本文選題：妊娠期 + 腰背痛　； 參考：《杭州師范大學(xué)》2017年碩士論文

【摘要】：背景:妊娠期腰背痛是一種以疼痛為主訴的綜合征,是在妊娠期出現(xiàn)的、沒(méi)有前期腰部疾病基礎(chǔ)的一種孕婦自感的腰、骶部疼痛或不適感,可伴有下肢的放射痛,且在妊娠中晚期疼痛程度尤為劇烈。作為孕婦常見(jiàn)的不適癥狀之一,腰背痛導(dǎo)致軀體功能和睡眠障礙,降低孕婦生活質(zhì)量,增加不良分娩結(jié)局和產(chǎn)后抑郁的風(fēng)險(xiǎn),孕婦病休帶來(lái)社會(huì)經(jīng)濟(jì)損失,且對(duì)健康產(chǎn)生長(zhǎng)期影響,而當(dāng)前對(duì)妊娠期腰背痛尚無(wú)針對(duì)性的干預(yù)方法。通過(guò)妊娠期腰背痛影響因素研究的文獻(xiàn)回顧,發(fā)現(xiàn)影響妊娠期腰背痛的因素眾多,采用單因素分析、多因素分析等傳統(tǒng)的統(tǒng)計(jì)學(xué)方法,難以全面探尋其影響因素和影響因素間的相互關(guān)系。目的:本研究以健康生態(tài)學(xué)模型為理論依據(jù),基于國(guó)內(nèi)外文獻(xiàn)的綜合回顧,構(gòu)建妊娠期腰背痛孕婦影響因素模型,對(duì)妊娠期腰背痛孕婦健康問(wèn)題開(kāi)展深入的調(diào)查研究,為制訂針對(duì)性的干預(yù)策略提供科學(xué)依據(jù)。方法:本研究為描述性研究,便利選取妊娠期腰背痛孕婦共420名作為研究對(duì)象。研究工具包括一般情況問(wèn)卷、疼痛評(píng)估量表、孕期身體活動(dòng)量表、社會(huì)支持評(píng)定量表和羅蘭莫里斯功能障礙量表。調(diào)查問(wèn)卷共計(jì)發(fā)放420份,回收389份,回收率為92.6%。采用Excel表格建立數(shù)據(jù)庫(kù),用SPSS19.0軟件進(jìn)行統(tǒng)計(jì)處理,采用Amos軟件對(duì)妊娠期腰背痛的各維度影響因素進(jìn)行結(jié)構(gòu)方程模型擬合。結(jié)果:(1)本研究中妊娠期腰背痛孕婦疼痛最劇烈時(shí)疼痛數(shù)字評(píng)分均值為4.53,最輕微時(shí)均值為2.42,24小時(shí)平均疼痛均值為2.46。孕中、晚期腰背疼痛程度評(píng)分分別為2.52±1.28和2.88±1.55,差異具有統(tǒng)計(jì)學(xué)意義。功能障礙RMDQ評(píng)分為8.80±6.00,其中輕度功能障礙50.4%(評(píng)分1~7分),中度為37.8%(評(píng)分8~17分),重度為11.8%(評(píng)分18~24分)。(2)影響妊娠期腰背痛的因素包括個(gè)人特質(zhì)、個(gè)人行為、社會(huì)家庭網(wǎng)絡(luò)和工作生活條件四個(gè)維度,其影響標(biāo)準(zhǔn)化總效果值分別為0.347、-0.122、-0.144和0.363。結(jié)論:總體來(lái)說(shuō)妊娠期腰背疼痛程度水平處于輕、中度;妊娠期腰背痛孕婦功能障礙中、重度程度者占有一定的比例,應(yīng)引起重視。孕期身體活動(dòng)多為低強(qiáng)度,缺乏中、高強(qiáng)度活動(dòng);妊娠期腰背痛孕婦社會(huì)支持水平偏低,低于國(guó)內(nèi)其他健康孕婦社會(huì)支持總分。影響妊娠期腰背痛的因素包括個(gè)人特質(zhì)、個(gè)人行為、工作生活條件和社會(huì)家庭網(wǎng)絡(luò)等多方面的因素,可以直接或者通過(guò)功能障礙間接影響孕婦的疼痛程度,其中個(gè)人特質(zhì)和工作生活條件兩個(gè)維度影響最大,同時(shí)各影響因素之間存在相關(guān)性。
[Abstract]:Background: low back pain during pregnancy is a kind of syndrome with pain as the main complaint, which occurs during pregnancy. There is no basis for preterm waist disease in pregnant women with self-sensed waist, sacral pain or discomfort, which can be accompanied by radiation pain of lower extremities. And in the third trimester of pregnancy, the degree of pain is especially acute. As one of the common symptoms of discomfort in pregnant women, low back pain leads to somatic function and sleep disorders, reduces the quality of life of pregnant women, increases the risk of adverse outcome of childbirth and postpartum depression, and brings social and economic losses. And has a long-term impact on health, but the current low back pain in pregnancy there is no targeted intervention. Based on the literature review of the factors influencing low back pain during pregnancy, we found that there are many factors influencing low back pain in pregnancy. Traditional statistical methods, such as single factor analysis and multivariate analysis, are used. It is difficult to fully explore the relationship between its influencing factors and influencing factors. Objective: based on the theory of health ecology model and the comprehensive review of literatures at home