脊柱骨折合并衰弱患者手术后护理满意度现状及影响因素分析
Analysis of Current Status and Influencing Factors of Nursing Satisfaction among Patients with Spinal Fracture Complicated with Frailty after Surgery
DOI: 10.12677/hjs.2026.153009, PDF,    科研立项经费支持
作者: 张江银*, 韦嘉雯, 孟 媛, 黄 蓉：广西中医药大学研究生院，广西 南宁；张 瑛：广西中医药大学赛恩斯新医药学院医学系，广西 南宁；蒋郑垚：广西中医药大学护理学院，广西 南宁；杨 永#, 罗自维：广西中医药大学中医药壮瑶医药研究院，广西 南宁
关键词: 脊柱骨折；衰弱；手术后；护理满意度；影响因素；Spinal Fracture； Frailty； Postoperative Period； Nursing Satisfaction； Influencing Factors
摘要: 目的：调查脊柱骨折合并衰弱患者手术后护理满意度现状，探究护理满意度的影响因素。方法：采用便利抽样法，选取南宁市某三级甲等综合医院符合条件的脊柱骨折合并衰弱手术后患者为研究对象，采用一般情况调查表、护理满意度量表、VAS疼痛评估量表进行问卷调查和评估。采用多元线性回归探讨脊柱骨折合并衰弱患者手术后护理满意度的影响因素。结果：本研究共发放210份问卷，回收204份，回收率97.14%。患者护理满意度得分为75.66 ± 4.06分，处于中等水平。性别、年龄、居住地、月收入、慢性疾病、手术类型、止痛措施、手术史和术后疼痛经历与满意度有关(P < 0.05)。多元线性回归结果显示目前疼痛评分、性别、手术方式、月收入及手术疼痛经历是护理满意度影响因素(P < 0.05)。结论：脊柱骨折合并衰弱患者手术后护理满意度处于中等水平，其影响因素较多。护理人员应根据影响因素筛查满意度较低的患者，并制定个性化的护理措施，以提高其护理满意度水平。
Abstract: Objective: To investigate the current status of postoperative nursing satisfaction in patients with spinal fracture complicated with frailty, and to explore the influencing factors of nursing satisfaction. Methods: The convenience sampling method was adopted to enroll eligible postoperative patients with spinal fracture complicated by frailty from a Grade A tertiary general hospital in Nanning. General information questionnaire, Nursing Satisfaction Scale and Visual Analogue Scale (VAS) for pain assessment were used for questionnaire survey and evaluation. Multiple linear regression analysis was applied to analyze the influencing factors of postoperative nursing satisfaction in patients with spinal fracture complicated by frailty. Results: A total of 210 questionnaires were distributed and 204 valid questionnaires were recovered, with a recovery rate of 97.14%. The score of patients’ nursing satisfaction was 75.66 ± 4.06 points, which was at a moderate level. Gender, age, place of residence, monthly income, chronic diseases, surgical type, analgesic measures, surgical history and postoperative pain experience were correlated with nursing satisfaction (P < 0.05). Multiple linear regression results showed that current pain score, gender, surgical approach, monthly income and postoperative pain experience were independent influencing factors of nursing satisfaction (P < 0.05). Conclusion: Postoperative nursing satisfaction of patients with spinal fracture complicated by frailty is at a moderate level and affected by multiple factors. Nursing staff should screen patients with lower satisfaction levels based on influencing factors and develop personalized nursing interventions to enhance their nursing satisfaction.
文章引用：张江银, 张瑛, 蒋郑垚, 杨永, 罗自维, 韦嘉雯, 孟媛, 黄蓉. 脊柱骨折合并衰弱患者手术后护理满意度现状及影响因素分析[J]. 外科, 2026, 15(3): 64-72. https://doi.org/10.12677/hjs.2026.153009

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