脊髓损伤患者情绪状态与活动和参与功能研究

发布时间：2019-01-30 09:03

【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(P0.05)。结论抑郁对脊髓损伤患者活动和参与功能有消极影响。
[Abstract]:Objective to investigate the relationship between mental emotion state (mainly anxiety and depression) and activity and participation function in patients with spinal cord injury (sci). Methods from January 2014 to June 2016, 37 patients with spinal cord injury were assessed with Zung anxiety scale and Zung depression scale. World Health Organization Disability Assessment Program 2.0 (WHO-DAS 2.0). Results the average score of depression was (0.5 卤0.18), the average score of anxiety was (41.15 卤14.7), the average score of anxiety was (41.15 卤14.7). In the six dimensions of activity and participation, the average scores of cognition and activity were (1.43 卤0.82) and (3.06 卤1.43), respectively. The average score of self-care was (2.47 卤1.11) (moderate obstacle), the average score of getting along with others was (2.13 卤0.66) (moderate obstacle), the average score of life related activities was (3.68 卤1.32) (severe disorder). The average score of social participation was (3.57 卤0.84) (severe disorder). There was no direct correlation between anxiety and functional status. The depression level was positively correlated with the three dimensions of activity and engagement, other people's relationship, life related activity and social participation (P0.05). Conclusion Depression has a negative effect on the activity and participation of patients with spinal cord injury.
【作者单位】：中国康复研究中心北京博爱医院;
【分类号】：R651.2

【相似文献】