Multiple linear regression analysis showed that amputation sites,anxiety and depression,hospital stay length and self-care ability were the main influencing factors of illness perception(adjusted R square=0.442,P<0.05,P<0.01).Conclusion Illness perception in patients after limb amputation is at moderate to above average level,and is affected by surgical site related functional changes and mental state of the patient.Clinical nurses should pay attention to and provide targeted interventions to improve their recovery and illness perception.

关 键 词：创伤 截肢 疾病感知 焦虑 抑郁 生活自理能力 疾病认知 影响因素 

分 类 号：R473.6[医药卫生—护理学]