CAJ | 학술논문

目的观察心理康复对脊髓损伤后截瘫患者的康复疗效.方法选取脊柱骨折致截瘫患者100例,按随机数字表法分为研究组和对照组,每组50例.2组患者均接受常规康复训练,研究组在常规康复训练的基础上增加心理康复治疗,均30 d为1个疗程,连续治疗2个疗程.分别于治疗前和治疗2个疗程后(治疗后),采用Barthel指数(BI),功能独立性评定量表(FIM),汉密尔顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)分别评定2组患者的日常生活活动能力、运动功能、抑郁状态和焦虑状况.结果治疗前,2组患者各项指标组间差异均无统计学意义(P＞0.05);治疗后,研究组的BI、FIM、HAMD和HAMA评分改善情况均显著优于组内治疗前和对照组治疗后,差异均有统计学意义(P＜0.05).HAMD评分与BI和FIM评分的Pearson相关系数分别为-0.541和-0.427,差异有统计学意义(P＜0.05),即HAMD评分与BI和FIM评分具有显著相关性.HAMA评分与BI和FIM评分的Pearson相关系数分别为-0.640和-0.559,差异均有统计学意义(P＜0.05),即HAMA评分与BI和FIM评分具有显著相关性.结论心理康复有利于截瘫患者的功能恢复.
목적 관찰심리강복대척수손상후절탄환자적강복료효.방법 선취척주골절치절탄환자100례,안수궤수자표법분위연구조화대조조,매조50례.2조환자균접수상규강복훈련,연구조재상규강복훈련적기출상증가심리강복치료,균30 d위1개료정,련속치료2개료정.분별우치료전화치료2개료정후(치료후),채용Barthel지수(BI),공능독립성평정량표(FIM),한밀이돈억욱량표(HAMD)화한밀돈초필량표(HAMA)분별평정2조환자적일상생활활동능력、운동공능、억욱상태화초필상황.결과 치료전,2조환자각항지표조간차이균무통계학의의(P＞0.05);치료후,연구조적BI、FIM、HAMD화HAMA평분개선정황균현저우우조내치료전화대조조치료후,차이균유통계학의의(P＜0.05).HAMD평분여BI화FIM평분적Pearson상관계수분별위-0.541화-0.427,차이유통계학의의(P＜0.05),즉HAMD평분여BI화FIM평분구유현저상관성.HAMA평분여BI화FIM평분적Pearson상관계수분별위-0.640화-0.559,차이균유통계학의의(P＜0.05),즉HAMA평분여BI화FIM평분구유현저상관성.결론 심리강복유리우절탄환자적공능회복.
Objective To study the effects of psychological rehabilitation in the treatment of paraplegic patients with spinal cord injury (SCI).Methods A hundred paraplegic spinal fracture survivors were divided into a research group and a control group with 50 cases in each.Systematic rehabilitation was given to the patients in the control group,while this was combined with individualized psychological rehabilitation protocols for the patients in the research group.The daily treatment lasted 10 weeks,6 days a week.All of the patients were assessed with the Barthel index (BI),a functional independence measure (FIM),the Hamilton depression scale (HAMD) and the Hamilton anxiety scale (HAMA) pre-treatment and post-treatment.Results Before the intervention there was no significant difference between the 2 groups in any of the assessments.After ten weeks the average BI,FIM,HAMD and HAMA results in the research group were significantly better than those pre-treatment and also significantly better than those in the control group.Conclusions Psychological rehabilitation can distinctly improve the functioning and psychological state of paraplegic patients after SCI.