康复期脊髓损伤患者自我护理知识评估构建与测评

Establishment and Evaluation of Self-care Knowledge in Patients with Spinal Cord Injure during Recovery Period

目的构建康复期脊髓损伤(spinal cord injury,SCI)患者自我护理认知评价指标体系,测评与了解康复期SCI患者自我护理认知现状,为康复期SCI患者提供更好的护理支持提供依据。方法采取文献研究法建立备选评价指标,运用专家咨询法确定初始评价指标,对65例康复期SCI患者进行问卷调查并筛选评价指标。结果量表的Cronbach’sɑ系数0.802,专家判断系数为0.895,内容效度指数0.967;康复期SCI患者对紧急并发症预防与自我护理知识认知不足,得分比率为56.67%;年龄越大、病程越长、学历越高和由护工照护的患者自我护理知识得分越高(P<0.05)。结论康复护士应加强对康复早期患者、低学历患者的自我护理教育,强化紧急并发症预防与处理措施。

Objective To establish an assessment of self-care knowledge for patients with spinal cord injury （SCI）, obtain their current status of self-care and provide theoretic reference for better nursing support and compensation meas-ures. Methods The possible indexes were screened by researching the published literature, and confirmed by consulting experts. A total of 65 SCI patients in recovery period were investigated by the self-designed questionnaire. Results The Cronbach＇s a was 0. 802,the authority coefficient of experts was 0. 895,and the content validity index was 0. 967. There was deficiency of prevention and treatment of emergency complications in SCI patients. The patients with older age, lon- ger disease course, and higher diploma had higher scores （P〈0.05）. Conclusion The self-nursing education of patients in the early rehabilitation period and with low education diploma should be strengthened, and the prevention and treatment measures of emergency SCI complications should be reinforced.