青少年脊柱侧凸患者健康行为与病耻感和知觉压力的相关性研究  

Correlation between perceived stress and stigma and health behaviors in adolescent scoliosis patients

作　　者：黄莉 于筱 左静[3] 范奕萱 王雯[1] 陈禧[1] HUANG Li;YU Xiao;ZUO Jing;FAN Yi-xuan;WANG Wen;CHEN Xi(Department of Traditional Chinese Medicine,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi,Xinjiang 830001,China;Orthopedic Center Spinal Disease Area,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi,Xinjiang 830001,China;Cadre Health Center,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi,Xinjiang 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院中医内科,新疆乌鲁木齐830001 [2]新疆维吾尔自治区人民医院骨科中心脊柱病区,新疆乌鲁木齐830001 [3]新疆维吾尔自治区人民医院干部保健中心,新疆乌鲁木齐830001

出　　处：《颈腰痛杂志》2024年第6期1128-1132,1138,共6页The Journal of Cervicodynia and Lumbodynia

基　　金：新疆维吾尔自治区人民医院课题(编号:20210240)。

摘　　要：目的了解青少年脊柱侧凸(AS)患者健康行为、病耻感与知觉压力现状,并分析健康行为与病耻感、知觉压力之间的相关关系。方法选取该院2019年1月至2022年12月收治的154例AS患者作为研究对象,采用一般资料调查表、压力知觉量表、社会影响量表和健康促进生活方式量表II进行测评;并通过单因素和多重线性回归分析AS患者健康行为的影响因素,采用Pearson分析法分析健康行为与病耻感、知觉压力之间的相关性。结果AS患者健康行为总分为(129.34±15.26)分,病耻感总分为(67.25±9.37)分,知觉压力总分为(34.25±5.37)分;AS患者健康行为与病耻感、知觉压力之间均呈负相关性,病耻感与知觉压力之间呈正相关性(均P<0.05)。多重线性回归分析结果显示,性别、文化程度、病耻感、知觉压力进入回归方程(P<0.05),共解释总变异量的63.58%。结论AS患者健康行为与病耻感、知觉压力评分均处于中等水平,女性、文化程度越高、病耻感与知觉压力水平得分越低的AS患者健康行为得分越高,提示临床工作人员应重视AS患者健康行为情况,针对患者不同性别、文化程度、病耻感与知觉压力水平,制定针对性的干预措施以改善健康行为。Objective To understand the status quo of health behavior,stigma and perceived pressure in adolescent patients with scoliosis,and to analyze the relationship between health behavior,stigma and perceived pressure.Methods 154 AS patients admitted to our hospital from January 2019 to December 2022 were selected as the research objects,and the general data questionnaire,stress perception scale,social influence scale and health promotion lifestyle scale II were used for evaluation,and conducted univariate and multiple linear regression analyses to identify the influencing factors of health behaviors in AS patients.Pearson analysis was used to analyze the correlation between health behaviors,stigma and perceived stress.Results The total score of AS patients’health behavior was(129.34±15.26),the total score of stigma was(67.25±9.37),and the total score of perceived pressure was(34.25±5.37).There was a negative correlation between perceived stress,and a positive correlation between stigma and perceived stress(all P<0.05).The results of the multiple linear regression analysis showed that gender,education level,stigma,and perceived stress entered the regression equation(P<0.05),explaining 63.58%of the total variance.Conclusion The health behaviors of AS patients,as well as their stigma and perceived stress scores,were at moderate levels.Female patients,those with higher education levels,and patients with lower stigma and perceived stress levels had higher health behavior scores.This suggests that clinical staff should pay attention to the health behaviors of AS patients and develop targeted interventions based on the patients′gender,education level,stigma,and perceived stress to improve health behaviors.

关 键 词：青少年脊柱侧凸 健康行为 病耻感 知觉压力 相关性 

分 类 号：R682.13[医药卫生—骨科学]