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医疗联合体背景下脊髓损伤患者自我感知负担现状及其与照顾者反应的相关性研究

Study on the current status of self-perceived burden and its correlation with caregiver reactions in spinal cord injury patients under the background of medical consortium.

作者信息

Jiang Jie, Xie Jingjun, Sun Jianwei, Sun Qi

机构信息

Department of Rehabilitation Medicine, The First People's Hospital of Huzhou, Huzhou, Zhejiang, China.

出版信息

Front Psychol. 2025 May 26;16:1579861. doi: 10.3389/fpsyg.2025.1579861. eCollection 2025.

Abstract

OBJECTIVE

The current study tried to investigate the self-perceived burden (SPB) status and its influencing factors in spinal cord injury (SCI) patients under the background of medical consortium, and to analyze the relationship between SPB and caregiver reactions.

METHODS

A total of 120 SCI patients treated within the Huzhou medical consortium were selected as study subjects using a convenience sampling method. Data were collected using a general information questionnaire, the SPB Scale, and the Caregiver Reaction Assessment (CRA). Multiple linear regression analysis was used to identify the influencing factors of SPB, and Spearman correlation analysis was used to examine the relationship between SPB and caregiver reactions.

RESULTS

The mean SPB score for SCI patients within the medical consortium was (31.06 ± 9.10). Multiple linear regression analysis revealed that patients' ability to perform activities of daily living, SCI-related complications, per capita monthly household income, and marital status were independent factors influencing SPB ( < 0.05). SPB was positively correlated with the health problems, economic problems, time disruption, and lack of family support dimensions of the caregiver reaction assessment, while it was negatively correlated with the self-esteem dimension ( < 0.001).

CONCLUSION

The SPB of SCI patients is at a moderate level and is correlated with caregiver reactions. Rehabilitation professionals should actively guide caregivers, enhance their emotional regulation abilities, and reduce the SPB of patients.

摘要

目的

本研究旨在探讨医疗联合体背景下脊髓损伤(SCI)患者的自我感知负担(SPB)状况及其影响因素,并分析SPB与照顾者反应之间的关系。

方法

采用便利抽样法,选取湖州市医疗联合体内接受治疗的120例SCI患者作为研究对象。使用一般信息问卷、SPB量表和照顾者反应评估(CRA)收集数据。采用多元线性回归分析确定SPB的影响因素,采用Spearman相关分析检验SPB与照顾者反应之间的关系。

结果

医疗联合体内SCI患者的SPB平均得分为(31.06±9.10)。多元线性回归分析显示,患者的日常生活活动能力、SCI相关并发症、人均月家庭收入和婚姻状况是影响SPB的独立因素(<0.05)。SPB与照顾者反应评估中的健康问题、经济问题、时间干扰和家庭支持缺乏维度呈正相关,而与自尊维度呈负相关(<0.001)。

结论

SCI患者的SPB处于中等水平,且与照顾者反应相关。康复专业人员应积极指导照顾者,增强其情绪调节能力,降低患者的SPB。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1efb/12146273/e5dfa9ed7806/fpsyg-16-1579861-g001.jpg

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