《中国康复理论与实践》

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (6): 741-744.doi: 10.3969/j.issn.1006-9771.2017.06.026

• 临床观察 • 上一篇    

运用世界卫生组织残疾评定量表对脊髓损伤和脑外伤患者功能和残疾状况的分析

施红梅1, 吴铭2, 李安巧2   

  1. 1.中国康复研究中心北京博爱医院心理科,北京市 100068;
    2.中国智力和发展性残疾分级、评估与康复(运动)重点实验室,郑州大学,河南郑州市 450001。
  • 收稿日期:2017-06-15 出版日期:2017-06-25 发布日期:2017-06-27
  • 作者简介:施红梅(1965-),女,汉族,重庆市人,心理治疗师,主要研究方向：康复心理学、功能评定和ICF。E-mail: shihm@vip.sina.com。

Functioning and Disability for Patients with Spinal Cord Injury or Traumatic Brain Injury: Accessed with WHO Disability Assessment Schedule 2.0 Chinese Version

SHI Hong-mei1, WU Ming2, LI An-qiao2   

  1. 1. Psychological Department, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China;
    2. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China
  • Received:2017-06-15 Published:2017-06-25 Online:2017-06-27
  • Contact: Correspondence to SHI Hong-mei. E-mail: shihm@vip.sina.com

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摘要： 目的 探讨脊髓损伤与脑外伤患者活动和参与功能状况。方法 2013年至2016年,使用世界卫生组织残疾评定量表2.0 (WHO-DAS 2.0)国际中文版(检查者评定版)对60例脊髓损伤和38例脑外伤住院患者进行活动和参与功能评定。结果 脑外伤患者在认知、与他人相处维度存在中度障碍,在其他维度均存在重度或极重度障碍。脊髓损伤患者在认知维度存在轻度障碍,在自理和与他人相处维度存在中度障碍,在其他维度存在重度或极重度障碍。脑外伤患者在认知(2.12±1.31)、自理(3.09±1.35)维度障碍程度高于脊髓损伤患者(1.60±1.00)、(2.52±1.26) (t>2.140, P<0.05)。结论 脊髓损伤与脑外伤患者在活动性、自理、与他人相处、与生活相关的各项活动和社会参与维度均表现出中重度障碍。

关键词: 世界卫生组织残疾评定量表, 脑外伤, 脊髓损伤, 活动和参与

Abstract: Objective To study the activity and participation status of patients with spinal cord injury or traumatic brain injury. Methods From 2013 to 2016, 60 patients with spinal cord injury and 38 patients with traumatic brain injury were assessed with WHO Disability Assessment Schedule 2.0 (WHO-DAS 2.0) (International Chinese Version of fully structured interviewer administered 36 questions). Results The patients with traumatic brain injury had moderate dysfunction in domains of cognition and getting along with people, and severe dysfunction in other domains. The patients with spinal cord injury had mild dysfunction in domain of cognition, moderate dysfunction in domains of self-care and getting along with people, and severe dysfunction in other domains. The dysfunction was severer in domains of cognition and self-care in the patients with traumatic brain injury than in the patients with spinal cord injury (t>2.140, P<0.05). Conclusion The inpatients with spinal cord injury and traumatic brain injury are difficult in mobility, self-care, getting along with people, life activities and participation.

Key words: World Health Organization Disability Assessment Schedule 2.0, traumatic brain injury, spinal cord injury, activity and participation

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