下肢骨折术后深静脉血栓老年患者健康相关生活质量调查及影响因素分析  

Investigation of health-related quality of life and analysis of influencing factors in elderly patients with deep venous thrombosis after lower limb fracture surgery

作　　者：尚柳君 胡永召 SHANG Liujun;HU Yongzhao(Department of orthopaedics,Kaifeng Hospital of Traditional Chinese Medicine,Kaifeng 475000,China)

机构地区：[1]开封市中医院骨科,475000

出　　处：《中国老年保健医学》2024年第4期83-87,共5页Chinese Journal of Geriatric Care

摘　　要：目的调查下肢骨折术后深静脉血栓(DVT)老年患者健康相关生活质量情况,并分析其影响因素。方法选取2022年6月至2023年6月本院收治的128例老年下肢骨折术后DVT患者为研究对象,采用一般资料调查表、健康相关生活质量量表、Barthel指数、医院用焦虑抑郁量表、社会支持评定量表对研究对象进行调查,采用Pearson相关性分析生活质量与睡眠质量、日常活动能力、负性情绪、社会支持的关系。采用多元线性回归分析老年下肢骨折术后DVT患者健康相关生活质量的影响因素。结果128例老年下肢骨折术后DVT患者SF-36量表总分得分为(51.81±5.08)分,维度得分排名后3位分别为精力(59.49±6.38)分、社会职能(51.01±5.74)分、生理机能(48.51±6.23)分。Pearson相关性分析结果显示:老年下肢骨折术后DVT患者健康相关生活质量总分与日常活动能力总分(r=0.759)、社会支持得分(r=0.811)均呈正相关(P<0.001),与焦虑得分(r=-0.246)、抑郁得分(r=-0.202)呈负相关(P<0.001)。多元线性回归结果显示:家庭人均月收入、日常活动能力、社会支持、焦虑抑郁情绪是老年下肢骨折术后DVT老年患者健康相关生活质量的影响因素(P<0.05)。结论老年下肢骨折术后DVT患者健康相关生活质量处于一般水平,与家庭人均月收入、日常活动能力、社会支持、焦虑抑郁情绪等有关,医护人员可针对影响因素制定个性化的护理干预方案。Objective To investigate the health-related quality of life and its influencing factors in elderly patients with deep venous thrombosis(DVT)after lower limb fracture surgery.Methods 128 elderly patients with DVT after lower limb fracture surgery in our hospital from June 2022 to June 2023 were selected as the research objects.The general data questionnaire,health-related quality of life scale,Barthel index,hospital anxiety and depression scale and social support rating scale were used to investigate the research objects.Pearson correlation was used to analyze the relationship between quality of life and sleep quality,daily activity ability,negative emotion and social support.Multivariate linear regression was used to analyze the influencing factors of health-related quality of life in elderly patients with DVT after lower limb fracture surgery.Results The total score of SF-36 scale in 128 elderly patients with DVT after lower limb fracture surgery was(51.81±5.08).The top three dimensions were energy(59.49±6.38),social function(51.01±5.74)and physiological function(48.51±6.23).Pearson correlation analysis showed that the total score of health-related quality of life in elderly patients with DVT after lower limb fracture surgery was positively correlated with the total score of daily activity ability(r=0.759)and social support score(r=0.811)(P<0.001),and negatively correlated with anxiety score(r=-0.246)and depression score(r=-0.202)(P<0.001).Multivariate linear regression results showed that family per capita monthly income,daily activity ability,social support,anxiety and depression were the influencing factors of health-related quality of life in elderly patients with DVT after lower limb fracture surgery(P<0.05).Conclusion The health-related quality of life of elderly patients with DVT after lower limb fracture surgery is at a general level,which is related to family per capita monthly income,daily activity ability,social support,anxiety and depression.Medical staff can formulate personalized nursing interv

关 键 词：下肢骨折 老年人 深静脉血栓 健康相关生活质量 调查研究 

分 类 号：R473.6[医药卫生—护理学]