脊髓损伤患者躯体功能恢复与心理护理的相关性研究

目的应用功能独立性评价量表(Functionalindependentmeasures,FIM)评估住院脊髓损伤(SCI)患者躯体功能恢复情况,同时进一步分析SCI患者躯体功能恢复与心理、直接护理的相关性。方法将39例SCI患者随机分成实验组18例和对照组21例,两组患者均进行常规的康复训练及康复护理,实验组另予以心理护理。并在入院时、出院时以及随访时对两组患者进行FIM评分,同时记录护理接触时间。结果实验组FIM评分较对照组有显著性差异(P<0.05),且入院时FIM评分与心理、直接护理所需时间呈显著负相关;出院时FIM评分与心理护理所需时间呈显著负相关,与给药、提供治疗等直接护理所需时间无显著负相关;随访时FIM评分与心理、直接护理所需时间均不存在显著相关。结论通过FIM评分可以预测护理工作需要量,躯体功能恢复和护理时间的关系不是线性关系,做好患者的心理疏导对提高康复治疗疗效,改善患者的生存质量有着积极的意义。

Correlative research between functional rehabilitation and psychological nursing in patients with spinal cord injury

Objective To define functional status of rehabilitation for all admission patients using functional independent measures (FIM), and to investigate relationships between FIM and SDS scores and nursing-compact time for SCI patients. Methods A retrospective study was carried out with 40 Spinal Cord Injury patients from September 2003 to April 2004. FIM scores, SDS scores and nursing-compact time were measured for statistical analysis. Results FIM scores on admission patients was negatively correlated to metal and physical nursing-compact time and was negatively correlated to metal nursing-compact time for discharge patients, but was not negatively correlated to metal and physical nursing-compact time for follow-up patients. Conclusions FIM and SDS scores can predict the works load of nursing.