Correlation analysis of lower back function with self-efficacy, social support and psychological stress in patients with osteoporotic vertebral compression fractures receiving conservative treatment
10.3760/cma.j.cn115682-20201121-06335
- VernacularTitle:骨质疏松性椎体压缩性骨折保守治疗患者腰背部功能与自我效能感、社会支持、心理应激的相关性分析
- Author:
Qiying JIN
1
;
Hongdi ZHOU
;
Zhiren SHENG
;
Chunbo LIU
;
Jianli HU
;
Yali CHEN
;
Huifen REN
;
Yingjia BAO
Author Information
1. 宁波大学医学院附属医院骨科中心脊柱外科，宁波 315020
- Keywords:
Fractures, compression;
Osteoporosis;
Lower back function;
Self-efficacy;
Social support;
Psychological stress
- From:
Chinese Journal of Modern Nursing
2021;27(18):2400-2405
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the changing characteristics of self-efficacy, social support, psychological stress in patients with osteoporotic vertebral compression fractures (OVCFs) receiving conservative treatment at different treatment stages and their correlations with the recovery of lower back function.Methods:A total of 116 patients with acute OVCFs who were admitted to the Affiliated Hospital of Medical School, Ningbo University were selected from January 2017 to May 2019. Oswestry Disability Index (ODI) Questionnaire, General Self Efficacy Scale (GSES) , Perceived Social Support Scale (PSSS) and Perceived Stress Scale (PSS) were used to assess the lower back function, self-efficacy, social support and psychological stress of OVCFs patients. Questionnaires were filled out during outpatient reexamination or in-home follow-up, and the evaluation time was at the time of treatment and 1, 3, 6, and 12 months after conservative treatment. Analysis of variance and SNK- q test were used to explore the characteristics of each score over time, and linear regression analysis was used to explore the effects of GSES, PSSS, and PSS on ODI. Results:With the prolongation of treatment time, ODI, GSES, PSSS and PSS scores of OVCFS patients under conservative treatment showed a downward trend, and the scores at 3, 6 and 12 months after treatment were lower than those at 1 month after conservative treatment ( P<0.05) . The scores at 6 and 12 months after conservative treatment were lower than those at 3 months after conservative treatment ( P<0.05) . The scores at 12 months after conservative treatment were lower than that those at 6 months after conservative treatment ( P<0.05) . GSES, PSSS (total score, in-family support, out-of-family support) and PSS were independent influencing factors of ODI at one month after treatment ( P<0.05) . GSES, PSSS (total score, in-family support) and PSS were the influencing factors of ODI at 3 months after treatment ( P<0.05) . Conclusions:The self-efficacy and social support of conservatively treated patients with OVCFs are positively correlated with their lower back function, while psychological stress will reduce lower back function of such patients. It is suggested to add these non-physical factors to the rehabilitation nursing model and take appropriate intervention measures.
