颞下颌关节强直合并颜面畸形患者主要照顾者积极感受现状及影响因素分析

Status quo and influencing factors of positive feelings in major caregivers of patients with temporomandibular joint ankyloses complicated with facial deformity

目的调查颞下颌关节强直合并颜面畸形患者主要照顾者的积极感受水平,并分析其影响因素。方法采用便利抽样法,选取2014 年4 月—2017 年4 月在郑州大学第一附属医院门诊就诊和住院治疗的颞下颌关节强直合并颜面畸形患者主要照顾者101 名,收集照顾者的一般资料,采用照顾者积极感受量表评价积极感受水平。采用Pearson相关性分析探讨积极感受水平与一般资料的相关性,多元线性回归分析探讨积极感受水平的影响因素。结果 101 名颞下颌关节强直合并颜面畸形患者主要照顾者的积极感受水平得分为(28.93±5.15)分,范围为10~39 分。单因素分析显示,不同性别、教育背景、年龄、与患者关系、家庭月收入、是否与患者同住的主要照顾者,其照顾者积极感受水平差异有统计学意义(P< 0.01);相关分析发现,颞下颌关节强直合并颜面畸形患者主要照顾者积极感受水平与性别、教育背景、年龄、与患者关系、家庭月收入、是否与患者同住有关(P< 0.05);多元线性回归分析显示,性别、家庭月收入、与患者的关系及与患者同住是颞下颌关节强直合并颜面部畸形患者主要照顾者积极感受水平的影响因素(P < 0.01)。结论颞下颌关节强直合并颜面畸形患者主要照顾者的积极感受现状处于中下水平,其可能与主要照顾者的性别、家庭月收入、与患者关系、是否与患者同住有关。

Objective To explore the level of positive feelings in major caregivers of patients with temporomandibular joint ankyloses( TMJK) complicated with facial deformity and to analyze their influencing factors. Methods Totally 101 major caregivers of patients with TMJK complicated with facial deformity who attended outpatient and inpatient service in the First Affiliated Hospital of Zhengzhou University from April 2014 to April 2017 were selected using convenient sampling. The caregivers' general information was collected, and the caregiver positive feelings scale was used to evaluate their positive feelings. Pearson correlation analysis was used to explore the correlation between positive feelings and general information, and multivariate linear regression analysis was employed to analyze their influencing factors. Results The caregivers' positive feeling scored( 28.93±5.15), ranging 10-39. Univariate analysis showed that there were statistically significant differences in positive feelings scores between caregivers with different sex, educational background, age, relationship with patients, monthly household income and cohabitation with patients( P < 0.01). Correlation analysis showed that the caregivers' positive feelings were correlated with sex, educational background, age, relationship with patients, monthly household income and cohabitation with patients( P < 0.05). Multiple linear regression analysis showed that sex, monthly household income, relationship with patients and cohabitation with patients were the influencing factors for the caregivers' positive feelings( P < 0.01). Conclusions The positive feelings in major caregivers of patients with TMJK complicated with facial deformity stand at a moderate and low level, which might be associated with the major caregivers' sex, monthly household income,relationship with patients and cohabitation with patients.