强直性脊柱炎并发颈椎骨折病人自我管理行为与自我效能、生活质量的相关性分析

目的探讨强直性脊柱炎（AS）并发颈椎骨折病人自我管理行为与自我效能、生活质量的相关性。方法选择144例AS病人作为研究对象，根据是否并发颈椎骨折分为观察组（合并颈椎骨折）44例和对照组（未合并颈椎骨折）100例。2组病人均采用汉化Anderson自我效能感量表（CPSS）评定自我效能，采用毕氏AS功能指数（BASFI）评价自我管理行为，采用世界卫生组织生存质量测定量表简表（WHOQOL-BREF）评价生存质量情况，且对观察组病人自我管理行为、自我效能与生存质量评分进行相关性分析。结果观察组有关自我效能的疼痛管理、躯体功能及症状应对评分，有关生活质量的自我健康评价、生活环境、心理状态、生理功能、社会关系评分，自我管理行为评分均明显低于对照组（P < 0.01）。直线相关性分析显示，AS并发颈椎骨折的病人自我效能各维度评分与自我管理行为评分及生存质量各维度评分均呈现正相关性（P < 0.05）。结论AS并发颈椎骨折病人的自我效能水平降低，为此需要加强自我管理，从而提高病人的生存质量。

Correlations analysis of self-management behavior with self-efficacy and quality of life in patients with ankylosing spondylitis complicated with cervical spine fracture

ObjectiveTo investigate the correlations of self-management behavior with self-efficacy and quality of life in patients with ankylosing spondylitis(AS)complicated with cervical spine fracture.MethodsA total of 144 AS patients were divided into the observation group(44 cases with cervical spine fractures)and control group(100 cases without cervical spine fractures).The self-efficacy, self-management behavior and quality of life in two groups were evaluated using the Anderson Self-Efficacy Scale(CPSS), Bath AS Functional Index(BASFI)and World Health Organization Quality of Life Scale Shortlist(WHOQOL-BREF), respectively.The correlations of self-management behavior with self-efficacy and quality of life in observation group were analyzed.ResultsThe scores of the pain management, physical function and symptom response in self-efficacy, and scores of self-health assessment, living environment, mental state, physiological function and social relationship scores in quality of life in observation group were significantly lower than those in control group(P < 0.01), and the management behavior score in observation group was also lower than that in control group(P < 0.01).The results of linear correlation analysis showed that the scores of self-efficacy dimensions were positively correlated with the scores of self-management behavior and quality of life in patients with AS complicated cervical fractures(P < 0.05).ConclusionsThe level of self-efficacy of AS patients complicated with cervical spine fractures decreases, so the self-management needs to be strengtheneds to improve the quality of life of patients.