“ERAS”模式下脊髓型颈椎病患者出院后日常生活能力和一般自我效能感的影响因素分析

Analysis of influential factors of daily living ability and general self-efficacy in patients with cervical spondylotic myelopathy under"ERAS"

目的探讨“ERAS”模式下脊髓型颈椎病(cervical spondylotic myelopathy,CSM)患者出院后日常生活能力和一般自我效能感的相关影响因素。方法选择2017年1月~2019年9月在德阳市人民医院行经后路单开门椎管扩大成形术的CSM出院患者105例,收集《脊髓型颈椎病调查表》中的相关需求数据,采用单因素分析以及多因素Logistic回归分析探讨影响其出院后日常生活能力和一般自我效能感的相关因素。结果单因素分析以及多因素Logistic回归分析显示,在日常生活能力方面,年龄、居住地、职业、家庭收入水平、病程长短、抑郁、焦虑、慢性病情况、LOS、术后FA值为其影响因素;在一般自我效能感方面,学历、职业、家庭收入水平、医疗支付方式、病程长短、抑郁、焦虑、慢性病情况为影响因素。结论本次研究进一步丰富和完善影响CSM患者出院后日常生活能力与一般自我效能的各相关因素,可以为今后该类疾病患者早期在院干预以及出院后准备提供方向和依据,值得今后继续深研。

Objective To investigate the influential factors of daily life ability and general self-efficacy of patients with cervical spondylotic myelopathy(CSM)under the"ERAS"model.Methods A total of 105 discharged CSM patients who underwent posterior single-door spinal canal angioplasty at Deyang People's Hospital from January 2017 to September 2019 were selected as the research objects,and the relevant demand data in the"Spondylotic Cervical Spondylopathy Survey Form"were collected.Univariate analysis and multivariate logistic regression analysis were used to explore the relevant factors that affect their daily living ability and general selfefficacy after discharge.Results Univariate analysis and multi-factor logistic regression analysis showed that in terms of daily living ability,age,place of residence,occupation,family income level,duration of illness,depression,anxiety,chronic illness,LOS,postoperative FA values were its influencing factors.In terms of general self-efficacy,education,occupation,family income level,medical payment method,duration of illness,depression,anxiety,and chronic illness were the influencing factors.Conclusion This study enriches and improves the relevant factors affecting the daily life ability and general self-efficacy of patients with CSM after discharge,which can provide directions and basis for early intervention and preparation for discharge of patients with this disease in the future.It is worthy of research in the future.