颈段脊髓损伤患者上肢功能重建手术认知度的问卷调查

发布时间：2018-03-03 14:04

本文选题：脊髓损伤　切入点：上肢功能重建　出处：《中国康复理论与实践》2017年02期 　论文类型：期刊论文

【摘要】：目的了解国内颈段脊髓损伤患者对上肢功能重建手术的了解和接受程度,分析患者接受上肢功能重建手术的影响因素。方法 2013年10月至2014年6月,采用自行设计调查表对104例颈段脊髓损伤患者进行调查。结果回收有效问卷81份。上肢功能是颈段脊髓损伤患者最渴望改善的功能。仅3例(3.7%)听说过上肢功能重建手术。患者了解上肢重建手术后,手术意愿明显提高(P0.01)。手高功能指数组和手低功能指数组在手功能满意程度和接受手术意愿方面无显著性差异(P0.05)。患者对手术花费、手术风险、术后恢复时间、对辅具功能满意度均较为关注,但是患者接受上肢功能重建手术意愿和上述因素不相关(P0.05)。结论颈段脊髓损伤患者对于上肢功能改善的强烈愿望和患者对上肢功能重建手术的认知度存在明显差距。上肢功能重建手术开展较少,应通过康复医护人员宣教、互联网等手段让潜在的患者了解这项技术。
[Abstract]:Objective to understand the degree of understanding and acceptance of upper limb function reconstruction in patients with cervical spinal cord injury in China, and to analyze the influencing factors of upper limb function reconstruction. Methods from October 2013 to June 2014, A self-designed questionnaire was used to investigate 104 patients with cervical spinal cord injury. Results 81 effective questionnaires were collected. Upper limb function is the most desired function in patients with cervical spinal cord injury. Only 3 patients with cervical spinal cord injury have heard of heavy upper limb function. The patient understands the upper limb reconstruction operation, There was no significant difference in the degree of satisfaction of hand function and the willingness to accept operation between the high function index group and the low function index group. The patients had no significant difference in the cost of operation, the risk of operation, the time of recovery after operation, and there was no significant difference between the two groups in terms of the degree of satisfaction of hand function and the willingness to accept the operation. More attention was paid to the functional satisfaction of auxiliary tools, But there was no correlation between the patients' willingness to undergo upper limb function reconstruction and the above factors (P 0.05). Conclusion there is a significant difference between the patients' strong desire for upper limb function improvement and the patients' recognition of upper limb function reconstruction surgery. ... The upper limb function reconstruction surgery is carried out less, Potential patients should be made aware of the technology through rehabilitative health care personnel education, the Internet and so on.
【作者单位】：中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科;首都医科大学康复医学院;
【分类号】：R651.2;R658.2

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