颈腰痛杂志2024,Vol.45Issue(3) :476-479,483.DOI:10.3969/j.issn.1005-7234.2024.03.018

自我效能感在创伤性脊髓损伤患者重新融入社区中的作用

The role of self-efficacy in the reintegration of patients with traumatic spinal cord injury into the community

宗亚 崔海云 徐培梅 仲彪 李立东
颈腰痛杂志2024,Vol.45Issue(3) :476-479,483.DOI:10.3969/j.issn.1005-7234.2024.03.018

自我效能感在创伤性脊髓损伤患者重新融入社区中的作用

The role of self-efficacy in the reintegration of patients with traumatic spinal cord injury into the community

宗亚 1崔海云 1徐培梅 1仲彪 1李立东1
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作者信息

  • 1. 江苏省海安市人民医院骨科,江苏海安 226600
  • 折叠

摘要

目的 探讨创伤性脊髓损伤(TSCI)患者自我效能感与其出院后重新融入社区情况的相关性,为提供临床相关干预提供依据.方法 于2019年1月至2022年1月收集院出院后且社区生活≥ 12个月的TSCI患者101例,收集患者一般临床资料、自我效能量表(GSES)评分与社区融入量表(CIM)评分等资料,采用Pearson相关性分析观察CIM与GSES、一般临床资料的相关性,采用多元线性回归分析验证GSES与CIM的关系.结果 101例患者CIM得分13~37分,平均(27.46±6.54)分.101例患者GSES得分12~33分,平均得分(20.09±5.83)分.Pearson相关性分析显示,CIM评分与GSES呈显著正相关(P<0.05);CIM评分与年龄呈负相关(P<0.05),与性别、损伤水平、损伤原因、治疗方式、出院ASIA、教育水平、家庭陪护、家庭月收入、就业状况、伤后时间呈显著正相关(P<0.05),与婚姻状况不存在相关性(P>0.05).多元线性回归分析显示,剔除混杂因素影响后,GSES与CIM呈显著正相关(P<0.05).结论 TSCI患者社区融入度和自我效能感均较低,自我效能感与患者社区融入度独立相关,应及时给予特征性干预.

Abstract

Objective To explore the correlation between the general self-efficacy scale(GSES)and the community integration measure(CIM)in patients with traumatic spinal cord injury(TSCI).Method From January 2019 to January 2022,a total of 101 TSCI patients who had been discharged from the hospital and had lived in the community for ≥12 months were collected.General clinical data,CIM and GSES scores were collected,and Pearson correlation was used to observe the correlation between CIM and GSES,as well as general clinical data.Multiple linear regression analysis was used to eliminate confounding factors and investigate the relation-ship between GSES and CIM.Results The CIM scores of 101 patients ranged from 13 to 37 points,with an average of(27.46±6.54)points.The GSES scores of 101 patients ranged from 12 to 33 points,with an average score of(20.09±5.83)points.Pearson correlation analysis showed a significant positive correlation between CIM score and the independent variable GSES(P<0.05).The CIM score was negatively correlated with age(P<0.05),and significantly positively correlated with gender,injury level,injury cause,treatment method,discharge ASIA,education level,family caregiver,monthly family income,employment status,and post in-jury time(P<0.05).There was no correlation with marital status(P>0.05).Multiple linear regression showed a significant positive correlation between GSES and CIM after excluding confounding factors(P<0.05).Conclusion TSCI patients'community integra-tion and self-efficacy are low,and self-efficacy is independently related to patients'community integration.

关键词

创伤性脊髓损伤/社区融入量表/自我效能

Key words

traumatic spinal cord injury/community integration scale/self-efficacy

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出版年

2024
颈腰痛杂志
安徽医科大学

颈腰痛杂志

CSTPCD
影响因子:1.006
ISSN:1005-7234
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