运用世界卫生组织残疾评定量表对脊髓损伤和脑外伤患者功能和残疾状况的分析

Functioning and Disability for Patients with Spinal Cord Injury or Traumatic Brain Injury: Accessed with WHO Disability Assessment Schedule 2.0 Chinese Version

目的探讨脊髓损伤与脑外伤患者活动和参与功能状况。方法 2013年至2016年,使用世界卫生组织残疾评定量表2.0(WHO-DAS 2.0)国际中文版(检查者评定版)对60例脊髓损伤和38例脑外伤住院患者进行活动和参与功能评定。结果脑外伤患者在认知、与他人相处维度存在中度障碍,在其他维度均存在重度或极重度障碍。脊髓损伤患者在认知维度存在轻度障碍,在自理和与他人相处维度存在中度障碍,在其他维度存在重度或极重度障碍。脑外伤患者在认知(2.12±1.31)、自理(3.09±1.35)维度障碍程度高于脊髓损伤患者(1.60±1.00)、(2.52±1.26)(t>2.140,P<0.05)。结论脊髓损伤与脑外伤患者在活动性、自理、与他人相处、与生活相关的各项活动和社会参与维度均表现出中重度障碍。

Objective To study the activity and participation status of patients with spinal cord injury or traumatic brain injury. Methods From 2013 to 2016, 60 patients with spinal cord injury and 38 patients with traumatic brain injury were assessed with WHO Disability Assessment Schedule 2.0 （WHO-DAS 2.0） （International Chinese Version of fully structured interviewer administered 36 questions）. Results The patients with traumatic brain injury had moderate dysfunction in domains of cognition and getting along with people, and severe dysfunction in other domains. The patients with spinal cord injury had mild dysfunction in domain of cognition, moderate dysfunction in domains of self-care and getting along with people, and severe dysfunction in other domains. The dysfunction was severer in domains of cognition and self-care in the patients with traumatic brain injury than in the patients with spinal cord injury （t〉2.140, P〈0.05）. Conclusion The inpatients with spinal cord injury and traumatic brain injury are difficult in mobility, self-care, getting along with people, life activities and participation.