摘要
目的:分析自我效能训练在脊髓损伤患者康复中的应用效果.方法:选取 2021年 1月—2023年 6月烟台市烟台山医院收治的 64例脊髓损伤患者为研究对象,采用随机数字表法将其分为研究组和对照组,每组32例.对照组采用常规运动功能康复训练,研究组在对照组基础上实施自我效能训练.两组均干预 3个月.对比两组神经功能、下肢运动功能和平衡功能、自我效能、生活质量、心理状态及肌肉康复情况.结果:干预后,研究组美国脊髓损伤学会评分量表运动和感觉评分、肢体Fugl-Meyer运动功能评分量表、Berg平衡量表、一般自我效能量表、功能独立性评定量表、生活质量量表-74评分均高于对照组,差异均有统计学意义(P<0.05).干预后,研究组的汉密尔顿焦虑量表及汉密尔顿抑郁量表评分均低于对照组,差异均有统计学意义(P<0.05).研究组腓肠肌、胫前肌、股二头肌和肱四头肌表面肌电信号评分均高于对照组,差异均有统计学意义(P<0.05).结论:自我效能训练能有效改善患者的神经功能,提升患者的下肢运动功能和平衡功能,提高患者的生活质量,改善患者的心理状态,促进患者肌肉康复情况.
Abstract
Objective:To analyze the rehabilitation effect of self-efficacy training in patients with spinal cord injury.Methods:A total of 64 patients who received spinal cord injury in Yantai Yantai Mountain Hospital from January 2021 to June 2023 were randomly selected as the objects of this comparative study.The patients were divided into study group and a control group by random number table method,with 32 cases in each group.The control group received routine motor function rehabilitation training,while the observation group received self-efficacy training on the basis of basic motor function rehabilitation training.Both groups were treated for 3 months.Nerve function,lower limb motor function and balance function,self-efficacy,quality of life,mental state and electromyographic signal score were compared between the two groups.Results:After intervention,the motor and sensory scores,Fugl-Meyer Motor function Scale,Berg balance scale,general self-efficacy scale,Functional independence Rating Scale and Quality of Life Scale-74 scores of the American Spinal Cord Injury Society Rating Scale in the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Hamilton anxiety Scale and Hamilton Depression Scale in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The surface EMG scores of gastrocnemius,tibialis anterior,biceps femoris quadriceps in study group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Self-efficacy training can effectively improve patients'ASIA and GSES scores,improve patients'lower extremity motor function and balance function,improve patients'quality of life,improve patients'psychological state,and promote patients'muscle rehabilitation.
维普
万方数据