老年髋部骨折患者创伤后成长、创伤后应激障碍现况及对生存质量的影响
发布时间：2019-02-25 08:16
【摘要】：目的了解老年髋部骨折患者创伤后成长、创伤后应激障碍及生存质量的现况,分析创伤后成长及创伤后应激障碍对其生存质量的影响,并进一步探讨老年髋部骨折患者生存质量的影响因素,为提高老年髋部骨折患者的生存质量提供科学依据。方法本研究选取2015年10月~2016年9月在河北医科大学第三医院骨科门诊复查的髋部骨折术后三个月的患者486名,统一采用的一般情况调查表、SF-36量表、创伤后成长量表、创伤后应激障碍症状自评量表、抑郁自评量表、社会支持评定量表、Harris评分问卷、计时起立-步行测试,对患者进行面对面的问卷调查。所有问卷填写完成后当场收回,并及时检查。所有数据应用Excel建立数据库,使用SPSS22.0对数据进行统计分析。运用的统计方法包括描述性分析,t检验、方差分析、Pearson相关分析、多元线性回归分析。结果1老年髋部骨折患者生存质量处于中低水平,最低分29分,最高分85分,平均得分(52.78±10.54)分;创伤后成长平均得分(63.68±10.02)分,中高成长水平患者占62.6%;创伤后应激障碍阳性率为10.3%;2(1)不同性别、年龄、文化程度、术前贫血程度、手术时机、手术方式、并发症数量对患者的生存质量有影响,差异有统计学意义(P0.05);(2)髋关节功能越差、步行能力测试用时越长患者生存质量越差(P0.05);(3)抑郁程度越高、社会支持水平越低患者生存质量越差(P0.05);3相关性分析结果显示:创伤后成长与患者生存质量正相关(r=0.571,P0.05);创伤后应激障碍与患者生存质量负相关(r=-0.355,P0.05);4多元线性回归分析得出:女性、年龄大、文化程度低、手术时机延迟、行内固定手术、抑郁、社会支持少、髋关节功能差、步行能力测试用时长、创伤后成长水平低、创伤后应激障碍的患者,其生存质量差。结论1老年髋部骨折患者术后三个月时的生存质量处于中低水平。2老年髋部骨折患者创伤后成长与生存质量正相关,创伤后应激障碍与生存质量负相关。3性别、年龄、文化程度、手术时机、手术方式、抑郁、社会支持、髋关节功能、步行能力、创伤后成长、创伤后应激障碍是老年髋部骨折患者生存质量的影响因素。
[Abstract]:Objective to investigate the status of post-traumatic stress disorder (PTSD) and quality of life (QOL) in elderly patients with hip fracture, and to analyze the effects of post-traumatic growth and post-traumatic stress disorder (PTSD) on their quality of life (QOL). The factors influencing the quality of life of the elderly hip fracture patients were further discussed to provide scientific basis for improving the quality of life of the elderly hip fracture patients. Methods from October 2015 to September 2016, 486 patients with hip fracture were selected from outpatient department of orthopedic department of the third Hospital of Hebei Medical University. The general information questionnaire, SF-36 scale and posttraumatic growth scale were used. Post-traumatic stress Disorder symptom Checklist (PTSD), Self-Rating Depression scale (SDS), Social support rating scale (SSRL), Harris scale (Harris scale), standing up and walking test (PCT) were used to investigate the patients face to face. All questionnaires completed on the spot recovery, and timely inspection. All the data are established by Excel, and the data are analyzed by SPSS22.0. The statistical methods used include descriptive analysis, t-test, variance analysis, Pearson correlation analysis and multivariate linear regression analysis. Results 1the quality of life of the elderly patients with hip fracture was in the middle and low level, the lowest score was 29 points, the highest score was 85 points, the average score was (52.78 卤10.54); The average score of posttraumatic growth was (63.68 卤10.02), and the positive rate of post-traumatic stress disorder was 10.3. 2 (1) different sex, age, education level, preoperative anemia degree, surgical timing, operation mode, the number of complications had a significant impact on the quality of life of patients (P0.05); (2) the worse the function of hip joint, the worse the quality of life of the patients with longer walking ability test (P0.05); (3), the lower the level of social support, the worse the quality of life (P0.05); 3 the results of correlation analysis showed that post-traumatic growth was positively correlated with patients' quality of life (r = 0.571P), post-traumatic stress disorder (PTSD) was negatively correlated with patients' quality of life (r = 0.355P 0.05), and posttraumatic stress disorder (PTSD) was negatively correlated with patients' quality of life (P < 0.05). 4Multivariate linear regression analysis showed that: female, older, lower education, delayed operation, internal fixation, depression, less social support, poor hip function, long walking ability test time, low post-traumatic growth level. The quality of life of patients with post traumatic stress disorder is poor. Conclusion 1 the quality of life of the elderly patients with hip fracture was at the middle and low level three months after operation. 2 the posttraumatic growth and the quality of life were positively correlated in the elderly patients with hip fracture, and the posttraumatic stress disorder was negatively correlated with the quality of life. Education, surgical timing, operative style, depression, social support, hip function, walking ability, post-traumatic growth, post-traumatic stress disorder are the influencing factors of quality of life in elderly patients with hip fracture.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.6
