CAJ | 학술논문

　　目的探讨心理康复介入时机对脊柱骨折所致截瘫患者心理状态和功能恢复的影响。方法将80例脊柱骨折所致截瘫患者分为早期康复组(n=40)与晚期康复组(n=40)，两组患者均行规范的康复治疗，分别在入院时与入院后3周开始心理康复治疗，治疗前、后分别对两组患者进行心理状态、康复疗效和生活质量评定。结果早期康复组Barthel指数、功能独立性量表评分高于晚期康复组(P<0.05)，汉密尔顿抑郁和焦虑量表评分低于晚期康复组(P<0.05)，世界卫生组织生活质量量表中心理、独立性、社会关系和总评评分高于晚期康复组(P<0.05)。结论早期心理康复有利于患者心理状态和功能的恢复。
　　목적탐토심리강복개입시궤대척주골절소치절탄환자심리상태화공능회복적영향。방법장80례척주골절소치절탄환자분위조기강복조(n=40)여만기강복조(n=40)，량조환자균행규범적강복치료，분별재입원시여입원후3주개시심리강복치료，치료전、후분별대량조환자진행심리상태、강복료효화생활질량평정。결과조기강복조Barthel지수、공능독립성량표평분고우만기강복조(P<0.05)，한밀이돈억욱화초필량표평분저우만기강복조(P<0.05)，세계위생조직생활질량량표중심리、독립성、사회관계화총평평분고우만기강복조(P<0.05)。결론조기심리강복유리우환자심리상태화공능적회복。
Objective To study the effect of different psychological rehabilitation time on patients with spinal cord injury (SCI). Meth-ods 80 patients with SCI caused by spinal fracture were divided into early psychological rehabilitation group (n=40) and late psychological rehabilitation group (n=40). The routine treatment was administered to both groups, and psychological rehabilitative therapy was also admin-istered immediately and 3 weeks after admission respectively. Their function, psychological state and quality of life were evaluated. Results The scores of modified Barthel index (MBI), Functional Independence Measure (FIM), and psychology, independence, social relations and the total score in World Health Organizations Quality of Life (WHOQOL-100) were higher, and the scores of Hamilton Self-rating Scale for Depression (HAMD) and Hamilton Self-rating Scale for Anxiety (HAMA) were lower in the early psychological rehabilitation group than in the late psychological rehabilitation group (P<0.05). Conclusion Early psychological rehabilitation is beneficial for functional and psycho-logical state recovery in patients with SCI.