心理韧性改善脑外伤康复效果的系统综述

doi:10.3969/j.issn.1006-9771.2022.06.007

摘要/Abstract

摘要：

目的系统综述心理韧性在改善脑外伤康复效果中的作用。方法通过主题词检索方式,在PubMed、ScienceDirect、知网、万方、维普数据库检索心理韧性干预在改善脑外伤康复效果中作用的相关文献,检索时间建库至2021年12月31日。经筛选从文献中提取研究、国家、研究对象、研究设计、干预频率、干预效果、康复影响和影响因素,并采用PEDro量表进行方法学质量评价。结果共获得有效文献6篇,主要集中在心理韧性干预在改善脑外伤患者的身体功能、创伤后应激障碍、心理功能和社会适应方面的研究。结论心理韧性干预可减少患者的身体症状和创伤后应激障碍,促进心理功能恢复,使患者保持乐观的态度,采取灵活的应对方式,积极适应社会。

关键词: 脑外伤, 心理韧性, 干预, 康复, 系统综述

Abstract:

Objective To systematically review the effect of resilience intervention on rehabilitation of traumatic brain injury. Methods The literatures related to resilience intervention on rehabilitation outcome of patient with traumatic brain injury were retrieved from PubMed, ScienceDirect, CNKI, Wanfang data and VIP databases through subject headings retrieval. The retrieval time was from establishment to December 31th, 2021. After filtering, the research, country, research object, research design, intervention frequency, intervention effect, rehabilitation impact and influencing factors were extracted from the literature, and the methodological quality was evaluated using the PEDro scale. Results A total of six valid literatures were obtained, which mainly focused on the research of resilience intervention on physical function, post-traumatic stress disorder, psychological function and social adaptation of patients with traumatic brain injury. Conclusion Resilience intervention could reduce the patients' physical symptoms and post-traumatic stress disorder, and promoted the recovery of psychological functions, allowing them to maintain an optimistic attitude, and adopt flexible and effective coping style to adapt to the society.

Key words: traumatic brain injury, resilience, intervention, rehabilitation, systematic review

中图分类号:

R651.1

刘浩强,陈瀚哲,杨亚茹. 心理韧性改善脑外伤康复效果的系统综述[J]. 《中国康复理论与实践》, 2022, 28(6): 670-677.

LIU Haoqiang,CHEN Hanzhe,YANG Yaru. Effect of resilience intervention on rehabilitation of traumatic brain injury: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 670-677.

图/表 4

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表1

纳入文献的基本特征"

研究	国家	研究对象	研究设计	干预频率	干预效果	康复影响	影响因素
Rodgers等^[17](2007)	美国	脊髓损伤和脑外伤患者(n = 27) 照料者(n = 28)	前后测	每次90 min,每月1次,持续18个月	愤怒表达和抑郁症状减少,生活满意度提高,照料者负担减轻	促进心理功能恢复,提高生活质量和社会适应能力	未提及
Kreutzer等^[18](2018)	美国	轻、中、重度脑外伤患者试验组 (n = 83) 对照组 (n = 77)	双臂随机对照平行试验	每次60 min,共7次,持续5周	改善心理健康和促进社会适应	促进心理功能恢复,提高社会适应能力	个体因素：受伤严重程度、教育水平、受伤时间
Donnelly等^[19](2019)	美国	脑外伤患者(n = 13)	定性研究	每次80 min,每周1次,共6周	提高患者身心健康水平和社会适应水平,促进患者的社区融入	促进身体功能和心理功能恢复,提高社会适应能力	环境资源：社会支持
Soendergaard等^[20](2019)	丹麦	中、重度脑外伤患者试验组(n = 5) 对照组(n = 8)	双臂随机对照试验	每次90 min,每周1次,共8次	患者及家人得到帮助,恢复家庭结构和功能,从而改善健康状况	促进心理功能和家庭功能恢复,提高生活质量及社会适应能力	个体因素：损伤特点环境资源：家庭功能
Vranceanu等^[21](2020)	美国	脑外伤幸存者试验组(n = 29) 对照组(n = 29)	随机单盲对照试	共6次,2次在床边,4次通过视频,持续12周	改善了患者和照料者的创伤后应激症状、焦虑和抑郁	缓解创伤后应激,促进心理功能的恢复	未提及
Assonov^[22](2021)	乌克兰	轻、中度脑外伤退伍军人试验组(n = 35) 对照组(n = 35)	双臂随机对照试验	每次1 h,共6次	提高心理韧性和改善后期症状,利于退伍军人伤后康复	改善身体功能和心理功能	未提及

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参考文献 48

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纳入研究	项目1	项目2	项目3	项目4	项目5	项目7	项目8	项目9	项目10	项目11	总分
Rodgers等^[17](2007)	√						√	√		√	3
Kreutzer等^[18](2018)	√	√	√	√	√		√	√	√	√	8
Donnelly等^[19](2019)	√						√	√			2
Soendergaard等^[20](2019)	√	√	√		√	√	√	√	√	√	8
Vranceanu等^[21](2020)	√	√	√		√		√	√	√	√	7
Assonov^[22](2021)	√	√		√			√	√	√	√	6