《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (11): 1356-1360.doi: 10.3969/j.issn.1006-9771.2019.11.018

• 临床研究 • 上一篇    下一篇

关节损伤康复患者关节功能与心理健康及生活质量的相关性

卓燕玲1,2, 刘四海1,3, 韩新作1,3, 崔志刚1,3, 王飞1,3, 刘克敏1,3   

  1. 1.首都医科大学康复医学院，北京市 100068
    2.北京和睦家康复医院，北京市 100016
    3.中国康复研究中心北京博爱医院骨科，北京市 100068
  • 收稿日期:2019-04-27 修回日期:2019-05-23 出版日期:2019-11-25 发布日期:2019-11-21
  • 通讯作者: 刘克敏，E-mail: keminlqliu@sina.com E-mail:keminlqliu@sina.com
  • 作者简介:卓燕玲(1989-)，女，汉族，福建莆田市人，硕士，医师，主要研究方向：骨关节康复。
  • 基金资助:
    中国康复研究中心项目(No. 2015ZX-7)

Correlation of Social-psychological Health and Joint Function in Patients during Rehabilitation for Joint Impairment

ZHUO Yan-ling1,2, LIU Si-hai1,3, HAN Xin-zuo1,3, CUI Zhi-gang1,3, WANG Fei1,3, LIU Ke-min1,3   

  1. 1.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
    2.Beijing United Family Rehabilitation Hospital, Beijing 100016, China
    3.Department of Orthopedics, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2019-04-27 Revised:2019-05-23 Published:2019-11-25 Online:2019-11-21
  • Contact: LIU Ke-min, E-mail: keminlqliu@sina.com E-mail:keminlqliu@sina.com
  • Supported by:
    Supported by China Rehabilitation Research Center Project (No. 2015ZX-7)

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摘要： 目的 探索社会-心理因素对关节功能康复的影响。方法 2015年10月至2017年4月，骨科关节功能康复患者64例，根据汉密尔顿焦虑评分量表和汉密尔顿抑郁评分量表评分分为焦虑组和无焦虑组，以及抑郁组和无抑郁组。所有患者常规行关节功能初、中、末期评定，同时采用90项症状清单(SCL-90)和世界卫生组织残疾评定量表2.0 (WHO-DAS 2.0)进行评定。关节功能评分与SCL-90、WHO-DAS 2.0评分间行Spearman相关分析。结果 抑郁组和无抑郁组间关节功能初期和末期评分均有显著性差异(|t| > 2.106, P < 0.05)。关节功能初期评分与SCL-90人际交往因子分呈负相关(r = -0.257, P < 0.05)，关节功能末期评分与WHO-DAS 2.0中的维度1 (r = -0.257)和维度4(r = -0.278)，SCL-90总分(r = -0.263)、人际交往(r = -0.328)和敌对(r = -0.385)因子分呈负相关(P < 0.05)；关节功能改善分与WHO-DAS 2.0维度1评分呈负相关(r = -0.249, P < 0.05)。结论 社会-心理因素与关节功能有关，应探索将社会-心理评估纳入关节功能康复三期评定体系。

关键词: 关节损伤, 焦虑, 抑郁, 康复评定, 关节功能

Abstract: Objective To explore the influence of social-psychological factors on outcome of joint rehabilitation. Methods From October, 2015 to April, 2017, 64 inpatients accepting joint rehabilitation were divided into anxiety group and non-anxiety group, and depression group and non-depression group, according to the scores of Hamilton Anxiety Scale and Hamilton Depression Scale. They were assessed with routine joint scores as initial and final stages of joint rehabilitation, as well as Symptom Checklist-90 (SCL-90) and World Health Organization Disability Assessment Schedule 2.0 (WHO-DAS 2.0). The correlation of joint scores to scores of SCL-90 and WHO-DAS 2.0 was analyzed with Spearman correlation analysis. Results There were significant differences in joint scores between the depression and the non-depression groups initially and finally (|t| > 2.106, P < 0.05). The joint score at the initial stage was negatively correlated with the interpersonal factor score of SCL-90 (r = -0.257, P < 0.05). The joint score at the final stage was negatively correlated (P < 0.05) with the dimension one (r = -0.257) and four (r = -0.278) of WHO-DAS 2.0, total score (r = -0.263), and interpersonal (r = -0.328) and hostile (r = -0.385) factor scores of SCL-90. Improvement of joint score negative correlated with dimension one of WHO-DAS 2.0 score (r = -0.249, P < 0.05). Conclusion The social-psychological factors affect the outcome of joint rehabilitation. It is necessary to explore the way to take the the social-psychological assessment into the routine three stage evaluation of the joint rehabilitation protocol.

Key words: joint impairment, anxiety, depression, rehabilitation assessment, joint function

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