脊髓损伤康复期患者症状群及影响因素研究  

Study on Symptom Group and Influencing Factors of Patients with Spinal Cord Injury in Recovering Period

作　　者：李玲 卞传朋[2] 王庆华 LI Ling;BIAN Chuanpeng;WANG Qinghua(Binzhou Medical University Nursing School,Binzhou City,Shandong Province,China266603;Hospital of Binzhou Medical University,Binzhou City,Shandong Province,China266603)

机构地区：[1]滨州医学院护理学院,山东滨州266603 [2]滨州医学院附属医院,山东滨州266603

出　　处：《卫生职业教育》2023年第1期112-115,共4页HEALTH VOCATIONAL EDUCATION

基　　金：2019年全国医学专业学位研究生教育指导委员会立项课题(C-YX20190503-01);2018年山东省研究生导师指导能力立项课题(SDYY18173)。

摘　　要：目的 了解脊髓损伤康复期患者症状群及其影响因素。方法 运用一般资料调查问卷、神经源性膀胱症状评分量表、神经源性肠道功能障碍评分量表及医院焦虑、抑郁量表等对96例脊髓损伤康复期患者进行问卷调查。结果 脊髓损伤康复期患者相关症状发生率为14.58%~92.70%,其中有9项症状的发生率>50%。通过探索性因子分析得到两个症状群,即神经源性盆底功能症状群与情绪相关症状群。多元回归分析显示,神经源性盆底功能症状群影响因素为性别、ASIA分级、病程、日常生活自理能力;情绪相关症状群的影响因素为月收入、住院时间及医疗费用支付方式。结论 脊髓损伤康复期患者相关症状发生率高,多为神经源性盆底功能症状群、情绪相关症状群,针对其影响因素,医护人员应加强评估与干预,减轻患者症状,提高患者生活自理能力。Objective To investigate the symptom group and its influencing factors in patients with spinal cord injury during rehabilitation.Methods A total of 96 patients with spinal cord injury in convalescent stage were investigated with general information questionnaire,neurogenic bladder symptom scale,neurogenic bowel dysfunction scale and hospital anxiety and depression scale.Results The incidence of related symptoms in patients with spinal cord injury during rehabilitation was 14.58%~92.70%,and the incidence of 9 symptoms was more than 50%.Through exploratory factor analysis,two clusters were obtained,namely,neurogenic pelvic floor functional symptom cluster and emotion related symptom cluster.Multivariate regression analysis showed that gender,ASIA grade,course of disease,self-care ability of daily life were the influencing factors of neurogenic pelvic floor function symptom group;The influencing factors of emotion related symptoms were monthly income,length of hospital stay and payment method of medical expenses.Conclusion There is a high incidence of related symptoms in patients with spinal cord injury in the rehabilitation period,most of which are neurogenic pelvic floor functional symptoms and emotion related symptoms.According to the influencing factors,medical staff should strengthen evaluation and intervention,reduce the symptoms of patients,and improve their self-care ability.

关 键 词：脊髓损伤 康复期 患者 症状群 

分 类 号：R683.2[医药卫生—骨科学]