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

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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

1.	王天昊, 赵永飞, 王岩. 脊柱畸形矫形术后近端交界性后凸相关研究进展. 中国脊柱脊髓杂志, 2016, 26(1): 77-81.
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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, 刘丹, 高峰. 脑卒中偏瘫患者自我感受负担的质性研究. 基层医学论坛, 2023, 27(27): 10-12, 22.
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7.	田秀丽, 刘化侠, 柴士美. 晚期癌症患者自我感受负担的研究进展. 中华护理杂志, 2008(10): 955-958.
8.	武燕燕, 姜亚芳. 癌症患者自我感受负担的调查与分析. 护理管理杂志, 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.	沈晓红, 姜乾金. 医学应对方式问卷中文版 701 例测试报告. 中国行为医学, 2000(1): 22-24.
11.	肖水源. 《社会支持评定量表》的理论基础与研究应用. 临床精神医学杂志, 1994(2): 98-100.
12.	肖水源, 杨德森. 社会支持对身心健康的影响. 中国心理卫生杂志, 1987(4): 183-187.
13.	李奎成, 唐丹, 刘晓艳, 等. 国内 Barthel 指数和改良 Barthel 指数应用的回顾性研究. 中国康复医学杂志, 2009, 24(8): 737-740.
14.	左月, 钮美娥, 岳丽丽. 农村老年癌症患者自我感受负担的调查研究. 当代护士(中旬刊), 2021, 28(9): 128-133.
15.	钱涵, 周郁秋, 刘莹, 等. 癌症患者自我感受负担状况及其影响因素分析. 中国护理管理, 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.	杨娅娟, 李惠萍, 苏丹, 等. 癌症患者自我感受负担与社会支持及生命质量的相关性研究. 中国全科医学, 2014, 17(1): 94-97.
18.	白卉, 陆丽坤. 中年癌症化疗患者自我感受负担状况及相关影响因素. 中国医药, 2017, 12(7): 1108-1111.

1. 王天昊, 赵永飞, 王岩. 脊柱畸形矫形术后近端交界性后凸相关研究进展. 中国脊柱脊髓杂志, 2016, 26(1): 77-81.
2. 王汝婷, 王雪, 王雪妃, 等. 老年髋膝关节置换术患者术后自我康复现状及生活质量的影响因素. 中华老年多器官疾病杂志, 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, 刘丹, 高峰. 脑卒中偏瘫患者自我感受负担的质性研究. 基层医学论坛, 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. 田秀丽, 刘化侠, 柴士美. 晚期癌症患者自我感受负担的研究进展. 中华护理杂志, 2008(10): 955-958.
8. 武燕燕, 姜亚芳. 癌症患者自我感受负担的调查与分析. 护理管理杂志, 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. 沈晓红, 姜乾金. 医学应对方式问卷中文版 701 例测试报告. 中国行为医学, 2000(1): 22-24.
11. 肖水源. 《社会支持评定量表》的理论基础与研究应用. 临床精神医学杂志, 1994(2): 98-100.
12. 肖水源, 杨德森. 社会支持对身心健康的影响. 中国心理卫生杂志, 1987(4): 183-187.
13. 李奎成, 唐丹, 刘晓艳, 等. 国内 Barthel 指数和改良 Barthel 指数应用的回顾性研究. 中国康复医学杂志, 2009, 24(8): 737-740.
14. 左月, 钮美娥, 岳丽丽. 农村老年癌症患者自我感受负担的调查研究. 当代护士(中旬刊), 2021, 28(9): 128-133.
15. 钱涵, 周郁秋, 刘莹, 等. 癌症患者自我感受负担状况及其影响因素分析. 中国护理管理, 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. 杨娅娟, 李惠萍, 苏丹, 等. 癌症患者自我感受负担与社会支持及生命质量的相关性研究. 中国全科医学, 2014, 17(1): 94-97.
18. 白卉, 陆丽坤. 中年癌症化疗患者自我感受负担状况及相关影响因素. 中国医药, 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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