老年全膝关节置换术患者术后希望水平现状及其影响因素调查

Investigation on the current status and influencing factors of hope level in elderly patients with total knee arthroplasty after operation

目的探讨老年全膝关节置换术患者术后希望水平现状及其影响因素。方法选取2018年6月至2019年6月在我院进行全膝关节置换术治疗的117例老年患者为研究对象,对患者性别、年龄、家庭关怀、应对方式等因素进行调查,采用多元线性回归分析影响患者术后希望水平的因素。结果117例患者中,高等希望水平、中等希望水平及低等希望水平患者例数分别为35例、55例及27例,分别占全部患者的29.91%、47.01%及23.08%,患者Herth希望量表总分(29.94±7.98)分。多元线性回归分析显示,年龄、性别、受教育程度、家庭人均月收入、家庭关怀程度、疾病认知情况是老年全膝关节置换术患者术后希望水平的独立危险因素(P<0.05)。结论多数老年全膝关节置换术患者术后处于中等希望水平,老年全膝关节置换术患者术后希望水平的影响因素较多,护理人员应根据个体情况,加强心理与社会支持,提高其希望水平。

Objective To explore the current status and influencing factors of hope level in elderly patients with total knee arthroplasty(TKA)after operation.Methods To select 117 cases of elderly patients who were treated with TKA in our hospital from June 2018 to June 2019 as the study objects.The patients'gender,age,family care,coping style and other factors were investigated,and multiple linear regression analysis was used to analyze the influencing factors effecting patients’hope level after operation.Results Among the 117 cases of patients,the number of patients with high hope level,medium hope level and low hope level were 35,55 and 27 respectively,accounting for 29.91%,47.01%and 23.08%of all patients,respectively.The Herth hope scale had a total score of(29.94±7.98)points.Multiple linear regression analysis showed that the age,gender,education level,family average monthly income,degree of family care and disease awareness were the independent risk factors that effected the hole level of elderly patients undergoing TKA(P<0.05).Conclusion Most elderly patients undergoing TKA were at a moderate hope level after operation.There were many factors effecting the hope level in elderly patients undergoing TKA.Nursing staff should strengthen psychological and social support according to individual conditions to increase their hope level.