脊髓损伤后尿潴留患者康复锻炼依从性影响因素及干预策略研究  

Study on influencing factors and intervention strategies of rehabilitation exercise compliance in patients with urinary retention after spinal cord injury

作　　者：刘一颖 Liu Yiying(Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang,Sichuan 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院,绵阳市中心医院,四川绵阳621000

出　　处：《首都食品与医药》2025年第10期129-133,共5页Capital Food Medicine

摘　　要：目的探究脊髓损伤后尿潴留患者康复锻炼依从性影响因素,并制定相关干预策略。方法选取本院2023年7月-2024年8月脊髓损伤后尿潴留患者107例,采用自行编制的一般资料调查表及改良Morisky依从性量表统计患者基本资料及康复锻炼依从性情况,根据调查结果将其分为依从组与不依从组。以单因素、多因素Logistic回归分析脊髓损伤后尿潴留患者康复锻炼依从性影响因素,并在此基础上讨论分析提出干预策略。结果单因素分析显示:两组性别、年龄、体质量指数、居住地、损伤部位、尿潴留病史比较,无明显差异(P均>0.05);受教育程度、经济状况、家庭支持、心理状态、自我效能感比较,有显著差异(P<0.05)。多因素Logistic回归分析显示:初中及以下受教育程度、家庭未支持、家庭月收入<4000元、不良心理状态、自我效能感较低为脊髓损伤后尿潴留患者康复锻炼依从性的独立危险因素(OR值均>1,P均<0.05)。结论初中及以下受教育程度、家庭未支持、家庭月收入<4000元、不良心理状态、自我效能感较低是脊髓损伤后尿潴留康复锻炼依从性的影响因素,相关护理人员应引起重视,并及时采取有效且具有针对性的干预措施,以提高患者康复锻炼的依从性,从而改善相关症状,促进康复。Objective To explore the influencing factors of rehabilitation exercise compliance in patients with urinary retention after spinal cord injury,and formulate relevant intervention strategies.Methods 107 patients with urinary retention after spinal cord injury from July 2023 to August 2024 in our hospital were selected,and their basic data and rehabilitation exercise compliance were counted by using the self-designed general information questionnaire and the modified Morisky compliance scale.According to the survey results,they were divided into compliance group and non compliance group.Single factor and multi factor logistic regression analysis was used to analyze the influencing factors of rehabilitation exercise compliance of patients with urinary retention after spinal cord injury,and on this basis,the intervention strategies were discussed and analyzed.Results Univariate analysis showed that there was no difference between the two groups in gender,age,body mass index,residence,injury site and urinary retention history(P>0.05);there were significant differences in education level,economic status,family support,psychological state,and self-efficacy(P<0.05).Multivariate logistic regression analysis showed that the independent risk factors of rehabilitation exercise compliance of patients with urinary retention after spinal cord injury were the education level of junior high school and below,family unsupported,family monthly income<4000 yuan,bad psychology and low self-efficacy(all OR>1,all P<0.05).Conclusion The education level of junior high school and below,the lack of family support,the monthly family income of less than 4000 yuan,bad psychology and low self-efficacy are the influencing factors of the compliance of urinary retention rehabilitation exercise after spinal cord injury.The relevant nursing staff should pay attention to it and take effective and targeted intervention measures in time to improve the compliance of patients with rehabilitation exercise,so as to improve the related symptoms and promote

关 键 词：脊髓损伤后尿潴留 康复锻炼依从性 影响因素 干预策略 

分 类 号：R473.6[医药卫生—护理学]