《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (2): 174-176.

• 论文 • 上一篇    下一篇

截瘫患者心理健康水平及心理康复的效果

郎红娟，李源莉，王仙丽，宋艳，朱银星   

  1. 1.第四军医大学唐都医院，a：护理部，b：康复医学科，陕西西安市710038。
  • 收稿日期:2012-08-13 修回日期:2012-09-13 出版日期:2013-02-25 发布日期:2013-02-25
  • 通讯作者: 朱银星

Mental Health and Psychological Rehabilitation for Paraplegic Patients

LANG Hong-juan, LI Yuan-li, WANG Xian-li, et al.   

  1. Nursing Department, Tangdu Hospital, the Fourth Military Medical University, Xi'an 710038, Shaanxi, China
  • Received:2012-08-13 Revised:2012-09-13 Published:2013-02-25 Online:2013-02-25

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摘要： 目的探讨截瘫患者的心理健康水平及相应心理康复措施对康复效果的影响。方法38 例截瘫患者随机分为对照组和治疗组，各19 例。对照组单纯实施康复治疗中的运动疗法及作业疗法；治疗组在此基础上予以心理康复治疗。每周1 次，共3个月。采用临床症状自评量表(SCL-90)对两组截瘫患者心理康复前后的心理健康水平进行对比研究。结果截瘫患者心理障碍发生频度依次为：躯体化、焦虑、恐惧、人际关系敏感、抑郁、强迫。心理康复后各因子分降低(P<0.05)。结论截瘫患者心理健康水平较低，应加强心理治疗干预，有利于康复和提高生活质量。

关键词: 截瘫, 心理健康水平, 心理康复

Abstract: Objective To investigate the level of mental health and effect of psychological rehabilitation on paraplegic patients. Methods 38 paraplegic patients were randomly divided into control group (n=19) and treatment group (n=19). Both groups received physical therapy and occupational therapy, while the treatment group received psychotherapy in addition, once a week for 3 weeks. Their mental health level was assessed with Self-reporting Inventory. Results The psychological problems occurred was ranked as somatization, anxiety, fear, interpersonal sensitivity, depression and obsession from more to less. The scores of each factor reduced after treatment (P<0.05). Conclusion The paraplegics are in poor mental health condition, so more psychotherapy intervention should be taken to improve their rehabilitation effect and quality of life.

Key words: paraplegia, mental health condition, psychological rehabilitation