CAJ | 학술논문

背景：脊髓损伤患者的康复结果与患者的损伤程度、治疗方法、康复时间及后期治疗等多因素有关。跨学科、全面、专业的脊髓损伤康复单元能为脊髓损伤患者提供更好的恢复。 　　目的：综合评价脊髓损伤康复单元干预或其组合干预的效果。 　　方法：检索2003至2014年Springer及PubMed数据库，检索词：spinal cord injury，rehabilitation practice， outcomes。根据纳入排除标准，阅读标题和摘要进行初筛，选用44篇英文文献进行分析。 　　结果与结论：许多研究采用基于实践证据的方法，识别多种康复实践方法，把信息与结果联系以评价康复干预的效果。研究显示创伤及非创伤性混合样本中的目标实现与年龄没有差异，大多数康复结果很少有性别差异。最初入院到专科脊髓损伤中心的绝大多数脊髓损伤患者的并发症通常最低，患者尽早入住到跨学科、全面、专业的脊髓损伤单位比延迟入住缩短住院总时间。脊髓损伤患者接受正规、全面的门诊医护随访，在健康感知、独立性、抑郁症没有显著差异，但特定继发情况出现频率显著减少、程度减低。
배경：척수손상환자적강복결과여환자적손상정도、치료방법、강복시간급후기치료등다인소유관。과학과、전면、전업적척수손상강복단원능위척수손상환자제공경호적회복。 　　목적：종합평개척수손상강복단원간예혹기조합간예적효과。 　　방법：검색2003지2014년Springer급PubMed수거고，검색사：spinal cord injury，rehabilitation practice， outcomes。근거납입배제표준，열독표제화적요진행초사，선용44편영문문헌진행분석。 　　결과여결론：허다연구채용기우실천증거적방법，식별다충강복실천방법，파신식여결과련계이평개강복간예적효과。연구현시창상급비창상성혼합양본중적목표실현여년령몰유차이，대다수강복결과흔소유성별차이。최초입원도전과척수손상중심적절대다수척수손상환자적병발증통상최저，환자진조입주도과학과、전면、전업적척수손상단위비연지입주축단주원총시간。척수손상환자접수정규、전면적문진의호수방，재건강감지、독립성、억욱증몰유현저차이，단특정계발정황출현빈솔현저감소、정도감저。
BACKGROUND:Rehabilitation outcomes of patients with spinal cord injury are associated with degree of injury, therapeutic method, recovery time and subsequent treatment. Multidisciplinary, comprehensive, specialized rehabilitation unit can provide a better recovery after spinal cord injury. OBJECTIVE:To review the effect or combined effect of rehabilitation units after spinal cord injury. METHODS:A computer-based search of Springer and PubMed databases was done using the keywords of“spinal cord injury, rehabilitation practice, outcomes”, which appeared in the title and abstract. Final y, 44 English papers were included in result analysis. RESULTS AND CONCLUSION:Based on practical evidence, various rehabilitation practices are recognized, and then, the relevant information is connected with the outcomes to evaluate the efficacy of rehabilitation interventions. Studies have shown that age had no influence on rehabilitation outcomes in traumatic and non-traumatic mixed samples, and there is also little difference in the rehabilitation outcomes between male and female. Incidence of complications is lowest in the vast majority of patients with spinal cord injury who are initial y admitted to a specialist center of spinal cord injury. The hospital stay can be shorten in patients who can be admitted to a multidisciplinary, comprehensive, specialized division of spinal cord injury as early as possible. Patients who can receive regular, comprehensive outpatient fol ow-up show no significant differences in health perception, independence and depression, but the frequency and degree of certain secondary situations can be significantly reduced.