中国康复理论与实践2025，Vol.31Issue(11)：1333-1341,9.DOI:10.3969/j.issn.1006-9771.2025.11.010
生活重建训练对慢性期脊髓损伤患者及其照顾者焦虑和抑郁的效果
Effect of life reconstruction training on anxiety and depression among individuals with chronic spinal cord injury and their caregivers
摘要
Abstract
Objective To explore the effect of life reconstruction training on anxiety and depression among individuals with chronic spinal cord injury(SCI)and their caregivers,and to analyze the influencing factors. Methods A total of 216 SCI patients and 79 caregivers who participated in life reconstruction training were recruited from the Hope House for SCI individuals in Shanghai Yangzhi Rehabilitation Hospital from May,2017 to Octo-ber,2019.They were assessed with Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)be-fore and after intervention. Results After intervention,the scores of SAS and SDS decreased(P<0.05)in both SCI patients and their caregivers.SAS scores were more likely to reduce in SCI patients who suffered anxiety at admission(OR=2.315,95%CI 1.328 to 4.033,P=0.003)and their caregivers(OR=3.632,95%CI 1.270 to 10.390,P=0.016),as well as non-agricultural-registered SCI patients(OR=1.908,95%CI 1.074 to 3.391,P=0.028).Being unmarried,having an injury duration≥21 years,injury due to disease,and having depression at admission significantly promoted the reduction in SDS scores among SCI patients(P<0.05).Caregivers with a junior-high-school education or less were more likely to experience reductions in scores of SAS and SDS compared with those with higher education(P<0.05).Caregivers with five to 15 years of caregiving experience achieved more anxiety reduction(OR=7.155,95%CI 1.806 to 28.342,P=0.005). Conclusion Life reconstruction training is effective on anxiety and depression among individuals with chronic SCI and their caregivers.It is recommended to prioritize anxiety interventions for patients with rural household registra-tion in China,along with depression management for the married/divorced/widowed individuals,with<21 years since injury,and trauma-induced lesions.For caregivers,it is needed to focus to anxiety and depression in better-educated individuals,as well as anxiety in those with either<5 or≥15 years of caregiving experience.关键词
脊髓损伤/焦虑/抑郁/生活重建训练/影响因素Key words
spinal cord injury/anxiety/depression/life reconstruction training/influencing factors分类
医药卫生引用本文复制引用
解海霞,胡心星,翟华,林佩佩,何建辉,张佳,董晓婉,苌凤水..生活重建训练对慢性期脊髓损伤患者及其照顾者焦虑和抑郁的效果[J].中国康复理论与实践,2025,31(11):1333-1341,9.基金项目
1.上海市残疾人联合会康复政策研究专项项目(No.2023ZC1002 （）
No.2022ZC1011) （）
2.复旦大学-中国人民健康保险股份有限公司重大课题(No.25) （No.25）
3.国家临床重点专科建设项目(No.Z155080000004) （No.Z155080000004）
4.复旦大学公共卫生学院"德隆学者计划"项目 Supported by Research Project of the Shanghai Disabled Persons(No.2023ZC1002 （）
No.2022ZC1011),Project of Fudan University-PICC Health Insurance Company Limited(Major)(25),National Key Clinical Specialty Development Project(No.Z155080000004),and Delong Scholars Program,School of Public Health,Fudan University （Major）
