慢性创面患者自我感受负担的现况及影响因素研究

Investigation on the status and influencing factors of self perceived burden of patients with chronic wounds

目的了解慢性创面患者自我感受负担的现况,并探讨相关影响因素。方法采用一般资料问卷、自我感受负担量表(SPBS)、社会支持量表(SSRS)、医学应对方式问卷(MCMQ)、中文版成人无能为力感量表(PAT)和一般自我效能问卷(GSES),对2021年2月至2021年6月收治的102例慢性创面患者进行调查,采用单因素分析和多元回归分析,探讨慢性创伤患者SPB的独立影响因素。数据采用SPSS 26.0进行处理。结果慢性创面患者自我感受负担得分为31.37±15.42,总体处于中度水平。各维度均分中,“情感负担”维度均值最高,其次是“身体负担”和“经济负担”维度。回归分析结果显示,面对型应对方式能独立影响慢性创面患者自我感受负担总体变异的22.7%(R^(2)=0.227,F=5.232,P<0.05)。结论慢性创面患者存在中等程度的自我感受负担,医护人员应重视对慢性创面患者自我感受负担的及时评估和精准干预,鼓励患者采取面对的应对方式,从而降低自我感受负担。

Objective To investigate the self perceived burden(SPB)and its influencing factors of patients with chronic wounds.Methods From February 2021 to June 2021,102 patients with chronic wounds were surveyed by General Data Questionnaire,Self-Perceived Burden Scale(SPBS),Social Support Rating Scale(SSRS),Medical Coping Modes Questionnaire(MCMQ),Chinese version of Powerlessness Assessment Tool(PAT)as well as General Self-Efficacy Scale(GSES).Single factor analysis and multiple regression analysis were carried out to explore the independent influencing factors of SPB of patients with chronic wounds.Data were processed by SPSS 26.0 statistical software.Results The mean score of SPBS was 31.37±15.42 at a moderate level.Among the average score of dimensions,the"emotional burden"dimension had the highest score,followed by the"physical burden"and"economic burden"dimensions.Results showed that the confrontation was an independent factor affecting the SPB of patients with chronic wounds,the model was able to explain 22.7%of variance in SPB(R^(2)=0.227,F=5.232,P<0.05).Conclusion Patients with chronic wounds had moderate SPB.Wound staff should express timely concern about SPB of patients with chronic wounds and encourage patients to face the problems caused by chronic wounds with positive coping mode so as to reduce the SPB level.