摘要
目的对特发性脊柱侧凸患者外科手术后社会生活质量问题进行调查研究。方法对本组54例接受脊柱侧凸矫正手术患者，30例（失访〈2次）作为本次追踪调查的对象，其中男4例、女26例，年龄平均16岁，侧凸cobb角平均65°。参考美国脊柱侧凸研究会22项脊柱侧凸社会生活质量调查问卷，结合汉语的语言特点和青少年的接收能力编制成20项社会生活质量问卷调查表，进行术前、术后3个月、术后6个月、术后12个月社会生活质量问卷调查，并根据术后不同时间各项调查结果，进行统计分析（组间t检验）。结果术后3个月社会生活能力明显下降（P〈0．0001），但6个月后恢复至术前水平；术后3个月疼痛程度明显加剧（P〈0．01），但术后6个月、12个月与术后3个月比较明显减轻（P〈0．01）；术后3～12个月自我形象评价均比术前明显提高（P〈0.0001）；术前、术后3个月心理健康自我评价较低，无显著差异（P〉0．05），术后6～12个月明显提高（P〈0．01）；术后3～12个月患者自我认可评分均处于较高水平，相互比较无显著性差异（P〉0．05）。结论脊柱侧凸患者社会生活质量自我评价在术后1年内不同阶段发生了变化，提出对脊柱侧凸患者进行院内及短期院外健康教育、心理干预的重要性。
Objective To determine the patients＇ response to changes in the social-life-quality after surgical treatment for idiopathic scoliosis. Methods Fifty-four patients undergoing surgical treatment for scoliosis were enrolled in this study. Thirty cases of them,with an average age of 16 years old and an average Cobb size of 65° were followed up with missing follow-up less than 2. Among the 30 cases,4 cases were male,and 26 were female. They were tested preoperatively and at 3-, 6- and 12-months intervals postoperatively with Consulting American SRS-22 outcomes questionnaire, which was modified to SRS-20 outcomes questionnaire according to Chinese young people ability. Statistic analysis used was t-test with multiple comparisons among various post-operative periods. Results Social-life function was significantly decreased 3 months post operation（ P 〈0.0001 ）, and returned to baseline by 6 months after surgery. Pain was significantly worse at 3 months post-operatively（ P 〈0.01 ）. But pain at 6 and 12 months post-operatively was significantly less than pain at 3 months post-operatively（ P 〈0.01 ）. Self image was significantly improved at 3 months post-operatively （ P 〈 0.0001 ）, and maintained the improvement through 12 months. Self-evaluation was low pre-operatively and at 3 months after surgery, with no significant improvement （ P 〉 0. 05 ）. It was significantly improved at 6 and 12 months after surgery （ P 〈0.01 ）. Self-satisfaction was high at 3, 6 and 12 months after surgery, with no significant difference among these periods （ P 〉 0.05 ）. Conclusion The self-evaluation of social-life-quality changed during various periods after surgical treatment for scoliosis. It is important to adopt health education and mental health interventions during hospital care and short-term outpatient care.
出处
《解放军护理杂志》
2006年第4期22-24,共3页
Nursing Journal of Chinese People's Liberation Army
