目的 探讨创伤性截肢患者身体形象障碍（body image disturbance，BID）现状及影响因素。 方法 便利抽样法选取2023年3月至2024年10月上海市某三级甲等医院就诊的103例创伤性截肢患者，采用一般资料调查表、身体形象障碍量表（body image disturbance questionnaire，BIDQ）、疾病心理社会适应量表等进行横断面调查，并分析相关因素。 结果 BIDQ得分为（35.11±12.33）分，处于中等偏上水平；BIDQ得分与心理社会适应总分、医学应对方式的回避与屈服维度、社会支持中的客观支持呈正相关（r=0.526、0.257、0.267、0.305，均P＜0.05）；多因素分析显示，无职业、幻肢痛程度、客观支持水平和心理社会适应得分是BID的独立影响因素（均P＜0.05），模型解释变异量为47.64%。 结论 创伤性截肢患者BID较严重，应结合标准化工具与临床观察动态评估，开展个体化干预，促进“身体形象重塑”，改善心理健康与生活质量。

Objective To explore the current status of body image disturbance (BID) and its influencing factors among patients with traumatic amputation.Methods A total of 103 patients with traumatic amputation who were treated in a tertiary A hospital in Shanghai from March 2023 to October 2024 were selected using the convenient sampling method.A cross-sectional survey was conducted using a general information questionnaire,body image disturbance scale,and psychosocial adjustment to illness scale,and relevant factors were analyzed.Results The BIDQ score was (35.11±12.33),which was at an upper-middle level.The BIDQ score was positively correlated with the total score of psychosocial adjustment,the avoidance and yielding dimensions of medical coping styles,and the objective support in social support (r=0.526,0.257,0.267,0.305,all P＜0.05).Multivariate analysis showed that unemployed status,the degree of phantom limb pain,the level of objective support,and the psychosocial adjustment score were independent influencing factors of BID (all P＜0.05),and the model explained 47.64% of the variance.Conclusions Patients with traumatic amputation have relatively severe BID.Dynamic assessment should be carried out combining standardized tools and clinical observations,and individualized interventions should be implemented to promote body image remodeling,thereby improving mental health and quality of life.

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国家自然科学基金（82402849）；上海市卫生健康委员会卫生行业临床研究专项项目（202240143）；上海市第六人民医院院内课题（X-4302）