脊髓损伤患者情绪状态与活动和参与功能研究

Research on Emotional Status and Activity and Participation for Inpatients with Spinal Cord Injury

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(P<0.05)。结论抑郁对脊髓损伤患者活动和参与功能有消极影响。

Objective To analyze the relationship between the status of anxiety and depression and activity and participation for inpatients with spinal cord injury（SCI）.Methods From January,2014 to June,2016,a total of 37 inpatients with SCI were assessed by Zung Self-rating Anxiety Scale（SAS）,Zung Self-rating Depression Scale（SDS）,and WHO Disability Assessment Schedule 2.0（WHO-DAS2.0） at discharge.Results The average scores of SDA were（0.5±0.18） and SAS were（41.15±14.7） respectively.The inpatients scored（1.43±0.82）（cognition）,（3.06±1.43）（mobility）,（2.47±1.11）（self-care）,（2.13±0.66）（getting around）,（3.68±1.32）（life activity for household and work）,and（3.57±0.84）（participation） in six domains of WHO-DAS 2.0 respectively.There were severe disabilities in mobility,life activity for household and work,and participation;mild disability in cognition;and moderate disabilities in self-care and getting around.There was positive correlation between depression and functions of mobility,life activity for household and work,and participation（P0.05）.Conclusion Depression influences the status of activity and participation for inpatients with SCI at recovery stage.