Rehabilitation outcomes in people with pre-morbid mental health disorders following spinal cord injury
Rehabilitation outcomes in people with pre-morbid mental health disorders following spinal cord injury
复制标题
DOI：
10.1038/sc.2008.116
复制
发表时间：
2009-04-01
期刊：
影响因子：
2.2
通讯作者：
Sandu, N.
中科院分区：
文献类型：
--
作者：
Kennedy, P.;Sherlock, O.;Sandu, N.
研究设计：病例系列，连续样本。目的：调查患有既存精神健康障碍（MHD）的脊髓损伤（SCI）患者的康复结果。地点：英国斯托克曼德维尔医院国家脊髓损伤中心（NSIC）。方法：28名新受伤的SCI患者：14例既存MHD患者和14例无MHD患者的匹配队列，这些患者在2000年至2006年期间入院。所有患者都参与了一个多学科的目标规划和需求评估康复计划。康复结果使用需求评估清单（NAC）进行测量，该清单是专门为SCI患者设计的。它是一个可靠的和有效的临床评估工具，它提供了一种手段来评估和促进个性化定制的康复programmes.Results交付：无显着差异被发现MHD和非MHD组之间的康复结果。MHD组在第一次需求评估中表现出更高的心理独立性得分。总体而言，这两组被发现作出显着的改善，他们的独立性水平的所有9个领域的需要之间的第一和第二NAC administration.Conclusion：结果表明，康复可以量身定制，以满足个性化需求的SCI患者MHD，但是，需要进一步的研究比较这些结果与其他康复方法。MHD患者在进入NSIC时及时的心理支持功能已被认为是康复表现的一个潜在解释。最重要的是，MHD患者的康复结果与非MHD患者相比没有显着差异。
Study design: Case series, consecutive sample.Objective: To investigate the rehabilitation outcomes of patients with spinal cord injury (SCI) suffering from preexisting mental health disorders (MHD).Setting: National Spinal Injuries Centre (NSIC), Stoke Mandeville Hospital, UK.Method: Twenty-eight newly injured SCI patients: 14 with preexisting MHD and a matched cohort of 14 patients without MHD who were admitted between 2000 and 2006. All patients were involved in a multidisciplinary Goal Planning and Needs Assessment Rehabilitation Programme. Rehabilitation outcomes were measured using the Needs Assessment Checklist (NAC), which has been specifically designed for use with people with SCI. It is a reliable and valid clinical assessment tool, which provides a means to assess and facilitate the delivery of an individually tailored rehabilitation programme.Results: No significant difference was found between the MHD and non-MHD groups for rehabilitation outcomes. The MHD group showed higher achieved independence scores in psychology for the first needs assessment. Overall, both groups were found to make significant improvements in their level of independence for all nine areas of need between the first and second NAC administration.Conclusion: Results suggest that rehabilitation can be tailored to meet the individual needs of patients with SCI having MHD; however, further research comparing these outcomes with other rehabilitation approaches is required. The function of timely psychological support for MHD patients on admission to the NSIC has been suggested as a potential explanation for rehabilitation performance. Most importantly, rehabilitation outcomes of patients with MHD have not been found to differ significantly compared with those without MHD.