康复训练对强直性脊柱炎患者焦虑、抑郁及功能状态的影响  

Effects of rehabilitation training on anxiety, depression, and functional status of patients with ankylosing spondylitis

作　　者：王宏华[1] 耿田军 WANG Honghua;GENG Tianjun(Department of Spinal Surgery,the Fourth People’s Hospital of Jinan,Shandong Province,Jinan250031,China;Department of Orthopedics,the Fourth People’s Hospital of Jinan,Shandong Province,Jinan250031,China)

机构地区：[1]济南市第四人民医院脊柱外科,山东济南250031 [2]济南市第四人民医院骨科,山东济南250031

出　　处：《中国医药导报》2021年第26期170-173,共4页China Medical Herald

基　　金：山东省中医药科学技术发展计划资助项目(2011-005)。

摘　　要：目的分析康复训练对强直性脊柱炎患者焦虑、抑郁情况以及功能状态的影响。方法选择2015年12月至2019年12月山东省济南市第四人民医院接受治疗的强直性脊柱炎患者80例为研究对象,采用随机数字表法将患者分为对照组和观察组,各40例。对照组实施常规护理模式,观察组在对照组的基础上进行康复训练,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、国际毕氏强直性脊柱炎功能指数量表评估两组干预前后焦虑、抑郁情况及干预后功能状态康复疗效并进行比较。结果干预后,两组焦虑、抑郁评分及功能状态康复效果均较干预前降低(P<0.05);且观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);观察组国际毕氏强直性脊柱炎功能指数量表(不扶物站立、平卧位起立、触及高处、穿袜、弯腰拾笔、坐位站立、蹬台阶、直立后望)各项评分均低于对照组,差异有统计学意义(P<0.05)。结论康复训练在强直性脊柱炎患者应用中纠正既往不良运动习惯,改善康复训练过程中心理负面情况,促进患者功能状态恢复,值得临床推广使用。Objective To analyze the effects of rehabilitation training on anxiety,depression,and functional status in patients with ankylosing spondylitis.Methods Eighty patients with ankylosing spondylitis who received treatment in the Fourth People’s Hospital of Jinan,Shandong Province from December 2015 to December 2019 were selected as the study subjects.Patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group carried out routine nursing mode,and the observation group carried out rehabilitation training on the basis of the control group.The self-rating anxiety scale(SAS),self-rating depression scale(SDS)and International Pythonic ankylosing spondylitis function index were used to evaluate the anxiety and depression before and after the intervention and the rehabilitation efficacy of the functional state after the intervention,and compared the between two groups.Results After the intervention,the scores of anxiety and depression and the rehabilitation effect of functional state in both groups were lower than those before the intervention(P<0.05),the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05),and the scores of the international Pythagoras ankylosing Spondylitis function index scale(standing without support,standing in supine position,touching height,wearing stockings,bending to pick up a pen,standing in sitting position,stepping on steps and standing upright looking back)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of rehabilitation training in patients with ankylosing spondylitis to correct the previous bad exercise habits,improve the psychological negative situation in the process of rehabilitation training,and promote the recovery of patients’functional state is worthy of clinical promotion and use.

关 键 词：康复训练 强直性脊柱炎 焦虑 抑郁 功能状态 疗效 

分 类 号：R68[医药卫生—骨科学]