糖尿病足截肢患者创伤后成长现状及影响因素分析  

Study on the Status Quo and Its Influencing Factors of Post-traumatic Growth among Diabetic Foot Amputation Patients

作　　者：王瑞瑞 张春梅[2] 王美君 杨凯君[1] WANG Ruirui;ZHANG Chunmei;WANG Meijun;YANG Kaijun(Nursing Department,Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China;School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Department of Diabetic Foot,Zhu Xian Yi Memorial Hospital,Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]天津中医药大学第二附属医院护理部,天津300250 [2]天津中医药大学护理学院,天津301617 [3]天津医科大学朱宪彝纪念医院糖尿病足科,天津300070

出　　处：《军事护理》2024年第2期1-5,共5页MILITARY NURSING

基　　金：国家自然科学基金项目(71704133)。

摘　　要：目的了解糖尿病足截肢患者创伤后成长现状,探讨其影响因素。方法采用便利抽样法选择2021年5-12月天津市2所三级甲等医院319例已行糖尿病足截肢术的住院患者为研究对象,采用一般人口学资料与疾病资料调查表、疾病不确定感量表、家庭关怀度量表、医学应对方式量表和创伤后成长量表对其进行调查。结果糖尿病足截肢患者的创伤后成长得分(64.29±15.99)分,疾病不确定感、应对方式(面对)、家庭关怀度、家庭人均月收入、身体质量指数(>29.9 kg/m^(2))、职业(个体)、截肢次数(2~3次)、应对方式(回避)、糖尿病足病程(>3~6月)是糖尿病足截肢患者创伤后成长的影响因素(均P<0.05),共解释创伤后成长总变异的47.50%。结论糖尿病足截肢患者的创伤后成长处于中等水平,创伤后成长受多个因素影响;护理人员应采取个性化措施,进一步帮助患者获得创伤后成长。Objective To investigate the status quo of post-traumatic growth(PTG)among diabetic foot(DF)amputation patients,and to explore its influencing factors.Methods From May to December 2021,319 patients with DF amputation in two tertiary A hospitals in Tianjin were selected by the convenience sampling method and surveyed by the general information questionnaire,disease information questionnaire,uncertainty in illness,Family APGAR Index,Medical Coping Modes Questionnaire,and Post-Traumatic Growth Inventory.Results The total score of PTG of DF amputation patients was(64.29±15.99).Disease uncertainty,coping style(face),family APGAR index,per capita monthly income,body mass index(≥29.9 kg/m^(2)),occupation(self-employed),number of amputations(2~3 times),coping style(avoidance),and DF course(>3~6 months)were the main factors affecting the PTG among DF amputation patients(all P<0.05),accounting for 47.50%of the total variation.Conclusions The PTG of DF amputation patients is at a medium level,which are affected by multiplied factors.Nursing staff should take personalized measures to further help patients get PTG.

关 键 词：糖尿病足截肢 创伤后成长 影响因素 

分 类 号：R473.58[医药卫生—护理学]