摘要
目的探讨非外伤性脊髓损伤（NTSCI）患者的康复效果，并分析其影响因素。方法回顾性分析2014年12月至2016年11月进行康复治疗的49例NTSCI患者，康复效果评定的主要指标为患者出院时日常生活自理能力即改良Barthel指数（MBI），按照患者出院时MBI是否达到入院时制订的目标，将患者分为有效组31例和无效组18例。记录患者的社会人口学资料（性别、年龄）、疾病相关因素（损伤原因、损伤平面、损伤等级、损伤程度、瘫痪类型、住院时间、患病时间、并发症数）、功能状态（入院和出院时MBI）、治疗相关因素（是否手术、是否进行早期康复）。通过单因素分析和Logistic回归分析NTSCI患者康复效果的影响因素。结果经过系统的康复训练，患者MBI有明显的提高，入院时（38．98±24．90）分，出院时（56．35±22．69）分，差异有统计学意义（Z=-4．95，P=0．00。回归分析显示，患者入院时MBI（OR=I．044，P=0.010）、住院时间（OR=1．044，P=0.039）是影响NTSCI患者康复效果的主要因素，而年龄、性别、损伤等级、损伤平面、损伤程度、并发症数等对NTSCI患者的康复效果没有确切影响。结论应对NTSCI患者开展积极的康复训练，系统评估患者入院时的MBI，结合患者损伤情况等制订严格的康复训练目标和训练程序，提高康复效率，缩短住院时间，提高患者生命质量。
Objective To explore the rehabilitation outcome and influencing factors of functional recovery in patients with nontraumatic spinal cord injury （NTSCI）. Methods A retrospective analysis was done on 49 cases suffering from NTSCI who recepted rehabilitation therapy from December 2014 to November 2016. The main indicator of the rehabilitation effect was Modified Barthel Index （MBI）. A total of 49 cases were divided into two groups, effective group （31 cases） and ineffective group （18 cases） according to whether their MBI on discharge had beated the target setted on admission. The following factors： ages, gender, injury causes, injury level, injury grade, injury severity, the types of paralysis, hospitalization time, sick time, complications number, MBI on admission and discharge, operation, early rehabilitation were evaluated by Univarite analysis and Logistic stepwise regression to assess how they influenced rehabilitation outcome. Results After systematically rehabilitation training, MBI had apparent improvement, from （38.98±24.90） score on admission to （56.35±22.69） score on discharge and had statistical significance（Z=-4.95, P=0.00）, which showed that rehabilitation training can effectively improve patients＇ self-care ability of daily living. Regression analysis found that the MBI on admission （OR=1.044, P=0.010） and hospitalization time（OR=1.044, P=0.039） had a noticeable effect on the rehabilitation outcome, while all the other factors, such as age, sex, injury grade, injury level, injury severity, complications number hadn＇t show concrete effect on rehabilitation outcome. Conclusions Patients with NTSCI should have early rehabilitation, medical staff should assess their admission MBI, make a strict rehabilitation training plan to improve rehabilitation efficiency, shorten hospitalization time,improve the patients quality of life.
出处
《中国实用护理杂志》
2017年第14期1067-1071,共5页
Chinese Journal of Practical Nursing
关键词
非外伤性脊髓损伤
日常生活自理能力
康复效果
影响因素
Nontraumatic spinal cord injury
Ability of daily living
Rehabilitation outcomes
Influencing factors
