瘫痪肢体运动障碍患者功能性电刺激治疗依从性及其影响因素研究

Study on the functional electrical stimulation therapy compliance of patients with paralysis of limb movement disorder and its influence factors

目的研究与分析瘫痪肢体运动障碍患者功能性电刺激治疗依从性及其影响因素。方法选取2014年12月至2016年8月进行功能性电刺激治疗的168例瘫痪肢体运动障碍患者为研究对象，将其治疗依从性进行评估，并比较不同性别、年龄、文化程度、社会支持程度、病程、治疗认知度、心理状态、经济状况、居住情况及医疗保险情况患者的治疗依从性，并采用Logistic回归分析对瘫痪肢体运动障碍患者功能性电刺激治疗依从性进行多因素回归分析。结果168例瘫痪肢体运动障碍患者功能性电刺激治疗依从性较高者占61．90％（104／168），其中不同性别、年龄、文化程度、社会支持程度、病程、治疗认知度、心理状态、经济状况、居住情况及医疗保险情况患者的治疗依从性差异有统计学意义（均P〈0．05），经Logistic回归分析显示，上述研究因素均是此类患者的治疗依从性的重要影响因素。结论瘫痪肢体运动障碍患者功能性电刺激治疗依从性有待提升，且年龄、文化程度、社会支持程度、病程、治疗认知度、心理状态、经济状况、居住情况及医疗保险情况均是其重要影响因素，应根据这些影响因素给予针对性干预。

Objective To study and analyze the functional electrical stimulation therapy compliance of patients with paralysis of limb movement disorder and its influence factors. Methods A total of 168 patients with paralysis of limb movement disorder from December 201d to August 2016 were selected as the research object, and the treatment compliance of all the patients were evaluated, then the treatment compliance of patients with different gender, ages, education degree, social support degree, disease course, treatment cognition, psychology state, pecuniary condition, living conditions and medical insurance situation were compared too, then the relationship between those study factors and treatment compliance of these patients were analyzed by the Logistic regression analysis. Results One hundred and four cases of 168 patients with paralysis of limb movement disorder with higher treatment compliance of functional electrical stimulation therapy, the rate was 61.90%,the treatment compliance of patients with different gender, ages, education degree, social support degree, disease course, treatment cognition, psychology state, pecuniary condition, living conditions and medical insurance situation all had obvious differences, and those study factors all had close relationship to the treatment compliance of these patients by the Logistic regression analysis, all P 〈 0.05. Conclusions The functional electrical stimulation therapy compliance of patients with paralysis of limb movement disorder still need to be improved, and its influence factors are more, so they should be paid to targeted intervention according to these influence factors.