CAJ | 학술논문

目的：观察心理康复对肢体运动功能障碍康复的作用。方法将136例住院需进行康复治疗和训练的患者分为观察组和对照组各68例。对照组仅给予常规康复训练和康复治疗，观察组在此基础上介入心理康复治疗(包括心理治疗和药物治疗)。治疗前和治疗8周后，采用精神卫生症状自评量表(SCL-90)、Fugl-Meyer评定法(FMA)和改良Barthel指数(MBI)进行评价。结果136例患者均存在较多的心理问题，其中以焦虑、抑郁、躯体化、恐惧、敌对为著，两组患者治疗前SCL-90评分、FMA评分和MBI评分均无显著性差异(P>0.05)。治疗后观察组除精神病性(P>0.05)外，SCL-90评分均低于对照组(P<0.05)；FMA评分和MBI评分均明显高于对照组(P<0.01)。结论心理康复在整体康复过程中具有重要的作用。
목적：관찰심리강복대지체운동공능장애강복적작용。방법장136례주원수진행강복치료화훈련적환자분위관찰조화대조조각68례。대조조부급여상규강복훈련화강복치료，관찰조재차기출상개입심리강복치료(포괄심리치료화약물치료)。치료전화치료8주후，채용정신위생증상자평량표(SCL-90)、Fugl-Meyer평정법(FMA)화개량Barthel지수(MBI)진행평개。결과136례환자균존재교다적심리문제，기중이초필、억욱、구체화、공구、활대위저，량조환자치료전SCL-90평분、FMA평분화MBI평분균무현저성차이(P>0.05)。치료후관찰조제정신병성(P>0.05)외，SCL-90평분균저우대조조(P<0.05)；FMA평분화MBI평분균명현고우대조조(P<0.01)。결론심리강복재정체강복과정중구유중요적작용。
Objective To explore the effect of psychological rehabilitation on patients with limb motor dysfunction. Methods 136 cases of hospitalized patients who needed rehabilitation therapy and training were divided into observation group and control group. The control group received conventional rehabilitation, and the observation group received psychological rehabilitation (psychotherapy and medicine) in addition. Symptom Checklist-90 (SCL-90), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) were assessed before and 8 weeks after treatment. Results Most of the 136 patients were involved in psychological problems, including anxiety, depression, somatiza-tion, fear, hostility. There was no difference in the scores of SCL-90, FMA and MBI between 2 groups before treatment (P>0.05). After 8 weeks treatment, the scores of SCL-90 were lower, except psychotism (P>0.05), in the observation group than in the control group (P<0.05), the scores of FMA and MBI were higher in the observation group than in the control group (P<0.01). Conclusion The psychological rehabil-itation plays an important role in rehabilitation of limb motor dysfunction.