《中国康复理论与实践》

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (8): 946-949.doi: 10.3969/j.issn.1006-9771.2017.08.016

• 临床观察 • 上一篇    下一篇

脊髓损伤患者情绪状态与活动和参与功能研究

施红梅   

  1. 中国康复研究中心北京博爱医院，北京市 100068。
  • 收稿日期:2017-08-21 出版日期:2017-08-25 发布日期:2017-08-24
  • 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。

Research on Emotional Status and Activity and Participation for Inpatients with Spinal Cord Injury　

SHI Hong-mei   

  1. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2017-08-21 Published:2017-08-25 Online:2017-08-24
  • Contact: SHI Hong-mei. E-mail: shihm@vip.sina.com

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被引次数

6

摘要： 目的 探讨脊髓损伤患者心理情绪状态(主要是焦虑和抑郁状态)与活动和参与功能的关系。方法 2014年1月至2016年6月，对37例脊髓损伤患者于终期评价时进行Zung焦虑自评量表和Zung抑郁自评量表、世界卫生组织《残疾评定方案2.0》(WHO-DAS 2.0)(国际中文版)评定。结果 患者抑郁平均分为(0.5±0.18)，有轻度抑郁；焦虑平均分为(41.15±14.7)，有焦虑表现；在活动和参与功能六个维度上，患者认知平均分为(1.43±0.82)(轻度障碍)，活动平均分为(3.06±1.43)(重度障碍)，自我照护平均分为(2.47±1.11)(中度障碍)，与他人相处平均分为(2.13±0.66)(中度障碍)，与生活相关的各项活动平均分为(3.68±1.32)(重度障碍)，社会参与平均分为(3.57±0.84)(重度障碍)。焦虑与功能状况无直接相关。抑郁水平与活动和参与中的与他人相处功能、与生活相关的各项活动功能和社会参与功能这三个维度呈正相关(P<0.05)。结论 抑郁对脊髓损伤患者活动和参与功能有消极影响。

关键词: 脊髓损伤, 活动和参与, 抑郁, 焦虑

Abstract: Objective To analyze the relationship between the status of anxiety and depression and activity and participation for inpatients with spinal cord injury (SCI). Methods From January, 2014 to June, 2016, a total of 37 inpatients with SCI were assessed by Zung Self-rating Anxiety Scale (SAS), Zung Self-rating Depression Scale (SDS), and WHO Disability Assessment Schedule 2.0 (WHO-DAS 2.0) at discharge. Results The average scores of SDA were (0.5±0.18) and SAS were (41.15±14.7) respectively. The inpatients scored (1.43±0.82) (cognition), (3.06±1.43) (mobility), (2.47±1.11) (self-care), (2.13±0.66) (getting around), (3.68±1.32) (life activity for household and work), and (3.57±0.84) (participation) in six domains of WHO-DAS 2.0 respectively. There were severe disabilities in mobility, life activity for household and work, and participation; mild disability in cognition; and moderate disabilities in self-care and getting around. There was positive correlation between depression and functions of mobility, life activity for household and work, and participation (P<0.05). Conclusion Depression influences the status of activity and participation for inpatients with SCI at recovery stage.

Key words: spinal cord injury, activity and participation, depression, anxiety

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