Abstract: Objective: To assess the level of self-care among patients with severe limb trauma and analyze the influencing factors, providing reference for the development of psychological or physical rehabilitation measures during the recovery period. Methods: A survey was conducted using scales for self-compassion, anxiety/depression, self-esteem, self-efficacy, and social support among 245 patients with severe limb trauma at a Class A tertiary hospital in Qinzhou City. Results: The self-care score for patients with severe limb trauma was 65.29±11.13. Regression analysis indicated that social support, anxiety, depression, self-efficacy, and self-care ability are the main factors influencing self-care levels in these patients, accounting for 29.6% of the total variance. Conclusion: The self-care level of patients with severe limb trauma is at a moderately low level, with numerous influencing factors. It is recommended that specialized healthcare professionals develop targeted intervention plans based on the patients′ conditions and psychological states to improve their self-care levels.

Key words: Limb trauma, Self-care, Influencing factors

摘要： 目的：了解严重肢体创伤患者自我关怀水平并分析其影响因素，为身体康复期的患者制定心理或肢体康复措施提供参考。方法：采用自我怜悯、焦虑/抑郁、自尊、自我效能及社会支持量表对钦州市某三级甲等医院的 245 例严重肢体创伤患者进行调查。结果：严重肢体创伤患者的自我关怀得分为（65.29±11.13）分。回归分析显示，社会支持、焦虑、抑郁、自我效能、自理能力是严重肢体创伤患者自我关怀水平的主要影响因素，可解释其总变异的 29.6%。结论：严重肢体创伤患者自我关怀处于中等偏下水平、影响因素较多，建议医护人员根据患者病情和心理状态提供针对性干预方案，以提高其自我关怀水平。

关键词: 肢体创伤, 自我关怀, 影响因素