摘要
目的了解出院后持续接受作业治疗对脊髓损伤患者生活满意度的影响。方法将2008年—2010年首次发病住院的52例脊髓损伤患者按入院时间单双号分为试验组和对照组,每组各26例。试验组住院期间采用基础康复处理方法,出院后继续配合院外作业治疗指导;对照组住院期间采用基础康复处理方法,出院后无后续作业治疗。在患者出院时和出院21个月后分别填写生活满意度问卷,以进行比较分析。结果 52例患者经过平均12周的院内治疗。两组在出院时和出院21个月后均分别发放调查问卷26份,回收26份,回收率100%。出院时,两组患者生活满意度评分结果比较差异无统计学意义(P>0.05)。试验组经过出院21个月后的持续作业治疗,生活满意度评分均较对照组提高,差异有统计学意义(P<0.05)。对照组出院21个月后的生活满意度评分与出院时比较差异无统计学意义(P>0.05)。试验组患者出院时和出院21个月后比较,除性生活情况与伴侣的关系差异不明显(P>0.05)外,其他项目均显著提高,差异有统计学意义(P<0.05)。结论持续对患者功能进行专业的作业指导,可有效提高其生活满意度,且患者的康复疗效远好于某阶段的康复干预。
Objective To investigate the effect of continuous occupational therapy（OT） on the life satisfaction of patients with spinal cord injury（SCI）. Methods Fifty-two SCI patients treated in Department of Rehabilitation at People＇s Hospital of Mianzhu City between 2008 and 2010 were randomly assigned into two groups with 26 patients in each. Patients in the trial group received OT and rehabilitation nursing both in hospital and after being discharged from hospital, whereas patients in the control group only received treatment in hospital. Life satisfaction was assessed when patients were discharged from hospital and 21 months later. Results The patients were treated for an average of 12 weeks in hospital before being discharged. Twenty-six questionnaires were given out to the patients when they were discharged from hospital, and another 26 were given 21 months later. All the questionnaires were retrieved, with a retrieval rate of100%. The life satisfaction scores between the trial and control groups were not different from each other when the patients were discharged from hospital（P〉0.05）. The trial group was more satisfied with their life 21 months after being discharged from hospital（P〈0.05）. The life satisfaction scores of the control group were not changed（P〉0.05）. The trial group had higher life satisfaction than the control group 21 months after being discharged（P〈0.05）. Conclusion Continuous OT instruction on patients can increase their life satisfaction, and the rehabilitation effect of patients is better than rehabilitation intervention at a certain stage.
出处
《华西医学》
CAS
2017年第2期196-199,共4页
West China Medical Journal
关键词
脊髓损伤
作业治疗
生活满意度
Spinal cord injury
Occupational therapy
Life satisfaction
