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目的工伤人群主要是青壮年劳动力,是家庭经济支柱,因工伤原因导致脊髓损伤给这类人群及其家庭带来严重影响。本研究对工伤导致的脊髓损伤患者慢性期生存质量进行调查,并探讨脊髓损伤工伤患者生存质量的社会学、人口学、医学等因素,以寻找改善这类人群生存质量的突破口。方法按照纳入排除标准,采用非随机抽样,通过面谈或电话访谈的形式对79例工伤脊髓损伤患者进行问卷调查,填写一般情况调查表和健康相关生命质量问卷36简表(SF-36)。结果单因素分析结果显示,不同受伤年数、损伤部位、损伤类型和并发症情况下调查对象生理维度及生理内容综合测量得分差异有统计学意义(P<0.05),不同家庭供养比的调查对象心理维度得分差异有统计学意义(P<0.05);婚姻状况、调查时年龄不同的调查对象在生理和心理维度部分指标及综合测量差异有统计学意义(P<0.05)。多因素分析结果显示,对生理内容综合测量有影响的因素主要为性别、并发症、婚姻状况;而对心理内容综合测量有影响的因素主要为教育情况、家庭人均收入、损伤部位、婚姻状况。结论并发症、婚姻状况、教育程度和家庭经济负担等医学、社会、经济因素对慢性期脊髓损伤工伤患者生存质量有影响,提高脊髓损伤工伤患者慢性期生存质量,不仅仅要为他们提供适宜的医疗服务,还需要针对这类特征提供有针对性的支持和干预,同时做好长期健康管理,控制并发症。
The purpose of the work-related injuries are mainly young and middle-aged labor force, is the economic pillar of the family, due to injuries caused by spinal cord injury to these people and their families have a serious impact. In this study, the quality of life of patients with spinal cord injury caused by work-related injuries was investigated, and the sociology, demography, and medical factors of quality of life in patients with spinal injuries were explored in order to find a breakthrough to improve the quality of life of these people. Methods According to inclusion exclusion criteria, 79 cases of injured patients with spinal cord injury were surveyed by non-random sampling, interview or telephone interview. The questionnaires of general conditions and health-related quality of life questionnaire 36 (SF-36) were filled in. Results The results of univariate analysis showed that there were significant differences in physical dimension and physiological content between the different years of injury, injury site, injury type and complication (P <0.05), psychological factors of different family dependency ratio (P <0.05). The marital status, age and age of the surveyed subjects had statistically significant differences in some indexes and comprehensive measures in the physiological and psychological dimensions (P <0.05). The results of multivariate analysis showed that the main influential factors for the comprehensive measurement of physiological contents were gender, complications and marital status. The main influential factors for the comprehensive measurement of psychological contents were education, family income per capita, injury site and marital status. Conclusions The medical, social and economic factors such as complications, marital status, educational attainment and family financial burden have an impact on the quality of life of patients with chronic spinal cord injury and improve the quality of life of patients with spinal cord injury, not only to provide them with suitable Medical services, but also need to provide targeted support for such characteristics and interventions, while good long-term health management, control of complications.