脊柱术后患者支具佩戴依从性与认知的相关性分析

Correlation of compliance and related cognition of brace wear for spinal postoperative patients

目的：了解脊柱术后患者支具佩戴的依从性现状及其对支具佩戴的认知情况，为提高患者术后佩戴支具的依从性、减少术后并发症的发生风险提供依据。方法采取电话采访的方式对100例脊柱术后需要佩戴支具的患者进行问卷调查，了解患者支具佩戴依从性及对于支具佩戴的认知状况。结果脊柱术后患者中支具佩戴依从性高者占41％，依从性中等者占47％；100例患者中，80％以上对“不能够接受自己所患疾病”、“认为没有必要佩戴脊柱支具”、“不愿意遵从医嘱佩戴支具”表示明确否定态度。不同依从性的患者对认为没有必要佩戴脊柱支具、对于脊柱手术后下床活动心存恐惧、佩戴支具不舒适的认知存在差异（χ^2分别为25．475，16．288，20．017；P＜0．05）。结论脊柱术后患者支具佩戴依从性不高，与患者的各种不良认知有关，临床护理人员应根据患者存在的各种不良认知开展有针对性的护理工作，以增加脊柱术后患者支具佩戴的依从性。

Objective In order to provide the statistical evidence for improving patients compliance and reducing the risk of postoperative complications, this research investigated brace wear compliance of the spinal postoperative patients and their cognition of brace wearing in clinical.Methods A hundred spinal patients who required wear braces after operation were taken cognitive status questionnaire and race wear compliance scale survey by telephone interviews.Results After survey, we could find one hundred spinal postoperative patients that high compliance accounted for only 41% and medium compliance occupied 47%; while over 80% of patients had the symptom followed：unacceptable of disease acquired, no necessity of brace wearing and refused to wear brace on medical advice.Different rate of patients’ compliance had differentia on the recognition of no necessity of brace compliance, the fear of postoperative early rehabilitation and the comfortable of wearing brace （χ^2=25.475,16.288,20.017, respectively;P 〈0.05）.Conclusions Spinal postoperative brace wear compliance is not high which is related to the various adverse cognitions.In order to increase the postoperative patients of brace wear compliance, clinical nursing staff should carry out the nursing work according to the various adverse cognitions.