中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
4期
300-302
,共3页
心理康复%脊髓损伤%抑郁症状%睡眠质量%日常生活能力
心理康複%脊髓損傷%抑鬱癥狀%睡眠質量%日常生活能力
심리강복%척수손상%억욱증상%수면질량%일상생활능력
Psychological rehabilitation%Spinal cord injury%Depression%Sleep quality%Activities of daily living
目的 观察心理康复对脊髓损伤患者抑郁症状、睡眠质量以及日常生活能力的影响.方法 将60例脊髓损伤患者按随机数字表法分为治疗组和对照组,每组患者30例.2组患者均采用相同的综合康复训练进行治疗,治疗组在综合疗法的基础上增加心理康复治疗.2组患者均于治疗前和治疗3个月后(治疗后)采用汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数量表(PSQI)和改良Barthel指数(MBI)对其抑郁状态、睡眠质量和日常生活活动能力进行评定.结果 治疗前,2组患者的HAMD评分、MBI指数以及PSQI评分,差异均无统计学意义(P＞0.05).治疗后,2组患者各项评分与组内治疗前比较,均显著降低(P＜0.05).治疗组治疗后的HAMD评分、MBI指数以及PSQI评分分别为(13.27±1.95)分、(54.27±2.94)分和(5.07±3.07)分,分别与对照组治疗后的(17.70±1.99)分、(42.57±3.22)分和(8.57±3.26)分比较,差异均有统计学意义(P＜0.05).且2组患者治疗前、后3项评分的差值比较,差异均有统计学意义(P＜0.05).结论 对脊髓损伤患者进行肢体功能康复联合心理康复能明显改善患者的抑郁症状和睡眠质量,提高患者的日常生活能力.
目的 觀察心理康複對脊髓損傷患者抑鬱癥狀、睡眠質量以及日常生活能力的影響.方法 將60例脊髓損傷患者按隨機數字錶法分為治療組和對照組,每組患者30例.2組患者均採用相同的綜閤康複訓練進行治療,治療組在綜閤療法的基礎上增加心理康複治療.2組患者均于治療前和治療3箇月後(治療後)採用漢密爾頓抑鬱量錶(HAMD)、匹玆堡睡眠質量指數量錶(PSQI)和改良Barthel指數(MBI)對其抑鬱狀態、睡眠質量和日常生活活動能力進行評定.結果 治療前,2組患者的HAMD評分、MBI指數以及PSQI評分,差異均無統計學意義(P＞0.05).治療後,2組患者各項評分與組內治療前比較,均顯著降低(P＜0.05).治療組治療後的HAMD評分、MBI指數以及PSQI評分分彆為(13.27±1.95)分、(54.27±2.94)分和(5.07±3.07)分,分彆與對照組治療後的(17.70±1.99)分、(42.57±3.22)分和(8.57±3.26)分比較,差異均有統計學意義(P＜0.05).且2組患者治療前、後3項評分的差值比較,差異均有統計學意義(P＜0.05).結論 對脊髓損傷患者進行肢體功能康複聯閤心理康複能明顯改善患者的抑鬱癥狀和睡眠質量,提高患者的日常生活能力.
목적 관찰심리강복대척수손상환자억욱증상、수면질량이급일상생활능력적영향.방법 장60례척수손상환자안수궤수자표법분위치료조화대조조,매조환자30례.2조환자균채용상동적종합강복훈련진행치료,치료조재종합요법적기출상증가심리강복치료.2조환자균우치료전화치료3개월후(치료후)채용한밀이돈억욱량표(HAMD)、필자보수면질량지수량표(PSQI)화개량Barthel지수(MBI)대기억욱상태、수면질량화일상생활활동능력진행평정.결과 치료전,2조환자적HAMD평분、MBI지수이급PSQI평분,차이균무통계학의의(P＞0.05).치료후,2조환자각항평분여조내치료전비교,균현저강저(P＜0.05).치료조치료후적HAMD평분、MBI지수이급PSQI평분분별위(13.27±1.95)분、(54.27±2.94)분화(5.07±3.07)분,분별여대조조치료후적(17.70±1.99)분、(42.57±3.22)분화(8.57±3.26)분비교,차이균유통계학의의(P＜0.05).차2조환자치료전、후3항평분적차치비교,차이균유통계학의의(P＜0.05).결론 대척수손상환자진행지체공능강복연합심리강복능명현개선환자적억욱증상화수면질량,제고환자적일상생활능력.
Objective To observe the effects of psychological rehabilitation on depression,quality of sleep and ability in the activities of daily living (ADL) of patients with spinal cord injury (SCI).Methods Sixty patients with SCI were randomly divided into a treatment group (n =30) and a control group (n =30).The control group was treated for the rehabilitation of limb function; the treatment group was treated with psychological rehabilitation in combination with conventional rehabilitation.The Hamilton depression scale (HAMD),the Pittsburgh sleep quality index (PSQI) and the modified Barthel index (MBI) were used to assess depression,quality of sleep and ADL ability.Results Depression,ADL ability and quality of sleep in both groups all improved significantly after treatment,but the effect in the treatment group was significantly superior to that of the control group.Conclusion Patients with SCI treated for rehabilitation of limb function in combination with psychological rehabilitation can significantly improve depression,quality of sleep and ADL ability.
