康复期截肢患者自理能力受损现状及影响因素分析  

Analysis of staus quo and influencing factors of impaired self-care ability in amputee patients during rehabilitation period

作　　者：杨薇薇 李思敏[3,4] 李洁[1,2,3] 彭源[1,2,3] 王丽 YANG Weiwei;LI Simin;LI Jie;PENG Yuan;WANG Li(Department of Nephrology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;Institute of Kidney Diseases,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,China;Department of Rehabilitation Medicine/Rehabilitation Medicine Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;Department of Gastroenterology,The First Affiliated Hospital of Chengdu Medical College,Chengdu,Sichuan 610500,China)

机构地区：[1]四川大学华西医院肾脏内科,成都610041 [2]四川大学华西医院肾脏病研究所,成都610041 [3]四川大学华西护理学院,成都610041 [4]四川大学华西医院康复医学科/康复医学中心,成都610041 [5]成都医学院第一附属医院消化内科,成都610500

出　　处：《重庆医学》2024年第19期2975-2980,共6页Chongqing Medical Journal

基　　金：四川大学华西医院护理学科发展基金项目(HXHL20033)。

摘　　要：目的探讨康复期截肢患者自理能力受损现状及影响因素。方法采用便利抽样法,选取2022年4月至2023年2月在成都市某三级甲等医院住院治疗的康复期截肢患者作为调查对象。采用一般资料调查表、Barthel指数评定量表、Berg平衡量表(BBS)、家庭韧性评估量表(FRAS-C)进行调查。结果纳入的194例康复期截肢患者Barthel指数评定量表得分为95(85,100)分,121例(62.4%)发生自理能力受损。单因素分析结果显示,自理能力正常与受损的康复期截肢患者在职业状态、月收入、截肢时间、残肢长度、残肢痛、BBS评分、FRAS-C评分等方面比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,截肢时间、残肢长度、残肢痛、BBS评分及FRAS-C评分是康复期截肢患者自理能力受损的影响因素(P<0.05)。结论康复期截肢患者自理能力受损发生率较高,受截肢时间、残肢长度、残肢痛、平衡功能和家庭韧性等因素影响。Objective To explore the status quo and influencing factors of impaired self-care ability of amputee patients during rehabilitation period.Methods The convenience sampling method was used to select the convalescent amputee patients hospitalized in a tertiary hospital of Chengdu C ity from April 2022 to February 2023 as the survey subjects.The General Information Questionnaire,Barthel Index Rating Scale,Berg Balance Scale(BBS)and Family Resilience Assessment Scale(FRAS-C)were used for the survey.Results Among 194 included convalescent amputee patients,the score of the Barthel Index Rating Scale was 95(85,100)points,and the self-care ability was impaired in 121 cases(62.4%).The results of univariate analysis showed that there were statistically significant differences in the occupational status,monthly income,amputation time,residual limb length,residual limb pain,BBS score and FRAS-C score between the rehabilitated amputee patients with normal self-care ability and the rehabilitated amputee patients with impaired self-care ability(P<0.05).The results of logistic regression analysis showed that amputation time,residual limb length,residual limb pain,BBS score and FRAS-C score were the influencing factors of impaired self-care ability in rehabilitated amputee patients(P<0.05).Conclusion The incidence rate of impaired self-care ability in rehabilitated amputee patients is high,which is affected by the factors such as amputation time,residual limb length,residual limb pain,balance function and family resilience.

关 键 词：截肢 康复期 自理能力受损 影响因素分析 护理 

分 类 号：R473[医药卫生—护理学]