摘要
目的 了解老年腰椎管狭窄症(lumbar spinal stenosis,LSS)术后患者康复依从性,并分析其影响因素。方法 选取本院2019年11月~2021年11月收治的120例老年LSS行减压内固定术后患者,采用《骨科患者功能锻炼依从性量表》评价患者术后康复依从性,收集患者一般资料及疾病相关资料,采用一般自我效能感量表(general self-efficacy scale,GSES)评价患者自我效能水平、社会支持评定量表(social support rating scale,SSRS)调查社会支持水平,通过单因素及多因素Logistic回归分析调查患者康复依从性的影响因素,采用Pearson相关分析法分析康复依从性与自我效能感、社会支持水平的相关性。结果 120例患者依从性良好率为59.17%(71/120);单因素分析显示,年龄、文化程度、合并骨质疏松症、下肢肌力、术后VAS评分、自我效能水平、社会支持水平与患者康复依从性有关(P<0.05);多因素Logistic回归分析显示,术后VAS评分是影响患者依从性的危险因素;自我效能高水平、社会支持高水平则是患者依从性良好的保护因素(P<0.05);Pearson相关性分析显示,患者康复依从性评分与GESE评分、SSRS评分均呈正相关(r=0.589、0.705,P均<0.05)。结论 老年LSS减压内固定术后患者整体康复依从性并不高,且受术后疼痛、自我效能及社会支持水平的影响较为明显,临床应针对性进行干预以提高患者康复依从性。
Objective To understand the rehabilitation compliance of elderly patients with lumbar spinal stenosis(LSS) and analyze its influencing factors.Methods One hundred and twenty elderly patients with LSS after decompression and internal fixation surgery treated in the hospital were selected between November 2019 and November 2021."Functional Exercise Compliance Scale for Orthopedic Patients" was adopted to evaluate the postoperative rehabilitation compliance of patients,and the general data and disease-related data of patients were collected.General self-efficacy scale(GSES) was applied to evaluate the self-efficacy level of patients,and social support rating scale(SSRS) was used to investigate the social support level.Univariate analysis and multivariate Logistic regression analysis were applied to investigate the influencing factors of rehabilitation compliance of patients.The correlation between rehabilitation compliance and self-efficacy and social support level was analyzed through Pearson correlation analysis.Results The good compliance rate of 120 patients was 59.17%(71/120).Univariate analysis showed that age,education level,osteoporosis,lower limb muscle strength,postoperative VAS score,self-efficacy level and social support level were related to rehabilitation compliance of patients(P<0.05).Multivariate Logistic regression analysis showed postoperative VAS score was a risk factor affecting the compliance of patients,and high self-efficacy level and high social support level were protective factors for good compliance in patients(P<0.05).Pearson correlation analysis showed that the rehabilitation compliance score of patients was positively correlated with GESE score and SSRS score(r=0.589,0.705,both P<0.05).Conclusion The overall rehabilitation compliance of elderly patients with LSS after decompression and internal fixation surgery is not high,and is significantly affected by postoperative pain,self-efficacy and social support level.It is necessary to perform targeted intervention in clinical practice to improve the rehabilitation compliance of patients.
作者
隋吉生
祁义民
葛大伟
徐杰
SUI Ji-sheng;QI Yi-min;GE Da-wei;XU Jie(Department of Orthopaedic Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China)
出处
《颈腰痛杂志》
2022年第5期631-634,共4页
The Journal of Cervicodynia and Lumbodynia
基金
国家自然科学基金面上项目(编号:81972042)。
关键词
腰椎管狭窄症
老年
术后
康复锻炼
依从性
影响因素
lumbar spinal stenosis
elderly
postoperative
rehabilitation exercise
compliance
influencing factors
