摘要
目的 探讨老年骨质疏松患者椎体压缩骨折后心理弹性现况及其影响因素。方法 选取2024年4~5月河北医科大学第三医院内分泌科收治的61例接受内科骨代谢治疗的骨质疏松性椎体压缩骨折老年患者作为研究对象,自行制定问卷收集患者一般资料、Connor-Davidson心理弹性量表、匹兹堡睡眠质量评估量表、社会支持评定量表、Barthel指数评定量表、视觉模拟评分法等工具调查研究对象心理弹性等现况;采用多元线性回归进行心理弹性影响因素分析。结果 老年骨质疏松性椎体压缩骨折患者心理弹性水平为63(46,74)分。单因素分析显示,不同文化程度、职业状态、人均月收入、照护情况、自理能力、疼痛程度、骨折情况、社会支持水平患者的心理弹性差异有统计学意义(P<0.05);采用Spearman相关性分析显示,心理弹性与社会支持水平呈正相关(P<0.05);多元线性回归分析显示,患者文化程度(β=9.175,P<0.001)及社会支持(β=0.525,P<0.001)是心理弹性独立影响因素。结论 老年骨质疏松性椎体压缩骨折患者心理弹性水平偏低,临床工作中应注重心理疏导和健康指导作用,文化程度较低及社会支持水平差的患者更应得以重视,以提升其应对疾病信念,促进疾病康复。
Objective This study aims to investigate the present psychological resilience and its determinants in elderly individuals suffering from osteoporotic vertebral compression fractures(OVCF).Methods A cohort of 61 elderly patients diagnosed with OVCF,who underwent conservative treatment at the Endocrinology Department of the Third Hospital of Hebei Medical University between April 2024 and May 2024,were selected as the study population.The psychological resilience status of the subjects was assessed using a General Information Questionnaire,Connor-Davidson Resilience Scale(CD-RISC),Pittsburgh Sleep Quality Index(PSQI),Social Support Rating Scale(SSRS),Barthel Index(BI),and Visual Analog Scale(VAS).Multivariate linear regression analysis was employed to examine the determinants of psychological resilience.Results The psychological resilience level among elderly patients suffering from OVCF was measured at 63(46,74).Univariate analysis revealed significant variations in the levels of psychological resilience among patients with differing educational backgrounds,occupational statuses,per capita monthly incomes,caregiving situations,self-care abilities,pain severity,fracture conditions and social support levels(P<0.05).The Spearman correlation analysis revealed a significant positive association between the level of psychological resilience and the strength of the social support system(P<0.05).The results of the multivariate linear regression analysis revealed that the patient's level of education(β=9.175,P<0.001)and their social support system(β=0.525,P<0.001)emerged as significant influencing factors for psychological resilience.Conclusion The psychological resilience level of elderly patients with OVCF is notably diminished.Clinical work should focus on psychological counseling and health guidance.Patients with low educational level and poor social support level should be given more attention to enhance their belief in coping with the disease and promote disease recovery.
作者
张莉
孟帆
梁丽娜
曹新婷
王光华
鲁晶晶
吴宁
张秀果
ZHANG Li;MENG Fan;LIANG Lina(Department of Endocrinology,the Third Hospital of Hebei Medical University,Hebei,Shijiazhuang 050051,China)
出处
《河北医药》
2025年第10期1737-1740,共4页
Hebei Medical Journal
关键词
老年
骨质疏松
椎体压缩骨折
心理弹性
影响因素
横断面调查
older adults
osteoporosis
vertebral compression fracture
psychological resilience
factors influencing resilience
cross-sectional study
