《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (10): 967-969.

• 论文 • 上一篇    下一篇

心理康复在肢体运动功能康复过程中的作用

王俊卿，周筱燕，张嘉锋，李源莉，郭克锋   

  1. 1.第四军医大学唐都医院康复医学科，陕西西安市710038；2.西安市中心医院中医科，陕西西安市710003；3.陕西省荣誉军人康复医院，陕西华阴市714200。
  • 收稿日期:2012-11-14 修回日期:2013-03-06 出版日期:2013-10-25 发布日期:2013-10-25
  • 通讯作者: 郭克锋

Effect of Psychological Rehabilitation on Limb Motor Function

WANG Jun-qing, ZHOU Xiao-yan, ZHANG Jia-feng, et al.   

  1. Department of Rehabilitation Medicine, Tangdu Hospital, Fourth Military Medical University of Chinese PLA, Xi'an 710038, Shaanxi, China
  • Received:2012-11-14 Revised:2013-03-06 Published:2013-10-25 Online:2013-10-25

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摘要： 目的观察心理康复对肢体运动功能障碍康复的作用。方法将136 例住院需进行康复治疗和训练的患者分为观察组和对照组各68 例。对照组仅给予常规康复训练和康复治疗，观察组在此基础上介入心理康复治疗(包括心理治疗和药物治疗)。治疗前和治疗8 周后，采用精神卫生症状自评量表(SCL-90)、Fugl-Meyer评定法(FMA)和改良Barthel 指数(MBI)进行评价。结果136例患者均存在较多的心理问题，其中以焦虑、抑郁、躯体化、恐惧、敌对为著，两组患者治疗前SCL-90 评分、FMA评分和MBI评分均无显著性差异(P>0.05)。治疗后观察组除精神病性(P>0.05)外，SCL-90 评分均低于对照组(P<0.05)；FMA评分和MBI评分均明显高于对照组(P<0.01)。结论心理康复在整体康复过程中具有重要的作用。

关键词: 心理康复, 运动功能, 康复医学

Abstract: Objective To explore the effect of psychological rehabilitation on patients with limb motor dysfunction. Methods 136 cases of hospitalized patients who needed rehabilitation therapy and training were divided into observation group and control group. The control group received conventional rehabilitation, and the observation group received psychological rehabilitation (psychotherapy and medicine) in addition. Symptom Checklist-90 (SCL-90), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) were assessed before and 8 weeks after treatment. Results Most of the 136 patients were involved in psychological problems, including anxiety, depression, somatization,fear, hostility. There was no difference in the scores of SCL-90, FMA and MBI between 2 groups before treatment (P>0.05). After 8 weeks treatment, the scores of SCL-90 were lower, except psychotism (P>0.05), in the observation group than in the control group (P<0.05),the scores of FMA and MBI were higher in the observation group than in the control group (P<0.01). Conclusion The psychological rehabilitation plays an important role in rehabilitation of limb motor dysfunction.

Key words: psychological rehabilitation, motor function, rehabilitation medicine