CAJ | 학술논문

*摘要目的通过对脊柱术后患者进行电话采访，了解患者佩戴支具的依从性现状及其对支具佩戴的看法，为提高患者术后佩戴支具的依从性、减少发生术后并发症的风险提供依据。方法采取问卷调查的方式对100名脊柱疾病术后需要佩戴支具的患者进行问卷调查，将收取后的问卷整理后输入SPSS19.0统计学软件进行统计学分析。结果100名脊柱疾病术后患者中支具佩戴依从性高者仅占41.0%，依从性中等者占47.0%；不同依从性的患者，其对佩戴支具的必要性缺乏了解（P=0.001）、对脊柱手术后下床活动心存恐惧（P=0.012）、以及对佩戴支具的不舒适（P=0.001）方面显示均存在显著性差异（P＜0.05）。结论脊柱疾病患者术后支具佩戴依从性不高，与患者对于疾病的相关知识以及佩戴支具的必要性缺乏了解，患者不知道术后需要进行早期循序渐进的康复锻炼，以及佩戴支具的不舒适相关，临床护理人员应根据患者的不同情况开展有针对性的护理工作，以增加脊柱疾病患者术后支具佩戴的依从性。
*적요목적통과대척주술후환자진행전화채방，료해환자패대지구적의종성현상급기대지구패대적간법，위제고환자술후패대지구적의종성、감소발생술후병발증적풍험제공의거。방법채취문권조사적방식대100명척주질병술후수요패대지구적환자진행문권조사，장수취후적문권정리후수입SPSS19.0통계학연건진행통계학분석。결과100명척주질병술후환자중지구패대의종성고자부점41.0%，의종성중등자점47.0%；불동의종성적환자，기대패대지구적필요성결핍료해（P=0.001）、대척주수술후하상활동심존공구（P=0.012）、이급대패대지구적불서괄（P=0.001）방면현시균존재현저성차이（P＜0.05）。결론척주질병환자술후지구패대의종성불고，여환자대우질병적상관지식이급패대지구적필요성결핍료해，환자불지도술후수요진행조기순서점진적강복단련，이급패대지구적불서괄상관，림상호리인원응근거환자적불동정황개전유침대성적호리공작，이증가척주질병환자술후지구패대적의종성。
Objectives To acquire the compliance status of orthosis wearing and the views of patients through telephone interview after vertebral column operation, and provide evidence for improving the compliance of orthosis wearing after operation as well as reducing complications risks. Methods To adopt questionnaires research on 100 patients who need to wear orthosis after vertebral column operation, then conduct statistical analysis on the questionnaires after clearing up with the application of SPSS19.0.Results The percent of high compliance of 100 patients with orthosis wearing after vertebral column operation only accounted for 41% and middle compliance accounted for 47%. There were significant differences in aspects such as lack of necessity awareness of wearing orthosis(p=0.001), afraid of taking activities after operation(p=0.012) and felt uncomfortableness while wearing orthosis(p=0.001).Conclusions The compliance of orthosis wearing among patients after vertebral column operation was not high, which were due to the shortage of diseases related knowledge or the necessity of wearing orthosis, had no ideas on rehabilitation exercise on the early phase after operation as well as the uncomfortable feeling. Therefore, the clinical nursing staff should carry out pointed nursing work according to different situations, so as to increase the compliance of orthosis wearing among patients after vertebral column operation.