轮椅技能分级训练对工伤截瘫康复患者希望水平的影响

Effect of wheelchair skill classification training on hope level of patients recovering from work-related paraplegia

目的探讨轮椅技能分级训练对工伤截瘫康复患者希望水平的影响。方法选择2017年1月1日—2018年2月15日常州市德安医院康复中心收治的工伤截瘫患者56例(均为男性),使用数字表法随机分为观察组与对照组,每组各28例。在常规康复治疗基础上,对照组给予轮椅使用技能常规训练,观察组接受系统化轮椅技能分级训练,两组均持续训练8周。观察两组患者训练前后轮椅应用水平(WST测试评分)、Herth希望水平、心理卫生状况(SCL-90量表)及自我效能感(GSES)评分变化情况。结果训练8周后观察组患者WST测试值、GSES评分较同期对照组显著提高[(80.26±19.52)vs(35.67±15.62),(30.53±7.68)vs(24.74±5.09)],SCL-90评分较同期对照组显著降低[(127.52±41.67)vs(186.27±67.13)],差异均有统计学意义(均P<0.01);观察组患者训练8周后Herth希望量表各维度评分及总评分均显著高于同期对照组,差异有统计学意义(均P<0.05);WST评分与患者对现实与未来的积极态度、所采取的积极行动、与他人维持的亲密关系以及希望总评分均呈正相关关系(r=0.841、0.786、0.681、0.806,均P<0.05)。结论轮椅技能分级训练可有效促进工伤截瘫康复患者轮椅使用水平、心理卫生状况以及自我效能感的提升,并有效提高患者的希望水平。

[Objective]To explore the effect of wheelchair skill classification training on the hope level of patients recovering from work-related paraplegia.[Methods]A total of 56 cases(all were male)of work-related paraplegia admitted from January 1,2017 to February 15,2018 in the rehabilitation center of Changzhou De’an Hospital were selected,and were randomly divided into observation group and control group with 28 cases in each group. On the basis of conventional rehabilitation treatment,the control group received conventional training in wheelchair use skills,and the observation group received systematic wheelchair skill classification training,both groups continued training for eight weeks. The changes of wheelchair application level(WST test score),Herth hope level,mental health status(SCL-90 scale) and self-efficacy(GSES)were observed before and after training.[Results]After eight weeks of training,the WST test score and GSES score of the observation group were significantly higher than those of the control group[(80.26±19.52)vs(35.67±15.62),(30.53±7.68)vs(24.74±5.09)],while the SCL-90 score was significantly lower than that of the control group[(127.52±41.67)vs(186.27±67.13)],and the differences were statistically significant(all P<0.01). After eight weeks of training,the score of all dimensions and total scores of the Herth hope scale in the observation group were significantly higher than those in the control group,and the differences were statistic ally significant(all P<0.05). The WST score was positively correlated with the patient’s positive attitude towards reality and future,the positive actions taken,the close relationship with others and the hope total score(r =0.841,0.786,0.681,0.806,all P <0.05).[Conclusion] Wheelchair skill classification training can effectively promote wheelchair use,mental health status,and self-efficacy of patients recovering from work-related paraplegia,and effectively improve the hope of patients.