颈段脊髓损伤患者上肢功能重建手术认知度的问卷调查

doi:10.3969/j.issn.1006-9771.2017.02.020

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (2): 217-220.doi: 10.3969/j.issn.1006-9771.2017.02.020

颈段脊髓损伤患者上肢功能重建手术认知度的问卷调查

李军, 王冲, 杜良杰, 刘宏炜, 杨明亮, 高峰, 郭韵, 陈亮, 杨德刚, 宫慧明, 李建军

1. 中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科,北京市 100068;
2. 首都医科大学康复医学院,北京市 100068

收稿日期:2016-06-03 修回日期:2016-08-08 出版日期:2017-02-05 发布日期:2017-03-06
通讯作者: 李建军,主任医师,教授,博士研究生导师,主要研究方向：脊柱脊髓及周围神经损伤。E-mail: crrc100@163.com。
作者简介:李军(1976-),男,汉族,湖北荆州市人,博士,副主任医师,主要研究方向：脊柱脊髓及周围神经损伤。

Survey on Awareness of Upper Limb Function Reconstruction in Patients with Cervical Spinal Cord Injury

LI Jun, WANG Chong, DU Liang-jie, LIU Hong-wei, YANG Ming-liang, GAO Feng, GUO Yun, CHEN Liang, YANG De-gang, GONG Hui-ming, LI Jian-jun

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
2. Department of Spinal and Neural Functional Reconstruction, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2016-06-03 Revised:2016-08-08 Published:2017-02-05 Online:2017-03-06
Contact: LI Jian-jun. E-mail: crrc100@163.com

摘要/Abstract

摘要： 目的了解国内颈段脊髓损伤患者对上肢功能重建手术的了解和接受程度,分析患者接受上肢功能重建手术的影响因素。方法 2013年10月至2014年6月,采用自行设计调查表对104例颈段脊髓损伤患者进行调查。结果回收有效问卷81份。上肢功能是颈段脊髓损伤患者最渴望改善的功能。仅3例(3.7%)听说过上肢功能重建手术。患者了解上肢重建手术后,手术意愿明显提高(P<0.01)。手高功能指数组和手低功能指数组在手功能满意程度和接受手术意愿方面无显著性差异(P>0.05)。患者对手术花费、手术风险、术后恢复时间、对辅具功能满意度均较为关注,但是患者接受上肢功能重建手术意愿和上述因素不相关(P>0.05)。结论颈段脊髓损伤患者对于上肢功能改善的强烈愿望和患者对上肢功能重建手术的认知度存在明显差距。上肢功能重建手术开展较少,应通过康复医护人员宣教、互联网等手段让潜在的患者了解这项技术。

关键词: 脊髓损伤, 上肢功能重建, 调查

Abstract: Objective To survey the attitudes and acceptance level of upper limb function reconstruction in patients with cervical spinal cord injury and analyze the related factors. Methods From October, 2013 to June, 2014, a total of 104 patients with cervical spinal cord injury were surveyed with self-designed questionnaire. Results There were 81 valid questionnaires, in which 3 patients (3.7%) heard of upper-extremity reconstructive surgery. The patients longed for upper limb function improvement most. After they had a understanding of the surgery, their willingness improved (P<0.01). No significant difference was found in the satisfaction degree and operation willingness between different hand function groups (P>0.05). The patients focused on the operation cost, the operation risk, recovery time after operation and the satisfaction of assistive devices, however, they were not correlated with the willingness of upper limb function reconstruction (P>0.05). Conclusion There is a clear gap between strong desire for functional improvement of upper limb and surgery awareness. It is important to communicate upper limb among patients with cervical spinal cord injury.

Key words: spinal cord injury, upper limb function reconstruction, survey

中图分类号:

R651.2

李军, 王冲, 杜良杰, 刘宏炜, 杨明亮, 高峰, 郭韵, 陈亮, 杨德刚, 宫慧明, 李建军. 颈段脊髓损伤患者上肢功能重建手术认知度的问卷调查[J]. 《中国康复理论与实践》, 2017, 23(2): 217-220.

LI Jun, WANG Chong, DU Liang-jie, LIU Hong-wei, YANG Ming-liang, GAO Feng, GUO Yun, CHEN Liang, YANG De-gang, GONG Hui-ming, LI Jian-jun. Survey on Awareness of Upper Limb Function Reconstruction in Patients with Cervical Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(2): 217-220.

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颈段脊髓损伤患者上肢功能重建手术认知度的问卷调查

Survey on Awareness of Upper Limb Function Reconstruction in Patients with Cervical Spinal Cord Injury

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