健康教育对脊髓损伤患者脊髓功能恢复影响.docVIP

健康教育对脊髓损伤患者脊髓功能恢复影响[摘要] 目的 探讨健康教育对脊髓损伤患者脊髓功能恢复的影响。方法 选择我院2009年1月～2011年1月收治的脊髓损伤患者36例，随机分为观察组和对照组各18例。对照组患者只接受药物基础治疗和一般护理；观察组患者除接受药物基础治疗和一般护理外还同时接受系统的健康教育。比较两组患者出院3个月后的各项功能评分。结果 两组运动、感觉、触觉评分、Barthel指数及FIM评分比较差异均有统计学意义（P＜0.05），观察组优于对照组。结论 健康教育能加快患者脊髓功能恢复的速度，真正提高脊髓损伤患者的生活质量，对患者、家庭和社会都具有重要的意义，值得临床推广应用。 [关键词] 健康教育；脊髓损伤；脊髓功能；生活质量 [中图分类号] R651.2 [文献标识码] C[文章编号] 1673-9701（2011）27-132-02 Effect of Health Education on Spinal Function Recovery in Patients with Spinal Cord Injury SHEN Tulan The Fifteenth Wards of Orthopedics Department，Zhejiang Hospital，Hangzhou 310012，China [Abstract] Objective To explore the effect of health education on spinal function recovery in patients with spinal cord injury. Methods All 36 patients with spinal cord injury from January 2009 to January 2011 were randomly divided into observation group and control group. Control group only accepted drug and general care. Observation Group received systems of health education based on besides drugs and general care. The function score of the two groups of patients discharged from hospital after 3 months were compared. Results There were significant difference in exercise，feel，touch，FIM score and Barthel index scores between two groups，and observer group was better than the control group. Conclusion Health education can accelerate the speed of functional recovery in patients with health education，truly enhance the quality of life of patients with spinal cord injury. It has great significance to patients，families and society. Therefore，it is worth clinical application. [Key words] Health education；Spinal cord injury；Spinal cord function；Quality of life 脊髓损伤（spinal cord injury）是指由于外界直接或间接因素导致的脊髓损害引起的相应改变。脊髓损伤的程度和临床表现取决于原发性损伤的部位和性质。此病较常见，属骨科危重疾病；其特点是病程长、并发症多、预后差、致残率高[1]。因此，患者的心理压力巨大，如不及时疏导，很易产生焦虑、抑郁情绪，给家庭和社会带来更沉重的负担。近年来，我院在对患者进行基础治疗的同时，尝试用健康教育作为辅助治疗手段，目的是提高患者的生活质量，取得较好的效果，现报道如下。 1资料与方法 1.1一般资料 选择我院2009年1月～2011年1月收治的脊髓损伤患者36例，其中男23例，女13例，年龄22～63岁，平均（33.2±3.8）岁，病程1个月～2年。完全性脊髓损伤患者