北京市某医院肢体功能障碍康复期住院患者生存质量及影响因素分析

Analysis on Quality of Life and Influential Factors of Rehabilitation Inpatients with Limb Dysfunction in a Hospital in Beijing

目的:通过对住院康复期的肢体功能障碍患者生存质量现状及影响因素的研究,探讨改善康复期患者生存质量的方式。方法:对249例在北京市某医院住院康复的肢体功能障碍患者的生存质量及其社会人口学指标、社会支持情况等相关因素进行问卷调查,采用多元线性回归分析,筛选影响康复期患者生存质量的相关因素。结果:肢体功能障碍康复期患者的生存质量总得分为47.6分,主要影响因素包括婚姻状况、生病时长、住院时长、是否为脊髓损伤、客观社会支持、主观社会支持以及社会支持利用度。结论:应对康复期患者开展家庭和社会关系建设方面的服务;发展社区康复,鼓励患者尽早回归家庭和社区;探索适合康复期患者需求的社会保障方式,改善患者生存质量。

Objective： To survey the situation of the Quality of Life （QOL） of rehabilitation inpatients with limb dysfunction and find out the influential factors of their QOL. To probe how to improve QOL of patients with physical disabilities. Methods： 249 rehabilitation patients with limb dysfunction were involved in this study. Their QOL, socio demographic indicators and social support data were recorded and analyzed with multiple linear regression model to screen the related factors influencing the quality of life of rehabilitation inpatients. Results： The score of QOL of limb dysfunction patients at rehabilitation stage was 47.6. The influential factors included marital status, sick duration, length of hospital stay, whether to be spinal cord injury, objective social support, subjective social support and utility degree of social support. Conclusion： It＇s necessary to de- velop family and social relations building services and community rehabilitation to encourage patients to come back to family and community soon, and to explore social security styles suitable for rehabilitation patients to improve their QOL.