中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
10期
908-910
,共3页
家庭关怀度%术后认知功能障碍%脊柱手术
傢庭關懷度%術後認知功能障礙%脊柱手術
가정관부도%술후인지공능장애%척주수술
Family care%Postoperative cognitive dysfunction%Spinal surgery
目的 探讨家庭关怀度与脊柱手术患者术后认知功能障碍(POCD)的关系.方法 采用家庭关怀度指数问卷和简易智能精神状态检查量表(MMSE)于术后1周对脊柱手术患者进行问卷调查,根据是否存在POCD,分为POCD组和非POCD组,比较两组家庭关怀度的差别,并采用Pearson相关分析和多元线性回归分析探讨家庭关怀度对POCD的影响.结果 ①100例脊柱手术术后患者中,35例(35％)出现POCD；②POCD组适应度、情感度、亲密度和家庭关怀度总分[(1.25±0.45)、(1.36±0.41)、(1.27±0.42)、(5.85±1.30)]均显著低于非POCD组[(1.63±0.56)、(1.63 ±0.52)、(1.65±0.51)、(6.74±1.56)],均差异有统计学意义(P＜0.05)；③Pearson相关分析显示,MMSE与适应度、情感度和亲密度的评分均呈显著负相关(r=-0.426,-0.382,-0.482,P＜0.05).④多元线性回归分析结果显示,亲密度、适应度和情感度均为脊柱手术患者POCD的影响因素.结论 家庭关怀度下降可导致POCD.
目的 探討傢庭關懷度與脊柱手術患者術後認知功能障礙(POCD)的關繫.方法 採用傢庭關懷度指數問捲和簡易智能精神狀態檢查量錶(MMSE)于術後1週對脊柱手術患者進行問捲調查,根據是否存在POCD,分為POCD組和非POCD組,比較兩組傢庭關懷度的差彆,併採用Pearson相關分析和多元線性迴歸分析探討傢庭關懷度對POCD的影響.結果 ①100例脊柱手術術後患者中,35例(35％)齣現POCD；②POCD組適應度、情感度、親密度和傢庭關懷度總分[(1.25±0.45)、(1.36±0.41)、(1.27±0.42)、(5.85±1.30)]均顯著低于非POCD組[(1.63±0.56)、(1.63 ±0.52)、(1.65±0.51)、(6.74±1.56)],均差異有統計學意義(P＜0.05)；③Pearson相關分析顯示,MMSE與適應度、情感度和親密度的評分均呈顯著負相關(r=-0.426,-0.382,-0.482,P＜0.05).④多元線性迴歸分析結果顯示,親密度、適應度和情感度均為脊柱手術患者POCD的影響因素.結論 傢庭關懷度下降可導緻POCD.
목적 탐토가정관부도여척주수술환자술후인지공능장애(POCD)적관계.방법 채용가정관부도지수문권화간역지능정신상태검사량표(MMSE)우술후1주대척주수술환자진행문권조사,근거시부존재POCD,분위POCD조화비POCD조,비교량조가정관부도적차별,병채용Pearson상관분석화다원선성회귀분석탐토가정관부도대POCD적영향.결과 ①100례척주수술술후환자중,35례(35％)출현POCD；②POCD조괄응도、정감도、친밀도화가정관부도총분[(1.25±0.45)、(1.36±0.41)、(1.27±0.42)、(5.85±1.30)]균현저저우비POCD조[(1.63±0.56)、(1.63 ±0.52)、(1.65±0.51)、(6.74±1.56)],균차이유통계학의의(P＜0.05)；③Pearson상관분석현시,MMSE여괄응도、정감도화친밀도적평분균정현저부상관(r=-0.426,-0.382,-0.482,P＜0.05).④다원선성회귀분석결과현시,친밀도、괄응도화정감도균위척주수술환자POCD적영향인소.결론 가정관부도하강가도치POCD.
Objective To explore the relationship between family care and postoperative cognitive dysfunction(POCD) in patients undergoing spinal surgery.Methods Patients undergoing spinal surgery were questionnaired by Family APGAR Index and Mini-Mental State Examination (MMSE) 1 week after operation.They were divided into the POCD group and non-POCD group,and the scale of Family APGAR Index was compared between the two groups.Then the pearson correlation analysis and multivariate linear regression analysis were used to explore the effect of family care on POCD.Results ①35％ (35/100) patients undergoing spinal surgery sufferd POCD.②The partnership,affection,resolve and the total score of Family APGAR Index in the POCD group ((1.25 ± 0.45),(1.36 ± 0.41),(1.27 ± 0.42),(5.85 ± 1.30)) were significantly lower than that in the nonPOCD group((1.63 ± 0.56),(1.63 ± 0.52),(1.65 ± 0.51),(6.74 ± 1.56)) (P ＜ 0.05).③Pearson correla tion analysis showed that the MMSE was negatively correlated with the partnership,affection and resolve(r=-0.426,-0.382,-0.482,P ＜ 0.05).④Multivariate linear regression analysis showed that the resolve,partnership,affection were the influence factor of POCD in patients undergoing spinal surgery.Conclusions The decline of family care can lead to POCD.
