心理康复介入时机对脊柱骨折所致脊髓损伤患者的影响  

Effect of Different Psychological Rehabilitation Time on Patients with Paraplegic Spinal Cord Injury

作　　者：郝又国[1,2] 陆伟伟[1,2] 施海燕[1,2] 李旭[1,2] 陈康[1,2] 

机构地区：[1]上海交通大学附属第一人民医院松江分院 [2]上海市松江区中心医院康复科,上海市201600

出　　处：《中国康复理论与实践》2013年第8期768-770,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市卫生局科研计划项目(No.20114330);上海市松江区医学领先项目(No.2011LX13);上海市松江区科技攻关项目

摘　　要：目的探讨心理康复介入时机对脊柱骨折所致截瘫患者心理状态和功能恢复的影响。方法将80例脊柱骨折所致截瘫患者分为早期康复组(n=40)与晚期康复组(n=40),两组患者均行规范的康复治疗,分别在入院时与入院后3周开始心理康复治疗,治疗前、后分别对两组患者进行心理状态、康复疗效和生活质量评定。结果早期康复组Barthel指数、功能独立性量表评分高于晚期康复组(P<0.05),汉密尔顿抑郁和焦虑量表评分低于晚期康复组(P<0.05),世界卫生组织生活质量量表中心理、独立性、社会关系和总评评分高于晚期康复组(P<0.05)。结论早期心理康复有利于患者心理状态和功能的恢复。Objective To study the effect of different psychological rehabilitation time on patients with spinal cord injury（SCI）.Methods 80 patients with SCI caused by spinal fracture were divided into early psychological rehabilitation group（n=40） and late psychological rehabilitation group（n=40）.The routine treatment was administered to both groups,and psychological rehabilitative therapy was also administered immediately and 3 weeks after admission respectively.Their function,psychological state and quality of life were evaluated.Results The scores of modified Barthel index（MBI）,Functional Independence Measure（FIM）,and psychology,independence,social relations and the total score in World Health Organizations Quality of Life（WHOQOL-100） were higher,and the scores of Hamilton Self-rating Scale for Depression（HAMD） and Hamilton Self-rating Scale for Anxiety（HAMA） were lower in the early psychological rehabilitation group than in the late psychological rehabilitation group（P0.05）.Conclusion Early psychological rehabilitation is beneficial for functional and psychological state recovery in patients with SCI.

关 键 词：脊柱骨折 截瘫 心理康复 

分 类 号：R651.2[医药卫生—外科学]