Analysis of self-perceived burden status and its influencing factors in patients undergoing spine surgery_West China Medical Journal

Authors：

QIU Yaxi , LI Peifang , ZHU Hongyan , ZHANG Lin , PU Xingcui ,  CHEN Jiali

Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHEN Jiali, Email: cjl85614115@163.com

Keywords：

Spine surgery; self-perceived burden; influencing factors

DOI：

10.7507/1002-0179.202408395

Video：

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Objective To investigate the status of self-perceived burden (SPB) in patients undergoing spine surgery and to explore its influencing factors, in ordering to provide a basis for formulating corresponding nursing interventions. Methods A cross-sectional survey was conducted on patients undergoing spine surgery in Department of Orthopedic Surgery, West China Hospital of Sichuan University between May and August 2024. The patient general information questionnaire, the patient SPB Scale, the Barthel Index, the Medical Coping Modes Questionnaire, and the Social Support Rating Scale were used to investigate the SPB status and its influencing factors in patients undergoing spine surgery. Results A total of 230 patients were included. There were 113 cases in the non-SPB group and 117 cases in the SPB group. There were statistically significant differences in age, marital status, occupation, payment method, the number of family, disease diagnosis, Barthel Index score, caregiver identity, and caregiver gender between the two groups of patients (P<0.05). Among 117 patients with SPB, 83 (36.09%) had mild SPB, 27 (11.74%) had moderate SPB, and 7 (3.04%) had severe SPB. The average SPB scores for mild, moderate, and severe patients were (24.06±2.92), (33.07±2.87), and (44.86±4.56) points, respectively. The results of binary logistic stepwise regression analysis showed that the patient’s marital status, disease diagnosis, and caregiver gender were independent influencing factors for SPB in patients undergoing spine surgery (P<0.05). Conclusion The SPB of patients undergoing spine surgery is at a mild to moderate level, which is affected by factors such as marital status, disease diagnosis, and caregiver gender.

Citation： QIU Yaxi, LI Peifang, ZHU Hongyan, ZHANG Lin, PU Xingcui, CHEN Jiali. Analysis of self-perceived burden status and its influencing factors in patients undergoing spine surgery. West China Medical Journal, 2024, 39(10): 1557-1562. doi: 10.7507/1002-0179.202408395 Copy

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11.	肖水源. 《社會支持評定量表》的理論基礎與研究應用. 臨床精神醫學雜志, 1994(2): 98-100.
12.	肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987(4): 183-187.
13.	李奎成, 唐丹, 劉曉艷, 等. 國內 Barthel 指數和改良 Barthel 指數應用的回顧性研究. 中國康復醫學雜志, 2009, 24(8): 737-740.
14.	左月, 鈕美娥, 岳麗麗. 農村老年癌癥患者自我感受負擔的調查研究. 當代護士(中旬刊), 2021, 28(9): 128-133.
15.	錢涵, 周郁秋, 劉瑩, 等. 癌癥患者自我感受負擔狀況及其影響因素分析. 中國護理管理, 2013, 13(4): 42-45.
16.	Liu B, Lee K, Sun C, et al. Systematic review on factors associated with self-perceived burden among cancer patients. Support Care Cancer. 2022, 30(10): 8417-8428.
17.	楊婭娟, 李惠萍, 蘇丹, 等. 癌癥患者自我感受負擔與社會支持及生命質量的相關性研究. 中國全科醫學, 2014, 17(1): 94-97.
18.	白卉, 陸麗坤. 中年癌癥化療患者自我感受負擔狀況及相關影響因素. 中國醫藥, 2017, 12(7): 1108-1111.

1. 王天昊, 趙永飛, 王巖. 脊柱畸形矯形術后近端交界性后凸相關研究進展. 中國脊柱脊髓雜志, 2016, 26(1): 77-81.
2. 王汝婷, 王雪, 王雪妃, 等. 老年髖膝關節置換術患者術后自我康復現狀及生活質量的影響因素. 中華老年多器官疾病雜志, 2023, 22(12): 890-894.
3. Geng D, Ou R, Miao X, et al. Patients’ self-perceived burden, caregivers’ burden and quality of life for amyotrophic lateral sclerosis patients: a cross-sectional study. J Clin Nurs, 2017, 26(19/20): 3188-3199.
4. Ren H, Liu C, Li J, et al. Self-perceived Burden in the young and middle-aged inpatients with stroke: a cross-sectional survey. Rehabil Nurs, 2016, 41(2): 101-111.
5. 李娜, 劉丹, 高峰. 腦卒中偏癱患者自我感受負擔的質性研究. 基層醫學論壇, 2023, 27(27): 10-12, 22.
6. Cousineau N, McDowell I, Hotz S, et al. Measuring chronic patients’ feelings of being a burden to their caregivers: development and preliminary validation of a scale. Med Care, 2003, 41(1): 110-118.
7. 田秀麗, 劉化俠, 柴士美. 晚期癌癥患者自我感受負擔的研究進展. 中華護理雜志, 2008(10): 955-958.
8. 武燕燕, 姜亞芳. 癌癥患者自我感受負擔的調查與分析. 護理管理雜志, 2010, 10(6): 405-407.
9. Feifel H, Strack S, Nagy VT. Coping strategies and associated features of medically ill patients. Psychosom Med, 1987, 49(6): 616-625.
10. 沈曉紅, 姜乾金. 醫學應對方式問卷中文版 701 例測試報告. 中國行為醫學, 2000(1): 22-24.
11. 肖水源. 《社會支持評定量表》的理論基礎與研究應用. 臨床精神醫學雜志, 1994(2): 98-100.
12. 肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987(4): 183-187.
13. 李奎成, 唐丹, 劉曉艷, 等. 國內 Barthel 指數和改良 Barthel 指數應用的回顧性研究. 中國康復醫學雜志, 2009, 24(8): 737-740.
14. 左月, 鈕美娥, 岳麗麗. 農村老年癌癥患者自我感受負擔的調查研究. 當代護士(中旬刊), 2021, 28(9): 128-133.
15. 錢涵, 周郁秋, 劉瑩, 等. 癌癥患者自我感受負擔狀況及其影響因素分析. 中國護理管理, 2013, 13(4): 42-45.
16. Liu B, Lee K, Sun C, et al. Systematic review on factors associated with self-perceived burden among cancer patients. Support Care Cancer. 2022, 30(10): 8417-8428.
17. 楊婭娟, 李惠萍, 蘇丹, 等. 癌癥患者自我感受負擔與社會支持及生命質量的相關性研究. 中國全科醫學, 2014, 17(1): 94-97.
18. 白卉, 陸麗坤. 中年癌癥化療患者自我感受負擔狀況及相關影響因素. 中國醫藥, 2017, 12(7): 1108-1111.

West China Medical Journal

Analysis of self-perceived burden status and its influencing factors in patients undergoing spine surgery

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