职业性手外伤患者社会心理因素调查研究

Study on sociopsychological factors in patients with occupational hand injury

目的探讨社会心理因素在职业性手外伤事故中的作用，为制定可行的干预措施提供依据。方法采用自制调查表、生活事件量表（LES）对2014年1至6月入住医院手外科的150例职业性手外伤患者和按1：1匹配筛选的未发生手外伤的正常人进行社会心理因素调查，运用t检验、x2检验、条件logistic回归分析对评定结果进行比较分析。结果两组一般人口学特征比较，在工龄、受教育年限、婚姻状况差异有统计学意义（P〈0．05）；研究组LES总分、正性生活事件值和负性生活事件值，与对照组差异有统计学意义（P〈0．01）；单因素及多因素条件logistic回归分析显示，工龄、婚姻状况、负性事件值为最终有统计学意义的变量（P〈0．01）。结论社会心理因素对职业性手外伤事故的发生起着重要作用。

Objective To investigate the role of sociopsychological factors in occupational hand injury and to provide a reference for intervention measures. Methods The sociopsychological factors in 150 patients with occupational hand injury who were admitted to the Department of Hand Surgery from January to June in 2014 and 150 pair-matched normal controls were surveyed using self-made questionnaire and Life Event Scale （LES）. A comparative study was carried out using t test, X2 test, and conditional logistic regression analysis. Results The demographic characteristics, such as length of service, education level, and marital status, showed significant differences between the two groups （P〈0.05）; the LES total score and values of positive life events and negative life events also showed significant differences between the study group and control group （P〈0.01）; single-factor and multi-factor conditional logistic regression analyses showed that length of service, marital status, and negative events score were statistically significant variables （P〈0.01）. Conclusion Soeiopsychologieal factors play an important role in the occurrence of occupational hand injury.