Analysis Of Self-perceived Burden Of Elderly Patients With Pathological Scar And Its Influencing Factors

Objective:This study aims to observe the self-perceived burden of hospitalized elderly patients with pathological scar,analyze the correlation between vancouver scar assessment,self-efficacy,medical coping style and self-perceived burden of elderly patients with pathological scar,find the main influencing factors,and provide scientific basis for the development of clinical nursing intervention programs in the future.Methods:The convenience sampling method was used to select eligible elderly patients with scar who were hospitalized in the department of burn plastic surgery in a Class A general hospital from January 2020 to December 2021 as the subjects of the study.The self-designed general data questionnaire,Vancouver Scar Rating Scale,Self-perceived Burden Scale,self-efficacy Scale and medical coping Style scale were used to investigate the self-perceived burden and influencing factors of elderly patients with pathological scar.SPSS25.0 software was used for statistical analysis.Descriptive statistics were used to analyze the general data of patients with senile pathological scar.Independent sample T-test,one-way analysis of variance and Kruskal-Wallis H test was used to analyze the difference between demographic and scar related data.Pearson correlation analysis was used to observe the correlation between patients’ self-perceived burden and self-efficacy medical coping style of Vancouver scar assessment.Multiple linear regression was used to analyze the main influencing factors of self-perceived burden in elderly patients with scar.Results:(1)The total self-perceived burden of hospitalized elderly patients with scar was(34.14±6.484)points,including emotional burden was(20.78±4.520)points,economic burden was(7.13±1.499)points,and physical burden was(6.23±1.735)points.Patients with severe burden accounted for 25.9%,patients with moderate burden accounted for 62.7%,patients with mild burden accounted for 13.5%,and patients with no burden accounted for7.9%.(2)In the medical coping style of hospitalized elderly patients with scar,the score of face item was(18.33±3.04),the score of avoidance item was(16.31±2.25),and the score of yield item was(8.86±1.98).(3)The self-efficacy score of hospitalized elderly patients with scar was(24.24±5.69),and the patients with moderate self-efficacy accounted for 70.6%,with a score of(24.82±3.06).Patients with low self-efficacy accounted for 17.5%,with a score of(15.50±2.56);Patients with high self-efficacy accounted for 11.9%,with a score of(33.60±2.10).(4)The single factor analysis showed that old scar patients feel burden yourself in the culture level,occupation,medical payment,marriage status,history of scar treatment,the causes of the formation of scar,area,color,whether beyond the boundary,duration,itching and whether influence the daily activities on each dimension difference was statistically significant(P < 0.01).(5)Correlation analysis showed that vascular distribution(r = 0.519,P < 0.01),softness(r = 0.236,P < 0.01),color(r = 0.393,P < 0.01)in the Vancouver scar score,avoidance(r =0.244,P < 0.01)and yield dimension(r = 0.325,P < 0.01)were positively correlated with the self-perceived burden in elderly patients with scar;The face coping style(r =-0.397,P < 0.01)and self-efficacy(r =-0.653,P < 0.01)were negatively correlated with the self-perceived burden.(6)Multiple linear regression analysis showed that scar vascular distribution,softness color,self-efficacy,cultural level and coping style entered the regression equation.Conclusion:The self-perceived burden of hospitalized elderly patients with scar is at a moderate level,and vascular distribution,softness,color,self-efficacy,educational level,facing coping style are important factors influencing the self-perceived burden of hospitalized elderly patients with scar In clinical nursing,it is necessary to pay attention to the self-perceived burden of elderly patients with scar,carry out continuous nursing evaluation,and improve the self-perceived burden of elderly patients with scar from improving the symptoms of patients with scar,improving self-efficacy and changing negative coping styles.