Patient motivation and its influencing factors of posterior lumber interbody fusion surgery
10.3760/cma.j.issn.1674-2907.2019.05.021
- VernacularTitle:腰椎融合术前患者积极度的现状及影响因素分析
- Author:
Yang HONG
1
;
Juan WU
;
Yefang ZOU
;
Jingyi LI
Author Information
1. 苏州大学附属第一医院骨科
- Keywords:
Questionnaires;
Lumbar spinal fusion;
Patient motivation;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(5):611-615
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To understand patient motivation and its influencing factors prior to posterior lumber interbody fusion surgery. Methods? Using convenient sampling method, a total of 200 patients who will undergo posterior lumber interbody fusion surgery due to degenerative disc disease were selected from 3 ClassⅢ Grade A hospitals in Suzhou. General Condition Questionnaire, the Chinese version of Patient Activation Measure (PAM), Hospital Anxiety and Depression Scale were used in the survey. Univariate analysis and multiple linear regression analysis were used to explore the influencing factors of patient motivation. The correlation between patient activation and anxiety and depression were analyzed by Spearman rank correlation. Results? The median and interquartile range of PAM is 48.90 and 10.30. The univariate analysis showed that patient motivation was significantly influenced by patient gender, age, education, marital status, employment status, per-capita income, chronical disease, anxiety and depression (χ2/Z=-3.433, 29.882, 56.322, 8.852, -2.785, 54.092, -3.714, 13.031, 16.712; P＜0.05). Multiple linear regression analysis showed that marital status, education, depression, income, age were the main influencing factors (R2=0.396, P＜ 0.05). Conclusions? Patient motivation needs to be further improved. Intervention strategies can be designed to motivate patients and improve post-operative outcomes.
