下肢动脉硬化闭塞症患者静态行为现状及其影响因素研究

doi:10.3761/j.issn.0254-1769.2023.06.011

摘要/Abstract

摘要：

目的调查下肢动脉硬化闭塞症（arteriosclerosis obliterans，ASO）患者静态行为现状及其影响因素。方法便利选取2020年10月—2022年1月在南昌市某三级甲等医院血管外科住院的148例ASO患者作为调查对象，使用一般资料调查表、中国成人静态行为问卷、Barthel指数、领悟社会支持量表、简易体能测试和视觉模拟评分对其进行调查。结=果 ASO患者静态行为总时间为（9.13±0.99） h/d，Barthel指数为（82.19±16.58）分、领悟社会支持量表得分为（43.18±6.70）分、简易体能测试为（8.23±2.01）分、视觉模拟评分为（4.26±1.03）分。多元线性回归分析结果显示，年龄、合并慢性病种类数、日常生活活动能力、领悟社会支持和下肢肢体功能是ASO患者静态行为的主要影响因素（P<0.05）。结论 ASO患者的静态行为水平较高，医护人员可结合相应影响因素制订有针对性的干预措施，以减少患者静态行为的发生。

关键词: 下肢动脉硬化闭塞症, 静态行为, 影响因素分析, 护理

Abstract:

Objective To investigate the current status of sedentary behavior and its influencing factors in patients with atherosclerosis obliterans（ASO）. Methods This study conveniently selected 148 patients with ASO who were hospitalized in the Department of Vascular Surgery of a tertiary hospital in Nanchang from October 2020 to January 2022 as the survey subjects. They were investigated using the general information questionnaire，the Chinese adult sedentary behavior questionnaire，the Barthel index，perceived social support scale（PSSS），short physical performance battery（SPPB） and visual analogue scale（VAS）. Results The daily sedentary time of ASO patients is 9.13±0.99 hours. Barthel index，PSSS，SPPB，and VAS scores were 82.19±16.58，43.18±6.70，8.23±2.01 and 4.26±1.03. The results of multiple linear regression analysis showed that age，number of comorbid chronic diseases，activities of daily living，perceived social support and lower extremity limb function were the main influencing factors of sedentary behavior in ASO patients. Conclusion Patients with ASO have high levels of sedentary behavior，and health professionals could develop targeted interventions to reduce the occurrence of sedentary behavior in patients by combining the appropriate influencing factors.

Key words: Arteriosclerosis Obliterans, Sedentary Behavior, Root Cause Analysis, Nursing Care

逯莹, 甘红艳, 杨玉金, 郑春艳, 袁艳艳, 邹转芳, 白李平. 下肢动脉硬化闭塞症患者静态行为现状及其影响因素研究[J]. 中华护理杂志, 2023, 58(6): 714-720.

LU Ying, GAN Hongyan, YANG Yujin, ZHENG Chunyan, YUAN Yanyan, ZOU Zhuanfang, BAI Liping. Study on sedentary behavior and its influencing factors in patients with arteriosclerosis obliterans[J]. Chinese Journal of Nursing, 2023, 58(6): 714-720.

图/表 7

表1 下肢动脉硬化闭塞症患者静态行为情况（n=148）

Table 1 Sedentary behavior in patients with arteriosclerosis obliterans（n=148）

表2 下肢动脉硬化闭塞症患者的Barthel指数、视觉模拟评分、领悟社会支持量表及简易体能测试得分（n=148，分，$\bar{x}$±s）

Table 2 The scores of Barthel Index, VAS, PSSS and SPPB in patients with arteriosclerosis obliterans （n=148，score，$\bar{x}$±s）

表3 下肢动脉硬化闭塞症患者一般资料及静态行为时间的单因素分析（n=148）

Table 3 Univariate analysis of general data and time spent on sedentary behavior in patients with arteriosclerosis obliterans（n=148）

表3续 下肢动脉硬化闭塞症患者一般资料及静态行为时间的单因素分析（n=148）

Table 3（Continued） Univariate analysis of general data and time spent on sedentary behavior in patients with arteriosclerosis obliterans（n=148）

表4 下肢动脉硬化闭塞症患者静态行为时间与领悟社会支持量表得分和简易体能测试得分的相关性分析（r 值）

Table 4 Correlation analysis of sedentary behavior time with perception of social support and short physical performance battery in patients with arteriosclerosis obliterans（r value）

表5 自变量赋值情况

Table 5 Independent variable assignment

表6 下肢动脉硬化闭塞症患者静态行为时间的多元线性回归分析（n=148）

Table 6 Multiple linear regression analysis of the time spent on sedentary behavior in patients with arteriosclerosis obliterans（n=148）

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