唐山地震幸存脊髓损伤患者生活满意度调查及影响因素分析

目的:了解1976年唐山地震40年后幸存脊髓损伤患者的生活满意度及其影响因素。方法:采用走访、问卷调查的方法,了解1976年唐山地震致脊髓损伤患者40年后的生活满意度,并对其影响因素进行单因素分析和多因素logistic回归分析。结果:在被调查的216名脊髓损伤患者中,对日常生活的满意度分为非常不满意、不满意、有点不满意、有点满意、满意、非常满意6个等级,其比例依次为5.1%、12%、19.9%、19.9%、34.2%、8.8%,即生活满意的患者占大多数,约占62.9%;生活满意度受多种因素的影响,多因素logistic回归分析结果显示,性别、现住址、地震前婚姻状况、护理人员、患者的总体情绪这五类因素共同影响着脊髓损伤患者的生活满意度。结论:唐山地震幸存脊髓损伤患者40年后,总体生活满意度比较满意;患者的心理精神状态以及居住环境等因素与患者的生活满意度相关性较高,因此,改善患者的精神状态,提高心理调节能力和心理认知水平,加强脊髓损伤患者社会支持体系的建立等措施将进一步提高地震致脊髓损伤幸存者后期生活满意度。

Life satisfaction survey and influencing factors analysis of spinal cord injury in survivors of Tangshan earthquake

Objective: To understand the life satisfaction and its influencing factors in survivors of patients with spinal cord injury after 40 years of the 1976 Tangshan earthquake. Methods: Visits and questionnaires were used to understand the 40-year life satisfaction of patients with spinal cord injury caused by the Tangshan earthquake in 1976. Single factor analysis and multivariate logistic regression analysis were performed on the influencing factors. Results: Satisfaction with daily life was rated as very unsatisfactory, dissatisfied, somewhat unsatisfied, somewhat satisfied, satisfied, and very satisfactory, and the ratio was 5.1%, 12% ,19.9%, 19.9%, 34.2%, and 8.8% respectively in the 216 spinal cord injury patients surveyed. The results of multivariate logistic regression analysis showed that the life satisfaction of patients with spinal cord injury was affected by gender, current address, marital status before the earthquake, nursing staff, overall condition of patients. Conclusion: Improving the material life and mental status of patients with spinal cord injury in the Tangshan earthquake, improving mental balance ability and psychological cognitive level, accelerating the level of social security, and strengthening the establishment of social support system for patients with spinal cord injury are fundamental measures to improve the life satisfaction.