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目的构建康复期脊髓损伤(spinal cord injury,SCI)患者自我护理认知评价指标体系,测评与了解康复期SCI患者自我护理认知现状,为康复期SCI患者提供更好的护理支持提供依据。方法采取文献研究法建立备选评价指标,运用专家咨询法确定初始评价指标,对65例康复期SCI患者进行问卷调查并筛选评价指标。结果量表的Cronbach’sɑ系数0.802,专家判断系数为0.895,内容效度指数0.967;康复期SCI患者对紧急并发症预防与自我护理知识认知不足,得分比率为56.67%;年龄越大、病程越长、学历越高和由护工照护的患者自我护理知识得分越高(P<0.05)。结论康复护士应加强对康复早期患者、低学历患者的自我护理教育,强化紧急并发症预防与处理措施。
Objective To construct a cognitive assessment index system for self-care in patients with spinal cord injury (SCI), evaluate and understand the current status of self-care in patients with SCI during rehabilitation, and provide evidences for providing better nursing support for patients with SCI during rehabilitation. Methods The method of literature research was used to establish the alternative evaluation index, and the expert consultation method was used to determine the initial evaluation index. A questionnaire survey was conducted on 65 cases of convalescent SCI patients and the evaluation indexes were screened. The results of the scale Cronbach’sɑ coefficient 0.802, expert judgment coefficient of 0.895, the content validity index of 0.967; convalescent SCI patients with acute complication prevention and self-care knowledge of cognitive deficits score was 56.67%; older, disease duration The longer the education level, the higher the education level and the higher self-care knowledge score (P <0.05). Conclusion Rehabilitation nurses should strengthen self-care education for patients with early rehabilitation and patients with low education, and strengthen the prevention and treatment of emergency complications.