脊髓损伤患者认知功能的影响因素分析

目的 通过构建结构方程模型分析各因素对脊髓损伤患者认知功能的影响路径.方法 采用便利抽样法,于2019年10月—2020年11月选取安徽省8所三级甲等综合医院的357例脊髓损伤患者作为研究对象.采用一般情况调查问卷、长沙版蒙特利尔认知评估量表、汉密顿抑郁量表、康复锻炼自我效能量表、社会支持评定量表、Piper疲乏修订量...

Influencing factors analysis of cognitive function in patients with spinal cord injury

Objective To construct a structural equation model of cognitive function of patients with spinal cord injury（SCI） and its influencing factors,and to analyze the path of action of each factor on the cognitive function of SCI patients,so as to provide a basis for targeted cognitive function intervention programs. Methods From October 2019 to November 2020,the convenience sampling method was adopted to include 357 patients with SCI from 8 tertiary hospitals in Anhui Province. The General Situation Questionnaire,the Montreal Congnitive Assessment,and Hamilton Depression Table,Self-Efficacy Rehabilitation Outcome Scale,Social Support Rating Scale,the Revised Piper Fatigtle Scale,Pittsburgh Sleep Index Scale were employed,and a structural equation model was used to analyze the path of action of each influencing factor. Results Depression,self-efficacy,fatigue,sleep,and social support all affect the cognitive function of patients through different pathways. Depression negatively affects cognitive function with the direct and indirect effects of -0.245 and -0.282 respectively;self-efficacy positively affects cognitive function with the direct and indirect effects of 0.503 and 0.012,respectively;fatigue negatively affects cognitive function with a direct effect of -0.131;sleep negatively affects cognitive function with the direct and indirect effects of -0.353 and -0.210,respectively;social support positively affects cognitive function with direct and indirect effects of 0.110 and 0.874,respectively. Conclusion The cognitive function of patients with SCI is affected by the interaction of multiple factors. Medical staff should pay attention to the evaluation of the patient’s cognitive function and its influencing factors in clinical work,and take effective measures to improve the patient’s cognitive function in time.