骨质疏松性椎体压缩性骨折术后患者生存质量影响因素分析  

Analysis of factors influencing the postoperative quality of life of patients with osteoporotic vertebral compression fractures

作　　者：阮丽萍 谢垒[1] RUAN Liping;XIE Lei(Operating Room,Shaoxing Second Hospital of Zhejiang Province,Shaoxing312000,China)

机构地区：[1]浙江省绍兴第二医院手术室,浙江绍兴312000

出　　处：《中国现代医生》2021年第35期81-84,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2017KY678)。

摘　　要：目的探讨骨质疏松性椎体压缩性骨折(OVCF)术后患者生存质量的影响因素。方法选择本院2018年1月至2019年10月行椎体成形术的OVCF患者120例,采用自制一般资料调查问卷、健康状况调查问卷(SF-36)、心理弹性量表中文版(CD-RISC)、社会支持评定量表(SSRS),记录所有患者生存质量,并分析其影响因素。结果 120例OVCF术后患者,生存质量良好89例(74.17%),生存质量较差31例(25.83%);与生存质量较差组比较,生存质量良好组社会支持评分及心理弹性评分均较高,差异有统计学意义(P<0.05)。OVCF术后患者生存质量在年龄、性别、家庭月收入、不良生活方式、心理弹性、社会支持方面比较,差异有统计学意义(P<0.05);经Logistic回归分析,年龄大、女性、家庭经济差、有不良生活方式、心理弹性低、社会支持低使OVCF术后患者生存质量降低的危险分别增加2.994(1.241~7.225)倍、2.820(1.215~6.549)倍、5.682(1.741~18.544)倍、2.865(1.237~6.635)倍、2.723(1.178~6.294)倍、5.125(1.748~15.026)倍。结论 OVCF术后患者生存质量与年龄、性别、家庭经济、不良生活方式、心理弹性、社会支持有关,需实施针对性的干预措施,以改善生存质量。Objective To investigate the factors affecting the quality of life of patients with osteoporotic vertebral compression fractures(OVCF). Methods A total of 120 patients with OVCF who underwent vertebroplasty in our hospital from January 2018 to October 2019 were selected. The self-made general information questionnaire, the health status questionnaire(SF-36), and the Chinese version of the psychological resilience scale(CD-RISC), social support rating scale(SSRS) were used to record the quality of life of all patients. Its influencing factors were analyzed. Results In 120 patients with OVCF after surgery, 89 cases had a good quality of life(74.17%), and 31 cases had a low quality of life(25.83%). Compared with the low quality of life group, the social support score and psychological resilience score of the good quality of life group were both higher, and the difference was statistically significant(P<0.05). The quality of life of patients after OVCF surgery statistically differed in age, gender, monthly family income, poor lifestyle, psychological flexibility, and social support(P<0.05). The logistic regression analysis showed that older age, female, poor family economy, poor lifestyle, low psychological flexibility, and low social support increase the risk of reduced quality of life for patients with OVCF after surgery by 2.994(1.241-7.225) times, 2.820(1.215-6.549) times, 5.682(1.741-18.544) times,2.865(1.237-6.635) times, 2.723(1.178-6.294) times, and 5.125(1.748~15.026) times. Conclusion The quality of life of patients with OVCF after surgery is related to age, gender, family economy, poor lifestyle, psychological flexibility,and social support. It is necessary to implement targeted intervention measures to improve the quality of life.

关 键 词：骨质疏松 椎体压缩性骨折 生存质量 影响因素 

分 类 号：R687.3[医药卫生—骨科学]