上海市某康复医院脊髓损伤整体康复不同工作模式探讨

Discussion on the Rehabilitation Therapies in Spinal Cord Injury Patients in a Rehabilitation Hospital,Shanghai

目的:通过比较脊髓损伤整体康复不同的工作模式,寻求适合脊髓损伤患者康复的有效模式。方法:选取上海市某康复医院2013年脊髓损伤患者133名,通过简单随机化分组,分成3种不同工作模式的康复小组。在入院基线及出院时分别进行功能独立性评价FIM、症状清单SCL-90及生存质量量表SF-36评估,分析3组在上述评价指标上的差异。结果:3组治疗后功能独立性FIM均有提高,SCL-90均有下降,且差异有统计学意义(P<0.05)。3组治疗后在SF-36评分方面总分及部分因子评分有改善,但组间差异无统计学意义(P>0.05)。结论:针对脊髓损伤的3套整体康复工作模式总体是有效的,侧重作业治疗及社会融合、心理干预偏向于心理教育可能更有利于康复,但同时有增加并发症的风险,需要做好预防工作。

Objective：By comparing the rehabilitation of spinal cord injury in different operating modes of conduct , to form an effective mode is suitable for rehabilitation of patients with spinal cord injury .Methods：A total of 133 patients were randomly switched into three different rehabili-tation groups, all the patients accepted the evaluation, including motor FIM, SCL-90 and SF-36 at baseline and discharge.Results： The im-provement on motor FIM and SCL-90 were significant in all three groups, the total score of SF-36 and some factors showed the same result.There was no significant difference in all of the evaluation among three groups.Conclusion： The three different models of rehabilitation in SCI halfway house are effective in general.To focus on occupational therapy, social integration and psychological education may be more conducive on outcome . On the other hand, when we take these therapies above might increase the risk of complication, so the additional prevention is necessary.