【摘要】：目的了解老年髖部骨折患者創(chuàng)傷后成長、創(chuàng)傷后應激障礙及生存質量的現(xiàn)況,分析創(chuàng)傷后成長及創(chuàng)傷后應激障礙對其生存質量的影響,并進一步探討老年髖部骨折患者生存質量的影響因素,為提高老年髖部骨折患者的生存質量提供科學依據(jù)。方法本研究選取2015年10月~2016年9月在河北醫(yī)科大學第三醫(yī)院骨科門診復查的髖部骨折術后三個月的患者486名,統(tǒng)一采用的一般情況調(diào)查表、SF-36量表、創(chuàng)傷后成長量表、創(chuàng)傷后應激障礙癥狀自評量表、抑郁自評量表、社會支持評定量表、Harris評分問卷、計時起立-步行測試,對患者進行面對面的問卷調(diào)查。所有問卷填寫完成后當場收回,并及時檢查。所有數(shù)據(jù)應用Excel建立數(shù)據(jù)庫,使用SPSS22.0對數(shù)據(jù)進行統(tǒng)計分析。運用的統(tǒng)計方法包括描述性分析,t檢驗、方差分析、Pearson相關分析、多元線性回歸分析。結果1老年髖部骨折患者生存質量處于中低水平,最低分29分,最高分85分,平均得分(52.78±10.54)分;創(chuàng)傷后成長平均得分(63.68±10.02)分,中高成長水平患者占62.6%;創(chuàng)傷后應激障礙陽性率為10.3%;2(1)不同性別、年齡、文化程度、術前貧血程度、手術時機、手術方式、并發(fā)癥數(shù)量對患者的生存質量有影響,差異有統(tǒng)計學意義(P0.05);(2)髖關節(jié)功能越差、步行能力測試用時越長患者生存質量越差(P0.05);(3)抑郁程度越高、社會支持水平越低患者生存質量越差(P0.05);3相關性分析結果顯示:創(chuàng)傷后成長與患者生存質量正相關(r=0.571,P0.05);創(chuàng)傷后應激障礙與患者生存質量負相關(r=-0.355,P0.05);4多元線性回歸分析得出:女性、年齡大、文化程度低、手術時機延遲、行內(nèi)固定手術、抑郁、社會支持少、髖關節(jié)功能差、步行能力測試用時長、創(chuàng)傷后成長水平低、創(chuàng)傷后應激障礙的患者,其生存質量差。結論1老年髖部骨折患者術后三個月時的生存質量處于中低水平。2老年髖部骨折患者創(chuàng)傷后成長與生存質量正相關,創(chuàng)傷后應激障礙與生存質量負相關。3性別、年齡、文化程度、手術時機、手術方式、抑郁、社會支持、髖關節(jié)功能、步行能力、創(chuàng)傷后成長、創(chuàng)傷后應激障礙是老年髖部骨折患者生存質量的影響因素。
[Abstract]:Objective to investigate the status of post-traumatic stress disorder (PTSD) and quality of life (QOL) in elderly patients with hip fracture, and to analyze the effects of post-traumatic growth and post-traumatic stress disorder (PTSD) on their quality of life (QOL). The factors influencing the quality of life of the elderly hip fracture patients were further discussed to provide scientific basis for improving the quality of life of the elderly hip fracture patients. Methods from October 2015 to September 2016, 486 patients with hip fracture were selected from outpatient department of orthopedic department of the third Hospital of Hebei Medical University. The general information questionnaire, SF-36 scale and posttraumatic growth scale were used. Post-traumatic stress Disorder symptom Checklist (PTSD), Self-Rating Depression scale (SDS), Social support rating scale (SSRL), Harris scale (Harris scale), standing up and walking test (PCT) were used to investigate the patients face to face. All questionnaires completed on the spot recovery, and timely inspection. All the data are established by Excel, and the data are analyzed by SPSS22.0. The statistical methods used include descriptive analysis, t-test, variance analysis, Pearson correlation analysis and multivariate linear regression analysis. Results 1the quality of life of the elderly patients with hip fracture was in the middle and low level, the lowest score was 29 points, the highest score was 85 points, the average score was (52.78 鹵10.54); The average score of posttraumatic growth was (63.68 鹵10.02), and the positive rate of post-traumatic stress disorder was 10.3. 2 (1) different sex, age, education level, preoperative anemia degree, surgical timing, operation mode, the number of complications had a significant impact on the quality of life of patients (P0.05); (2) the worse the function of hip joint, the worse the quality of life of the patients with longer walking ability test (P0.05); (3), the lower the level of social support, the worse the quality of life (P0.05); 3 the results of correlation analysis showed that post-traumatic growth was positively correlated with patients' quality of life (r = 0.571P), post-traumatic stress disorder (PTSD) was negatively correlated with patients' quality of life (r = 0.355P 0.05), and posttraumatic stress disorder (PTSD) was negatively correlated with patients' quality of life (P < 0.05). 4Multivariate linear regression analysis showed that: female, older, lower education, delayed operation, internal fixation, depression, less social support, poor hip function, long walking ability test time, low post-traumatic growth level. The quality of life of patients with post traumatic stress disorder is poor. Conclusion 1 the quality of life of the elderly patients with hip fracture was at the middle and low level three months after operation. 2 the posttraumatic growth and the quality of life were positively correlated in the elderly patients with hip fracture, and the posttraumatic stress disorder was negatively correlated with the quality of life. Education, surgical timing, operative style, depression, social support, hip function, walking ability, post-traumatic growth, post-traumatic stress disorder are the influencing factors of quality of life in elderly patients with hip fracture.
【學位授予單位】：華北理工大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.6

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相關期刊論文 前10條

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本文編號：2429980