中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
31期
3951-3954
,共4页
脊柱手术%支具%依从性%认知%相关性
脊柱手術%支具%依從性%認知%相關性
척주수술%지구%의종성%인지%상관성
Spinal operation%Brace%Compliance%Cognition%Relativity
目的：了解脊柱术后患者支具佩戴的依从性现状及其对支具佩戴的认知情况，为提高患者术后佩戴支具的依从性、减少术后并发症的发生风险提供依据。方法采取电话采访的方式对100例脊柱术后需要佩戴支具的患者进行问卷调查，了解患者支具佩戴依从性及对于支具佩戴的认知状况。结果脊柱术后患者中支具佩戴依从性高者占41％，依从性中等者占47％；100例患者中，80％以上对“不能够接受自己所患疾病”、“认为没有必要佩戴脊柱支具”、“不愿意遵从医嘱佩戴支具”表示明确否定态度。不同依从性的患者对认为没有必要佩戴脊柱支具、对于脊柱手术后下床活动心存恐惧、佩戴支具不舒适的认知存在差异（χ2值分别为25．475，16．288，20．017；P＜0．05）。结论脊柱术后患者支具佩戴依从性不高，与患者的各种不良认知有关，临床护理人员应根据患者存在的各种不良认知开展有针对性的护理工作，以增加脊柱术后患者支具佩戴的依从性。
目的：瞭解脊柱術後患者支具珮戴的依從性現狀及其對支具珮戴的認知情況，為提高患者術後珮戴支具的依從性、減少術後併髮癥的髮生風險提供依據。方法採取電話採訪的方式對100例脊柱術後需要珮戴支具的患者進行問捲調查，瞭解患者支具珮戴依從性及對于支具珮戴的認知狀況。結果脊柱術後患者中支具珮戴依從性高者佔41％，依從性中等者佔47％；100例患者中，80％以上對“不能夠接受自己所患疾病”、“認為沒有必要珮戴脊柱支具”、“不願意遵從醫囑珮戴支具”錶示明確否定態度。不同依從性的患者對認為沒有必要珮戴脊柱支具、對于脊柱手術後下床活動心存恐懼、珮戴支具不舒適的認知存在差異（χ2值分彆為25．475，16．288，20．017；P＜0．05）。結論脊柱術後患者支具珮戴依從性不高，與患者的各種不良認知有關，臨床護理人員應根據患者存在的各種不良認知開展有針對性的護理工作，以增加脊柱術後患者支具珮戴的依從性。
목적：료해척주술후환자지구패대적의종성현상급기대지구패대적인지정황，위제고환자술후패대지구적의종성、감소술후병발증적발생풍험제공의거。방법채취전화채방적방식대100례척주술후수요패대지구적환자진행문권조사，료해환자지구패대의종성급대우지구패대적인지상황。결과척주술후환자중지구패대의종성고자점41％，의종성중등자점47％；100례환자중，80％이상대“불능구접수자기소환질병”、“인위몰유필요패대척주지구”、“불원의준종의촉패대지구”표시명학부정태도。불동의종성적환자대인위몰유필요패대척주지구、대우척주수술후하상활동심존공구、패대지구불서괄적인지존재차이（χ2치분별위25．475，16．288，20．017；P＜0．05）。결론척주술후환자지구패대의종성불고，여환자적각충불량인지유관，림상호리인원응근거환자존재적각충불량인지개전유침대성적호리공작，이증가척주술후환자지구패대적의종성。
Objective In order to provide the statistical evidence for improving patients compliance and reducing the risk of postoperative complications, this research investigated brace wear compliance of the spinal postoperative patients and their cognition of brace wearing in clinical.Methods A hundred spinal patients who required wear braces after operation were taken cognitive status questionnaire and race wear compliance scale survey by telephone interviews.Results After survey, we could find one hundred spinal postoperative patients that high compliance accounted for only 41% and medium compliance occupied 47%; while over 80% of patients had the symptom followed:unacceptable of disease acquired, no necessity of brace wearing and refused to wear brace on medical advice.Different rate of patients’ compliance had differentia on the recognition of no necessity of brace compliance, the fear of postoperative early rehabilitation and the comfortable of wearing brace (χ2 =25.475,16.288,20.017, respectively;P <0.05).Conclusions Spinal postoperative brace wear compliance is not high which is related to the various adverse cognitions.In order to increase the postoperative patients of brace wear compliance, clinical nursing staff should carry out the nursing work according to the various adverse cognitions.
