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糖尿病足截肢患者创伤后成长现状及影响因素分析

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目的 了解糖尿病足截肢患者创伤后成长现状,探讨其影响因素。方法 采用便利抽样法选择2021年5-12月天津市2所三级甲等医院319例已行糖尿病足截肢术的住院患者为研究对象,采用一般人口学资料与疾病资料调查表、疾病不确定感量表、家庭关怀度量表、医学应对方式量表和创伤后成长量表对其进行调查。结果 糖尿病足截肢患者的创伤后成长得分(64。29±15。99)分,疾病不确定感、应对方式(面对)、家庭关怀度、家庭人均月收入、身体质量指数(>29。9 kg/m2)、职业(个体)、截肢次数(2~3次)、应对方式(回避)、糖尿病足病程(>3~6月)是糖尿病足截肢患者创伤后成长的影响因素(均P<0。05),共解释创伤后成长总变异的47。50%。结论 糖尿病足截肢患者的创伤后成长处于中等水平,创伤后成长受多个因素影响;护理人员应采取个性化措施,进一步帮助患者获得创伤后成长。
Study on the Status Quo and Its Influencing Factors of Post-traumatic Growth among Diabetic Foot Amputation Patients
Objective To investigate the status quo of post-traumatic growth(PTG)among diabetic foot(DF)amputation patients,and to explore its influencing factors.Methods From May to December 2021,319 patients with DF amputation in two tertiary A hospitals in Tianjin were selected by the convenience sampling method and surveyed by the general information questionnaire,disease information question-naire,uncertainty in illness,Family APGAR Index,Medical Coping Modes Questionnaire,and Post-Trau-matic Growth Inventory.Results The total score of PTG of DF amputation patients was(64.29±15.99).Disease uncertainty,coping style(face),family APGAR index,per capita monthly income,body mass index(≥29.9 kg/m2),occupation(self-employed),number of amputations(2~3 times),coping style(avoid-ance),and DF course(>3~6 months)were the main factors affecting the PTG among DF amputation pa-tients(all P<0.05),accounting for 47.50%of the total variation.Conclusions The PTG of DF amputa-tion patients is at a medium level,which are affected by multiplied factors.Nursing staff should take per-sonalized measures to further help patients get PTG.

diabetic footamputationpost-traumatic growthinfluencing factor

王瑞瑞、张春梅、王美君、杨凯君

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天津中医药大学第二附属医院护理部,天津 300250

天津中医药大学护理学院,天津 301617

天津医科大学朱宪彝纪念医院糖尿病足科,天津 300070

糖尿病足截肢 创伤后成长 影响因素

国家自然科学基金项目

71704133

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(2)
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