CAJ | 학술논문

目的：通过比较脊髓损伤整体康复不同的工作模式，寻求适合脊髓损伤患者康复的有效模式。方法：选取上海市某康复医院2013年脊髓损伤患者133名，通过简单随机化分组，分成3种不同工作模式的康复小组。在入院基线及出院时分别进行功能独立性评价FIM、症状清单SCL－90及生存质量量表SF－36评估，分析3组在上述评价指标上的差异。结果：3组治疗后功能独立性FIM均有提高，SCL－90均有下降，且差异有统计学意义（P＜0．05）。3组治疗后在SF－36评分方面总分及部分因子评分有改善，但组间差异无统计学意义（P＞0．05）。结论：针对脊髓损伤的3套整体康复工作模式总体是有效的，侧重作业治疗及社会融合、心理干预偏向于心理教育可能更有利于康复，但同时有增加并发症的风险，需要做好预防工作。
목적：통과비교척수손상정체강복불동적공작모식，심구괄합척수손상환자강복적유효모식。방법：선취상해시모강복의원2013년척수손상환자133명，통과간단수궤화분조，분성3충불동공작모식적강복소조。재입원기선급출원시분별진행공능독립성평개FIM、증상청단SCL－90급생존질량량표SF－36평고，분석3조재상술평개지표상적차이。결과：3조치료후공능독립성FIM균유제고，SCL－90균유하강，차차이유통계학의의（P＜0．05）。3조치료후재SF－36평분방면총분급부분인자평분유개선，단조간차이무통계학의의（P＞0．05）。결론：침대척수손상적3투정체강복공작모식총체시유효적，측중작업치료급사회융합、심리간예편향우심리교육가능경유리우강복，단동시유증가병발증적풍험，수요주호예방공작。
Objective:By comparing the rehabilitation of spinal cord injury in different operating modes of conduct , to form an effective mode is suitable for rehabilitation of patients with spinal cord injury .Methods:A total of 133 patients were randomly switched into three different rehabili-tation groups, all the patients accepted the evaluation, including motor FIM, SCL-90 and SF-36 at baseline and discharge.Results: The im-provement on motor FIM and SCL-90 were significant in all three groups, the total score of SF-36 and some factors showed the same result.There was no significant difference in all of the evaluation among three groups.Conclusion: The three different models of rehabilitation in SCI halfway house are effective in general.To focus on occupational therapy, social integration and psychological education may be more conducive on outcome . On the other hand, when we take these therapies above might increase the risk of complication, so the additional prevention is necessary.