脊柱手术患者家庭关怀度与术后认知功能障碍的相关性分析

目的探讨家庭关怀度与脊柱手术患者术后认知功能障碍（POCD）的关系。方法采用家庭关怀度指数问卷和简易智能精神状态检查量表（MMSE）于术后1周对脊柱手术患者进行问卷调查，根据是否存在POCD，分为POCD组和非POCD组，比较两组家庭关怀度的差别，并采用Pearson相关分析和多元线性回归分析探讨家庭关怀度对POCD的影响。结果①100例脊柱手术术后患者中，35例（35％）出现POCDPOCD组适应度、情感度、亲密度和家庭关怀度总分[（1．25±0．45）、（1．36±0．41）、（1．27±0．42）、（5．85±1．30）]均显著低于非POCD组[（1．63±0．56）、（1．63±0．52）、（1．65±0．51）、（6．74±1．56）]，均差异有统计学意义（P〈0．05）；③Pearson相关分析显示，MMSE与适应度、情感度和亲密度的评分均呈显著负相关（r=-0．426，-0．382，-0．482，P〈0．05）。④多元线性回归分析结果显示，亲密度、适应度和情感度均为脊柱手术患者POCD的影响因素。结论家庭关怀度下降可导致POCD。

The relationship between family care and postoperative cognitive dysfunction in patients undergoing spinal surgery

Objective To explore the relationship between family care and postoperative cognitive dys- function（POCD） in patients undergoing spinal surgery. Methods Patients undergoing spinal surgery were ques- tionnaired by Family APGAR Index and Mini-Mental State Examination（MMSE） 1 week after operation. They were divided into the POCD group and non-POCD group,and the scale of Family APGAR Index was compared between the two groups. Then the pearson correlation analysis and multivariate linear regression analysis were used to ex- plore the effect of family care on POCD. Results （~）35% （35/100） patients undergoing spinal surgery sufferd POCD. ~）The partnership, affection, resolve and the total score of Family APGAR Index in the POCD group （ （ 1.25 ＋ 0.45 ）, （ 1.36 ＋ 0.41 ）, （ 1.27 ＋ 0.42 ） , （ 5.85 -＋ 1.30 ） ） were significantly lower than that in the non- POCD group （ （ 1.63 ＋ 0.56）, （ 1.63 ＋ 0.52）, （ 1.65 ＋ 0.51 ）, （6.74 ＋ 1.56） ） （P 〈 0.05 ）. （~）Pearson correla- tion analysis showed that the MMSE was negatively correlated with the partnership, affection and resolve（ r = -0. 426, - 0. 382, - 0. 482, P 〈 0.05 ）. （~）Multivariate linear regression analysis showed that the resolve, partnership, affection were the influence factor of POCD in patients undergoing spinal surgery. Conclusions The decline of family care can lead to POCD.