心理康复对脊髓损伤患者抑郁症状、睡眠质量及日常生活能力的影响  

Effects of psychological rehabilitation on depression, sleep quality and ability in the activities of daily living after spinal cord injury

作　　者：何予工[1] 何宗颖[1] 

机构地区：[1]郑州大学第一附属医院康复医学科,郑州450008

出　　处：《中华物理医学与康复杂志》2013年第4期300-302,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：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13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〉o．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（5．074-3．07）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。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 rehabilita- tion 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 signifi- cantly improve depression, quality of sleep and ADL ability.

关 键 词：心理康复 脊髓损伤 抑郁症状 睡眠质量 日常生活能力 

分 类 号：R473.74[医药卫生—护理学]