膝骨关节炎患者移动辅具使用现状及影响因素分析

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目的:探讨膝骨关节炎患者移动辅具的使用现状并分析其影响因素。方法:采用便利抽样法,于2019年1—7月选取郑州市某所三级甲等综合公立医院骨科收治的膝骨关节炎患者为研究对象,采用一般资料调查表、魁北克辅助科技使用者满意度评估(QUEST)量表等进行调查。采用单因素分析和二项Logistic回归分析探讨膝骨关节炎患者使用移动辅具的影响因素。本研究共发放问卷347份,回收有效问卷340份,有效回收率为97.98%。结果:膝骨关节炎患者移动辅具使用率为26.47%(90/340),通过医护人员推荐使用移动辅具的患者占5.55%(5/90),通过专业适配获得移动辅具的患者占2.22%(2/90),没有接受过移动辅具健康教育的患者占81.11%(73/90)。90例使用移动辅具膝骨关节炎患者的QUEST量表总均分为(3.17±0.34)分。二项Logistic回归分析结果显示,年龄、文化程度、月收入、疼痛强度、ADL状况、社会支持是膝骨关节炎患者使用移动辅具的影响因素(n P<0.05)。n 结论:膝骨关节炎患者移动辅具使用率较低,接受专业移动辅具服务较少,对移动辅具的满意度较低,是否使用移动辅具的影响因素较多。医护人员应加强对膝骨关节炎患者移动辅具使用的关注及指导。“,”Objective:To explore the current situation of the use of assistive devices for mobility in patients with knee osteoarthritis and analyze its influencing factors.Methods:Using the convenient sampling method, patients with knee osteoarthritis who were admitted to the Orthopedics Department of a Class Ⅲ Grade A general public hospital in Zhengzhou from January to July 2019 were selected as the research objects. The general information questionnaire, the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) Scale and other scales were used to conduct surveys. Univariate analysis and binary Logistic regression analysis were used to investigate the influencing factors of the use of assistive devices for mobility in patients with knee osteoarthritis. In this study, a total of 347 questionnaires were distributed and 340 valid questionnaires were returned. The effective recovery rate was 97.98%.Results:The usage rate of assistive devices for mobility in patients with knee osteoarthritis was 26.47% (90/340) , 5.55% (5/90) of the patients were recommended using assistive devices for mobility by medical staff, 2.22% (2/90) of the patients obtained assistive devices for mobility through professional adaptation, and 81.11% (73/90) of the patients did not receive health education on assistive devices for mobility. The total mean score of the QUEST Scale for 90 patients with knee osteoarthritis using assistive devices for mobility was (3.17±0.34) . Binary Logistic regression analysis showed that age, education level, monthly income, pain intensity, the activity of daily living status and social support were influencing factors for the use of assistive devices for mobility in patients with knee osteoarthritis (n P<0.05) .n Conclusions:Patients with knee osteoarthritis have a lower usage rate of assistive devices for mobility, receive fewer professional assistive devices for mobility services, and have lower satisfaction with them. There are many factors affecting whether or not to use assistive devices for mobility. Medical staff should pay more attention to and guide the use of assistive devices for mobility for patients with knee osteoarthritis.
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