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贝托斯特伦健康运动中心的综合康复:对心理和身体机能的影响。

Comprehensive rehabilitation at Beitostølen Healthsports Centre: influence on mental and physical functioning.

作者信息

Røe Cecilie, Dalen Håkon, Lein Mette, Bautz-Holter Erik

机构信息

Department of Physical Medicine and Rehabilitation, Ulleval University Hospital, Oslo, Norway.

出版信息

J Rehabil Med. 2008 Jun;40(6):410-7. doi: 10.2340/16501977-0179.

Abstract

OBJECTIVE

To characterize the mental and physical functioning of subjects admitted to Beitostølen Healthsports Centre, and evaluate whether functioning was improved during rehabilitation.

MATERIAL AND METHODS

A total of 228 subjects admitted for rehabilitation completed the Medical Outcome Study Short Form 12 (SF-12) on admission and on discharge after approximately 4 weeks. A total of 174 subjects also completed SF-12 3 months after discharge. The physical and mental sum scores and the scores for the 8 subscales of SF-12 were calculated. In a stepwise backward multiple regression model, demographic and medical factors influencing improvement during rehabilitation were explored.

RESULTS

Physical, as well as mental, functioning was reduced on admission. Bodily pain and emotional factors represented the most dominant components. Both physical and mental functioning improved during the stay, and the improvement in physical functioning remained stable 3 months after discharge. The improvement in physical functioning was greatest for those subjects living in urban areas and having a painful musculoskeletal diagnosis. The improvement in mental functioning was greatest for females.

CONCLUSION

This approach to rehabilitation appears to be effective for improving physical functioning in the relevant group of individuals. However, carefully controlled studies with longer follow-up periods are required.

摘要

目的

描述入住贝托斯特伦健康运动中心的受试者的心理和身体功能,并评估康复期间功能是否有所改善。

材料与方法

共有228名接受康复治疗的受试者在入院时和大约4周后的出院时完成了医学结局研究简表12(SF - 12)。共有174名受试者在出院后3个月也完成了SF - 12。计算了SF - 12的身体和心理总分以及8个分量表的得分。在逐步向后多元回归模型中,探讨了影响康复期间改善情况的人口统计学和医学因素。

结果

入院时身体和心理功能均下降。身体疼痛和情绪因素是最主要的组成部分。住院期间身体和心理功能均有所改善,且身体功能的改善在出院后3个月保持稳定。对于居住在城市地区且有疼痛性肌肉骨骼诊断的受试者,身体功能的改善最大。女性心理功能的改善最大。

结论

这种康复方法似乎对改善相关个体群体的身体功能有效。然而,需要进行随访期更长的严格对照研究。

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