and abroad, a model of influencing factors of pregnant women with low back pain during pregnancy was established to investigate the health problems of pregnant women with low back pain during pregnancy. To provide scientific basis for the formulation of targeted intervention strategies. Methods: a total of 420 pregnant women with low back pain during pregnancy were selected as descriptive study. The research tools included the General situation questionnaire, the pain Assessment scale, the pregnancy physical activity scale, the Social support rating scale and the Roland Morris dysfunction scale. A total of 420 questionnaires were distributed, 389 were recovered, and the recovery rate was 92.6. The database was established with Excel table, the statistical processing was done by SPSS19.0 software, and the structural equation model of influencing factors of low back pain during pregnancy was fitted by Amos software. Results in this study, the mean score of the number of pain in the pregnant women with low back pain was 4.53 when the pain was the most severe, and 2.42g / 24 hours with the mean of 2.466.Results the mean value of pain in pregnant women with low back pain was 4.53 and 2.42g / 24 hours respectively. In pregnancy, the scores of LBP were 2.52 鹵1.28 and 2.88 鹵1.55, respectively, and the difference was statistically significant. The RMDQ score of dysfunction was 8.80 鹵6.00, among which 50.4 points (score 1 ~ 7), 37. 8% (score 8 ~ 17), 11. 8% (score 18 ~ 24 min. 2) in mild dysfunction affected personal traits and personal behavior, respectively, during pregnancy, and the main factors affecting low back pain during pregnancy were: 1 ~ 7, 37. 8% (score 8 ~ 17) and 11. 8% (score 18 ~ 24). There are four dimensions of social family network and working and living conditions, and the total effect values of the influence standardization are 0.347 ~ 0.122 ~ (-0.144) and 0.363 respectively. Conclusion: in general, the level of lumbar and back pain in pregnancy is mild to moderate, and in pregnant women with low back pain, serious degree occupies a certain proportion and should be paid attention to. Pregnancy physical activity is mostly low intensity, lack of medium and high intensity activity; pregnant women with low back pain pregnant women's social support level is low, lower than the total score of other healthy pregnant women in China. Factors affecting low back pain during pregnancy include personal traits, personal behavior, working and living conditions, and social and family networks, which can directly or indirectly affect the degree of pain in pregnant women, either directly or indirectly through dysfunction. The two dimensions of personal trait and work-life condition have the greatest influence, and there are correlations among the factors.
【學(xué)位授予單位】：杭州師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.71

【參考文獻(xiàn)】

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本文編號(hào)：1975792