心理-认知-行为三联康复干预对创伤性颅脑损伤患者的神经功能、肢体运动与生活质量的影响

目的 探讨心理-认知-行为三联康复干预用于创伤性颅脑损伤(TBI)患者,对其神经功能、肢体运动及生活质量的影响。方法 选取2016年1月～2018年12月住院治疗TBI患者74例,随机分为干预组和对照组各37例。对照组给予常规干预,干预组在对照组上加以心理-认知-行为三联康复干预,两组干预8周。评估两组TBI患者干预前及干预8周后神经功能指标(CSS评分)、肢体运动(Fugl-Meyer评分)与生活质量(QOL评分)变化情况。结果 干预8周后,两组CSS评分与Fugl-Meyer评分均较前分别显著下降或显著上升(P0.05或P0.01),且干预组变化情况与对照组相比更显著(P0.05或P0.01);同时两组生活质量指标评分亦较前显著上升(P0.05或P0.01),且干预组上升情况与对照组相比更显著(P0.05或P0.01)。结论 心理-认知-行为三联康复干预用于TBI患者,能显著改善神经功能及肢体运动,降低致残率,提高其生活质量。

Effect of psychology-cognition-behavior triple rehabilitation intervention on neurological function,limb movement and quality of life of patients with traumatic brain injury

Objective To investigate the effect of psychology-cognition-behavior triple rehabilitation intervention on the neurological function,limb movement and quality of life of patients with traumatic brain injury(TBI).Methods Seventy-four patients with TBI who were hospitalized and treated from January 2016 to December 2018 were randomly divided into the intervention group and the control group,with 37 patients in each group.The control group was given routine intervention and the intervention group was given psychology-cognition-behavior triple rehabilitation intervention on the basis of the control group.The two groups were intervened for 8 weeks.The neurological function indicators(CSS score),limb movement(Fugl-Meyer score) and quality of life(QOL score) of the two groups before and after 8 weeks of intervention were evaluated.Results After 8 weeks of intervention,the CSS scores and Fugl-Meyer scores of both groups were significantly decreased or significantly increased compared to those before intervention (P<0.05 or P<0.01),and the changes of the intervention group were more significant than those of the control group(P<0.05 or P<0.01).Meanwhile,the scores of quality of life indicators of the two groups were also significantly increased compared to those before intervention(P<0.05 or P<0.01),and the increase of the intervention group was more significant than that of the control group (P<0.05 or P<0.01).Conclusion The application of psychology-cognition-behavior triple rehabilitation intervention for TBI patients can significantly improve the neurological function and limb movement,reduce the disability rate and improve their quality of life.