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手指钝性离断伤患者断指再植术后自主性感知状况及其影响因素

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目的:分析手指钝性离断伤患者断指再植术后自主性感知状况及其影响因素.方法:选取 2018 年 1 月至 2022 年 8 月在该院行断指再植术治疗的 75 例手指钝性离断伤患者进行前瞻性研究,收集患者基线资料,采用自主性感知量表(PEAS-SCV)评估患者断指再植术后自主性感知状况,比较不同基线资料患者再植术后PEAS-SCV评分,并分析患者断指再植术后自主性感知水平低的影响因素.结果:手指钝性离断伤患者断指再植术后PEAS-SCV评分为(48.15±4.85)分,处于中等水平;不同性别、户籍、居住地、损伤类型、离断时间手指钝性离断伤患者断指再植术后PEAS-SCV评分比较,差异均无统计学意义(P>0.05);不同年龄、学历、居住状况、支付方式、离断情况手指钝性离断伤患者断指再植术后PEAS-SCV评分比较,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,年龄<18 岁、学历高中及以下、独居、自费、多指离断均为手指钝性离断伤患者断指再植术后自主性感知水平低的危险因素(P<0.05).结论:年龄<18 岁、学历高中及以下、独居、自费、多指离断均为手指钝性离断伤患者断指再植术后自主性感知水平低的危险因素.
Autonomous perception and its influencing factors in patients with blunt amputation of fingers after replantation of severed fingers
Objective:To analyze autonomous perception and its influencing factors in patients with blunt amputation of fingers after replantation of severed fingers.Methods:A prospective study was conducted on 75 patients with blunt amputation of fingers who were admitted to the department of hand and foot surgery of the hospital from January 2018 to August 2022 and planned to undergo replantation of severed fingers.The baseline data collection table was used to the collect baseline data of these patients.The simplified Chinese version of the PEA scale(PEAS-SCV)was used to evaluate the autonomous perception of these patients after replantation of severed fingers.The PEAS-SCV scores of the postoperative patients with different baseline data were compared.The influencing factors of low level of autonomous perception after replantation of severed fingers were analyzed.Results:The score of PEAS-SCV was(48.15±4.85)after replantation of severed fingers,which was in the middle level.There were no significant differences in the PEAS-SCV score among the patients with different gender,household registration,place of residence,type of injury,and time of amputation(P>0.05).There were statistically significant differences in the PEAS-SCV score after replantation of severed fingers among the patients with blunt severed fingers of different ages,educational backgrounds,living conditions,payment methods,and amputation conditions(P<0.05).The multiple linear regression analysis showed that age<18 years old,high school education and below,living alone,self-paid and multi-finger amputation were all risk factors for the low level autonomous perception after replantation of severed fingers in the patients with blunt finger amputation(P<0.05).Conclusions:Age<18 years old,high school education and below,living alone,self-paid and multi-finger amputation are the risk factors for the low level autonomous perception after replantation of severed fingers in the patients with blunt finger amputation.

Blunt amputation of fingersReplantation of severed fingerAutonomous perceptionInfluencing factor

王敏

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商丘市立医院手足外科 ,河南 商丘 476100

手指钝性离断伤 断指再植术 自主性感知 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(4)
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