中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2020, Vol. 42 ›› Issue (6): 723-731.doi: 10.3881/j.issn.1000-503X.12630

• 论著 • 上一篇    下一篇

脊髓损伤患者创伤后应激障碍、社会支持与生存质量的现状调查及相关性分析

李佳岭1,冯先琼2()   

  1. 1四川大学华西医院头颈肿瘤科,成都 610047
    2四川大学华西医院华西护理学院,成都 610041
  • 收稿日期:2020-02-20 出版日期:2020-12-30 发布日期:2021-01-11
  • 通讯作者: 冯先琼 E-mail:fengxianqiong66@126.com

Post-traumatic Stress Disorder,Social Support,and Quality of Life in Patients with Spinal Cord Injury

LI Jialing1,FENG Xianqiong2()   

  1. 1Department of Head and Neck Oncology,West China Hospital,Sichuan University,Chengdu 610047,China
    2West China School of Nursing,West China Hospital,Sichuan University,Chengdu 610041,China
  • Received:2020-02-20 Online:2020-12-30 Published:2021-01-11
  • Contact: FENG Xianqiong E-mail:fengxianqiong66@126.com

摘要:

目的 探讨中国康复中后期脊髓损伤患者创伤后应激障碍、社会支持与生存质量的关系及生存质量相关的影响因子。方法 采用横断面研究设计,多阶段分层抽样与滚雪球抽样相结合的方法,抽取曾在9所不同等级的医院中住院治疗的206例脊髓损伤患者为研究对象。使用一般资料、创伤后应激障碍清单、社会支持量表及世界卫生组织生存质量测定量表简表进行资料收集,对资料进行统计描述,以t检验、多元线性回归及调节效应分析等对相关因素进行统计分析。结果 创伤后应激障碍与生存质量呈显著负相关(r=-0.337,P<0.001),社会支持与生存质量呈显著正相关(r=0.318,P<0.001)。社会支持在创伤后应激障碍警觉症状维度与总体生存质量(β=0.324,P=0.032)及其环境领域(β=0.227,P=0.004)间表现出正向调节作用,在创伤后应激障碍闯入症状维度与生存质量环境领域间(β=-0.125,P=0.017)表现出负向调节作用。创伤后应激障碍、社会支持及性别、婚姻状况、经济状况等一般资料是生存质量各领域的显著预测因素。结论 减轻创伤后应激障碍、提高社会支持水平可促进脊髓损伤患者长期维持较好的生存质量。

关键词: 脊髓损伤, 创伤后应激障碍, 社会支持, 生存质量

Abstract:

Objective To explore the relationship among post-traumatic stress disorder(PTSD),social support and quality of life in patients with spinal cord injury(SCI)after a long recovery in China and investigate the factors influencing the quality of life. Methods In this cross-sectional study,206 SCI patients who were hospitalized in 9 hospitals were enrolled.Data collection was performed using general information,the Post-Traumatic Stress Disorder Checklist-Civilian version,the social support scales,and the World Health Organization Quality of Life-Abbreviated version.The data were statistically analyzed using t test,multivariate linear regression,and adjustment effect analysis. Results PTSD was negatively correlated with quality of life(r=-0.337,P <0.001).Social support was positively correlated with quality of life(r=0.318,P<0.001).Social support showed a positive regulatory role between the heightened sense of threat dimension of PTSD and the overall quality of life(β=0.324,P=0.032)or its environmental domain(β=0.227,P=0.004)but showed a negative regulatory effect on the re-experiencing dimension of PTSD and the environmental domain of quality of life(β=-0.125,P=0.017).PTSD,social support,gender,marital status,and economic status were significant predictors of quality of life. Conclusion Reducing PTSD and improving social support can improve long-term quality of life in SCI patients.

Key words: spinal cord injury, post-traumatic stress disorder, social support, quality of life

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