[Abstract]:Objective to investigate the status of post-traumatic stress disorder (PTSD) and quality of life (QOL) in elderly patients with hip fracture, and to analyze the effects of post-traumatic growth and post-traumatic stress disorder (PTSD) on their quality of life (QOL). The factors influencing the quality of life of the elderly hip fracture patients were further discussed to provide scientific basis for improving the quality of life of the elderly hip fracture patients. Methods from October 2015 to September 2016, 486 patients with hip fracture were selected from outpatient department of orthopedic department of the third Hospital of Hebei Medical University. The general information questionnaire, SF-36 scale and posttraumatic growth scale were used. Post-traumatic stress Disorder symptom Checklist (PTSD), Self-Rating Depression scale (SDS), Social support rating scale (SSRL), Harris scale (Harris scale), standing up and walking test (PCT) were used to investigate the patients face to face. All questionnaires completed on the spot recovery, and timely inspection. All the data are established by Excel, and the data are analyzed by SPSS22.0. The statistical methods used include descriptive analysis, t-test, variance analysis, Pearson correlation analysis and multivariate linear regression analysis. Results 1the quality of life of the elderly patients with hip fracture was in the middle and low level, the lowest score was 29 points, the highest score was 85 points, the average score was (52.78 卤10.54); The average score of posttraumatic growth was (63.68 卤10.02), and the positive rate of post-traumatic stress disorder was 10.3. 2 (1) different sex, age, education level, preoperative anemia degree, surgical timing, operation mode, the number of complications had a significant impact on the quality of life of patients (P0.05); (2) the worse the function of hip joint, the worse the quality of life of the patients with longer walking ability test (P0.05); (3), the lower the level of social support, the worse the quality of life (P0.05); 3 the results of correlation analysis showed that post-traumatic growth was positively correlated with patients' quality of life (r = 0.571P), post-traumatic stress disorder (PTSD) was negatively correlated with patients' quality of life (r = 0.355P 0.05), and posttraumatic stress disorder (PTSD) was negatively correlated with patients' quality of life (P < 0.05). 4Multivariate linear regression analysis showed that: female, older, lower education, delayed operation, internal fixation, depression, less social support, poor hip function, long walking ability test time, low post-traumatic growth level. The quality of life of patients with post traumatic stress disorder is poor. Conclusion 1 the quality of life of the elderly patients with hip fracture was at the middle and low level three months after operation. 2 the posttraumatic growth and the quality of life were positively correlated in the elderly patients with hip fracture, and the posttraumatic stress disorder was negatively correlated with the quality of life. Education, surgical timing, operative style, depression, social support, hip function, walking ability, post-traumatic growth, post-traumatic stress disorder are the influencing factors of quality of life in elderly patients with hip fracture.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.6
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相关期刊论文 前10条
1 肖闻宇;孙卫兵;蒋雷生;陆骅;;崇明地区老年股骨粗隆间骨折患者生存质量及其影响因素探究[J];中国临床研究;2017年02期
2 景丽伟;张超;张田;邢凤梅;汪凤兰;张小丽;^捬啪，
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