老年脊柱骨折患者病情不确定感与心理-生理-认知的关系  

The correlation between the degree of uncertainty in the condition of elderly patients with spinal fractures and their psychological,physiological,and cognitive factors

作　　者：符慧明 黄健 朱华亮 程春莲 FU Huiming;HUANG Jian;ZHU Hualiang(Haikou Traditional Chinese Medicine Hospital Orthopedics and Traumatology Department,Haikou 570216,China)

机构地区：[1]海口市中医医院骨伤科,海口570216

出　　处：《国际精神病学杂志》2025年第1期258-261,共4页Journal Of International Psychiatry

基　　金：海南省卫生健康行业科研项目(编号:21A200104)。

摘　　要：目的分析老年脊柱骨折患者的病情不确定感与心理-生理-认知的相关性。方法以ECXEL表格统计2020年1月~2023年1月范围内本院收治的50例脊柱骨折老年患者进行研究,回顾性分析50例患者临床资料,并以病情不确定感量表(Mshel uncertainty in illness scale-adult,MUIS-A)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、简易精神状态检查量表(Mini-Mental State Examination,MMSE)、视觉模拟评分量表(VAS)、Harris髋关节评分量表、Barthel指数对患者病情进行评价,并以Pearson程序分析病情不确定感与其负性情绪、认知功能、疼痛程度、关节功能、日常生活能力的相关性。结果50例患者经MUIS-A量表评估显示不明确性评分(32.82±8.11分)、信息缺乏性评分(26.38±2.48分)、不可预测性评分(12.72±2.91分)、复杂性评分(27.82±4.11分)、总分(97.77±9.62)。单因素分析显示:病情不确定感中重度患者SAS评分、SDS评分、MMSE评分、MUIS-A评分、VAS评分、Harris评分、Barthel指数与病情不确定感轻度患者对比差异显著(P<0.05)。多因素分析,SAS评分升高、SDS评分升高、VAS评分升高、MMSE评分下降、Harris评分下降、Barthel指数下降为导致病情不确定感加重的关键因素。经Pearson程序分析发现:病情不确定感与SAS评分、SDS评分、VAS评分呈正相关,与MMSE评分、Harris评分、Barthel指数呈负相关。结论老年脊柱骨折患者在入院后治疗中病情不确定感较为明显,需要及时采取合理方案进行干预,引导其积极配合进行治疗。Objective To analyze the correlation between the uncertainty of the condition and the psychological physiological cognitive aspects in elderly patients with spinal fractures.Method A study was conducted on 50 elderly patients with spinal fractures admitted to our hospital from January 2020 to January 2023 using the ECXEL table.The clinical data of the 50 patients were retrospectively analyzed,and their condition was evaluated using the Mshel Uncertainty in Illness Scale Adult(MUIS-A),Self Rating Anxiety Scale(SAS),Self rating Depression Scale(SDS),Mini Mental State Examination(MMSE),Visual Analog Scale(VAS),Harris Hip Score Scale,and Barthel Index.Evaluate and use Pearson program to analyze the correlation between disease uncertainty and negative emotions,cognitive function,pain level,joint function,and daily living ability.Results Fifty patients were evaluated using the MUIS-A scale,which showed an uncertainty score(32.82±8.11 points),information deficiency score(26.38±2.48 points),unpredictability score(12.72±2.91 points),complexity score(27.82±4.11 points),and total score(97.77±9.62 points).Univariate analysis showed that there were significant differences(P<0.05)in SAS score,SDS score,MMSE score,MUIS-A score,Scale(VAS),Harris Hip Scale,Barthel Index between patients with moderate to severe disease uncertainty and patients with mild disease uncertainty.Multivariate analysis showed that the increase in SAS score,SDS score,VAS score,MMSE score,Harris score,and Barthel index were the key factors leading to increased uncertainty in the condition.Through Pearson program analysis,it was found that the uncertainty of the patient's condition is positively correlated with SAS score,SDS score,and VAS score,and negatively correlated with MMSE score,Harris score,and Barthel index.Conclusion Elderly patients with spinal fractures have a significant sense of uncertainty in their condition during treatment after admission,and it is necessary to adopt a reasonable intervention plan in a timely manner to guide them to act

关 键 词：老年 脊柱骨折 病情不确定感 负性情绪 认知功能 相关性 

分 类 号：R749.99[医药卫生—神经病学与精神病学]