青少年特发性脊柱侧凸术后患者经验性回避情况及其影响因素

Empirical Avoidance and its Influencing Factors in Postoperative Patients with Adolescent Idiopathic Scoliosis

目的探讨青少年特发性脊柱侧凸(AIS)术后患者经验性回避情况及其影响因素。方法以方便抽样方式选取2018年1月—2021年8月本院收治的72例AIS患者为研究对象,收集、整理其资料。分析AIS术后患者经验性回避情况及其影响因素。结果AIS术后患者接纳与行动问卷第二版(AAQ-Ⅱ)得分为(26.28±6.14)分。单因素分析显示:文化程度、自我效能感、社会支持、生活自理能力与AIS术后患者经验性回避有关,差异有统计学意义(P<0.05);年龄、性别、家庭人均月收入、Lenke分型、术中出血量、手术方式、手术时间与AIS术后患者经验性回避无关,差异无统计学意义(P>0.05)。多因素分析显示:文化程度低、自我效能感低、社会支持低、生活自理能力差是影响AIS术后患者经验性回避的高危因素(P<0.05)。结论AIS术后患者经验性回避水平较高,其受文化程度、自我效能感、社会支持、生活自理能力影响。

Objective To investigate the empirical avoidance and its influencing factors in postoperative patients with adolescent idiopathic scoliosis(AIS).Methods 72 AIS patients admitted to the hospital from January 2018 to August 2021were selected as the research objects by convenient sampling,and their data were collected and sorted out.The experiential avoidance of patients after AIS and its influencing factors were analyzed.Results The score of acceptance and action questionnaire-second edition(AAQ-Ⅱ)after AIS surgery were(26.28±6.14)points.Univariate analysis showed that:educational level,self-efficacy,social support and self-care ability were related to the experiential avoidance of patients after AIS,and the differences were statistically significant(P<0.05);age,gender,family per capita monthly income,Lenke classification,intraoperative blood loss,operation method,and operation time were not related to empirical avoidance of patients after AIS,and the differences were not statistically significant(P>0.05).Multivariate analysis showed that:low educational level,low self-efficacy,low social support,and poor self-care ability were high risk factors affecting experiential avoidance in patients after AIS surgery(P<0.05).Conclusion The level of experiential avoidance in patients after AIS is high,which is affected by educational level,self-efficacy,social support,and self-care ability.