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目的探讨心理干预对脊髓损伤(SCI)患者抑郁状态及生存质量的影响。方法随机将80例确诊脊髓损伤患者分为治疗组及对照组,每组40例。2组患者均给予常规康复训练,治疗组另予以系统心理干预,于治疗前及治疗3个月后采用贝克抑郁问卷(BDI)及汉密尔顿抑郁量表(HAMD)评定患者抑郁情况,用简明健康调查问卷(SF-36)评定生存质量。结果治疗组BDI及HAMD评分明显低于对照组,差异有统计学意义(P<0.05),治疗组SF-36中的生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康分值明显高于对照组,差异有统计学意义(P<0.05),治疗组SF-36中的生理功能分值高于对照组,差异无统计学意义(P>0.05)。结论心理干预,能明显改善SCI患者抑郁的心理状态,提高SCI患者的生存质量。
Objective To investigate the effect of psychological intervention on depression and quality of life in patients with spinal cord injury (SCI). Methods 80 cases of diagnosed spinal cord injury were randomly divided into treatment group and control group, 40 cases in each group. The patients in both groups were given routine rehabilitation training. The treatment group was additionally given systematic psychological intervention. Depression was assessed by Beck Depression Inventory (BDI) and Hamilton Depression Rating Scale (HAMD) before treatment and 3 months after treatment. Questionnaire (SF-36) to assess the quality of life. Results The scores of BDI and HAMD in the treatment group were significantly lower than those in the control group (P <0.05). The physical function, physical pain, general health status, energy, social function, emotional function and spirit of SF-36 Health score was significantly higher than the control group, the difference was statistically significant (P <0.05), SF-36 in the treatment group physiological function score higher than the control group, the difference was not statistically significant (P> 0.05). Conclusion Psychological intervention can significantly improve the psychological status of depression in SCI patients and improve the quality of life in SCI patients.