论文部分内容阅读
目的:探究脊髓损伤患者残障接受度的影响因素，并分析患者述情障碍与残障接受度的关系。方法:采用便利抽样法，选取济宁医学院附属医院2018年10月至2020年6月收治的脊髓损伤患者276例为研究对象，采用一般资料调查表、多伦多述情障碍量表（TAS-20）、残障接受度量表（ADS）进行调查，采用Pearson相关分析脊髓损伤患者述情障碍与残障接受度的相关性，采用分层回归分析影响脊髓损伤患者残障接受度的因素。结果:276例脊髓损伤患者ADS总分为（172.68 ± 37.72）分，TAS-20总分为（55.60 ± 9.49）分；Pearson相关性分析显示，TAS-20总分及各维度得分均与ADS总分及各维度得分呈负相关（n r值为-0.821~-0.101，均n P<0.05）；分层回归分析显示，性别、病程、损伤后工作状态为残障接受度的危险因素（n P<0.05），述情障碍为残障接受度的保护因素（n P<0.05），性别、病程、损伤后工作状态，述情障碍水平联合解释脊髓损伤患者残障接受度22.1%的变异量。n 结论:脊髓损伤患者残障接受度处于中等水平，述情障碍与残障接受度呈负相关，述情障碍、性别、病程、损伤后工作状态是脊髓损伤患者残障接受度的影响因素。“,”Objective:To explore the influencing factors of disability acceptance in patients with spinal cord injury, and analyze the correlation between alexithymia and disability acceptance.Methods:The convenience sampling method was used to select 276 patients with spinal cord injury admitted to Affiliated Hospital of Jining Medical College from October 2018 to June 2020 as the research objects. The general information questionnaire, the Toronto Alexitymia Scale (TAS-20), and the Acceptance of Disability Scale (ADS) was used to conduct the survey, Pearson correlation was used to analyze the correlation between alexitymia and disability acceptance in patients with spinal cord injury, hierarchical regression analysis was used to analyze the factors that affect the disability acceptance of patients with spinal cord injury.Results:The total score of ADS of 276 patients with spinal cord injury was (172.68 ± 37.72) points, and the total score of TAS-20 was (55.60 ± 9.49) points. The results of Pearson correlation analysis showed that all dimensions and total score of TAS-20 were negatively correlated with all dimensions and total score of ADS (n r values were -0.821--0.101, all n P<0.05). The results of hierarchical regression analysis showed that gender, course of disease, post-injury working status were the risk factors of disability acceptance (n P<0.05), and alexithymia was the protective factor of disability acceptance(n P<0.05), gender, course of disease, post-injury working status and alexithymia level could jointly explain the 22.1% variation in disability acceptance in patients with spinal cord injury.n Conclusions:The disability acceptance of patients with spinal cord injury is at a moderate level, and alexitymia is negatively correlated with disability acceptance. alexitymia, gender, course of disease, and post-injury work status are the influencing factors of disability acceptance of patients with spinal cord injury.