[[alternative]]Neuropathic pain, self care ability and depression in patients with spinal cord injuried

[[abstract]]本研究目的旨在對於脊髓損傷患者之慢性神經性疼痛、自我照顧能力與憂鬱等問題進行相關性之探討。以描述性、相關性設計，採方便取樣，於台北市某醫學中心神經修復科門診及病房進行研究，選取合乎選案條件之個案103位。研究對象為因意外創傷而脊髓損傷超過三個月以上且有有神經功能缺損症狀，病情穩定，可自主表達自我感受，同意參與研究者。收案排除條件為：有腦部創傷者、使用呼吸器或氧氣治療者、有精神心理疾病診斷者、因自殺傾向而創傷者。本研究所使用的工具包括基本資料表、神經性疼痛量表 (Neuropathic Pain Questionaire，NPQ)、脊髓損傷患者之生活型態量表(SCI Life Style，SCILS)、醫院焦慮和憂鬱量表 (Hospital Anxiety Depression Scale)，資料以結構式問卷經由個別訪談方式進行收集。資料分析以SPSS 11.0套裝軟體進行建檔與分析，統計方法包括以描述性分析所得資料之平均值、百分比、標準差等，再以皮爾森相關係數，多元迴歸分析法進行分析。研究結果顯示脊髓損傷後患者之慢性神經痛發生率約為68.9％，自我照顧能力平均恢復狀況約達到正常狀況之67.38％，有54.4％患者有輕度到重度之憂鬱情緒，神經性疼痛與憂鬱呈正相關(r= .382 ,p<.001)。回歸分析結果顯示神經性疼痛可解釋憂鬱27％之變異量。期研究結果能提供臨床護理人員照護脊髓損傷患者之重要參考。[[abstract]]AbstractThe purpose of this study is to investigate the relationships between neuropathic pain, self-care ability and depression of the spinal cord injured patients. The study is an exploratory and correlational design. One hundred and three subjects participated and recruited from a neurology unit at Medical Center in Taipei, Taiwan. Inclusion criteria included traumatic spinal cord injury with neurological deficit over three months, physiologically stable condition, and consent to this study. Exclusion criteria include brain trauma, ventilator or Oxygen dependent, psychiatric disorder, and suicidal trauma. The instruments included Neuropathic Pain Questionnaire (NPQ), Spinal Cord Injury Life Style (SCILS), and Hospital Anxiety Depression Scale (HADS). SPSS 11.0 software is used for coding and data analysis. Statistical analyses include mean, standard deviation, Pearson’s correlation, and multiple regressions.The results show that the incidence of neuropathic pain in spinal cord injured patients is 68.9%, the self-care ability can be recovered to 67.38% compared to normal people, 54.4% of spinal cord injured patients show slight to severe depression disorder. there are positive correlation between neuropathic pain and depression( r= .38, p< .001). Regression analyses show that neuropathic pain can explain 27% of the variance for depression. The results of this study provide information for health care professionals to design nursing intervention for patients with spinal cord injury