| Abstract |
[Abstract] Objective To analyze the correlation between the uncertainty of the condition and the psychological physiological cognitive aspects in elderly patients with spinal fractures. Method: A study was conducted on 50 elderly patients with spinal fractures admitted to our hospital from January 2020 to January 2023 using the ECXEL table. The clinical data of the 50 patients were retrospectively analyzed, and the patient's uncertainty, negative emotions, and cognition were assessed using the Mshel Uncertainty in Illness Scale Adult (MUIS-A), Self Rating Anxiety Scale (SAS), Self rating Depression Scale (SDS), Mini Mental State Examination (MMSE), VAS, Harris Scale, and Barthel Index. Evaluate the function, pain level, joint function, and daily living ability, and use Pearson program to analyze the correlation between disease uncertainty and negative emotions, cognitive function, pain level, joint function, and daily living ability. Results: Fifty patients were evaluated using the MUIS-A scale, which showed an uncertainty score (32.82 ± 8.11 points), information deficiency score (26.38 ± 2.48 points), unpredictability score (12.72 ± 2.91 points), complexity score (27.82 ± 4.11 points), and total score (97.77 ± 9.62 points). Univariate analysis showed that there were significant differences (P<0.05) in SAS score, SDS score, MMSE score, MUIS-A score, VAS score, Harris score, Barthel index between patients with moderate to severe disease uncertainty and patients with mild disease uncertainty. Multivariate analysis showed that the increase in SAS score, SDS score, VAS score, MMSE score, Harris score, and Barthel index were the key factors leading to increased uncertainty in the condition. Through Pearson program analysis, it was found that the uncertainty of the patient's condition is positively correlated with SAS score, SDS score, and VAS score, and negatively correlated with MMSE score, Harris score, and Barthel index. Conclusion: Elderly patients with spinal fractures have a significant sense of uncertainty in their condition during treatment after admission, and it is necessary to adopt a reasonable intervention plan in a timely manner to guide them to actively cooperate with treatment.
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