CAJ | 학술논문

目的：了解脑外伤患者的残障接受度，并分析其影响因素，为改善患者残障接受度，引导其理性自我评价提供参考。方法采用残障接受度量表对208例脑外伤患者进行问卷调查，采用单因素分析和多元回归分析探讨脑外伤患者残障接受度的影响因素。结果脑外伤患者残障接受度总分为(165.18±30.54)分，其中低接受度占27.88%，中接受度占55.77%，高接受度占16.35%。不同性别、家庭收入、改良Barthel指数( MBI)、Fuglmeyer运动功能评分( FMA)、病程、照护时间的脑外伤患者残障接受度评分比较，差异均有统计学意义(P<0.05)。多元回归分析结果提示FMA、MBI、病程、性别均为脑外伤患者残障接受度的影响因素。结论脑外伤患者残障接受度处于中等水平，其受多因素种因素影响，医务人员应采用针对性的干预措施，改善脑外伤患者残障接受度。
목적：료해뇌외상환자적잔장접수도，병분석기영향인소，위개선환자잔장접수도，인도기이성자아평개제공삼고。방법채용잔장접수도량표대208례뇌외상환자진행문권조사，채용단인소분석화다원회귀분석탐토뇌외상환자잔장접수도적영향인소。결과뇌외상환자잔장접수도총분위(165.18±30.54)분，기중저접수도점27.88%，중접수도점55.77%，고접수도점16.35%。불동성별、가정수입、개량Barthel지수( MBI)、Fuglmeyer운동공능평분( FMA)、병정、조호시간적뇌외상환자잔장접수도평분비교，차이균유통계학의의(P<0.05)。다원회귀분석결과제시FMA、MBI、병정、성별균위뇌외상환자잔장접수도적영향인소。결론뇌외상환자잔장접수도처우중등수평，기수다인소충인소영향，의무인원응채용침대성적간예조시，개선뇌외상환자잔장접수도。
Objective To explore the influencing factors of disability acceptance in patients with cerebral trauma, and provide evidence to improve the level of disability acceptance and guide them to evaluate themselves rational. Methods A total of 208 patients with cerebral trauma were questionnaired by the acceptance of disability scale. The level of disability acceptance was compared among the patients with different clinical features, and the single factor analysis and multiple regression analysis were used to explore the influencing factors of disability acceptance. Results The total score of disability acceptance was (165. 18 ± 30. 54) in patients with cerebral trauma, and 27. 88% of them was in the low level, 55. 77% of them in the medium level, 16. 35% of them in the high level. There were significant differences of disability acceptance in the patients with different gender, family income, MBI, FMA, course of disease, nursing time (P<0. 05). The multiple regression analysis indicated that FMA, MBI, course of disease, gender were influencing factors of disability acceptance (P<0. 05). Conclusions The level of disability acceptance is in the medium level in patients with cerebral trauma, which is affected by many factors. It requires the use of targeted interventions by medical staffs in order to improve the level of disability acceptance.