脊髓损伤病人自我调节疲劳现状及影响因素分析

    Analysis of the status quo and influencing factors of self-regulated fatigue in patients with spinal cord injury

    • 摘要:
      目的: 了解脊髓损病人自我调节疲劳现状并分析其影响因素,为制定精准化干预措施提供依据。
      方法: 选用一般资料调查表、自我调节疲劳量表、缩小版伤残接受度量表、生活定向测验量表、领悟社会支持量表对合肥市5所综合性医院216例脊髓损伤病人展开调查。
      结果: 脊髓损伤病人自我调节疲劳得分为(47.97 ± 9.47)分。多元线性回归分析显示,受教育程度、自理能力、ASIA分级、家庭人均月收入、伤残接受度、生活定向测验、领悟社会支持7个指标均是脊髓损病人自我调节疲劳的主要影响因素(P < 0.01),其中自理能力与自我调节疲劳评分呈正相关(β = 1.601,P < 0.01),其他6个指标均与自我调节疲劳评分呈负相关关系(β = –1.409、–3.267、–2.447、–0.345、–0.466、–0.196,P < 0.01);7个指标共解释总变异的49.6%。
      结论: 脊髓损伤病人自我调节疲劳处于中等偏上水平。亟需医护人员关注并根据相关影响因素精准化制定应对策略,以缓解病人自我调节疲劳。

       

      Abstract:
      Objective To investigate the status quo of self-regulated fatigue in patients with spinal cord injury and analyze its influencing factors so as to provide the basis for the formulation of precise intervention measures.
      Methods A total of 216 patients with spinal cord injury in 5 hospitals in Hefei were investigated using the general data questionnaire, self-regulated fatigue scale, reduced disability acceptance Scale, life orientation scale and perceptive social support scale.
      Results The self-regulated fatigue score of patients with spinal cord injury was (47.97 ± 9.47). The results of multiple linear regression analysis showed that the education level, self-care ability, ASIA rating, family per capita monthly income, disability acceptance, life orientation test and understanding social support were the main influencing factors of self-regulated fatigue in patients with spinal cord injury (P < 0.05). Among them, the self-care ability was positively correlated with the self-regulated fatigue score (β = 1.601, P < 0.01), and the other six indicators were all negatively correlated with the self-regulated fatigue score (β = –1.409, –3.267, –2.447, –0.345, –0.466, –0.196, P < 0.01). The seven indicators altogether explained 49.6% of the total variation.
      Conclusions The self-regulated fatigue of patients with spinal cord injury is above the medium level. It is urgently necessary for medical staff to pay attention and precisely formulate response strategies based on relevant influencing factors to alleviate patients' self-regulation fatigue.

       

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