Department of Kinesiology, Health Promotion and Recreation, University of North Texas, Denton, TX 76203-0769, USA.
Rehabil Psychol. 2010 Feb;55(1):23-32. doi: 10.1037/a0018451.
The purposes of this study were to (a) identify changes in resilience and indicators of adjustment (i.e., satisfaction with life, depressive symptomatology, spirituality, functional independence) during inpatient rehabilitation after spinal cord injury (SCI) and (b) examine the relationship between each variable at different stages of the rehabilitation process.
The sample consisted of 42 individuals with a SCI, including 33 men and 9 women who were inpatients for a mean stay of 51 days (SD = 14.63). A repeated measures design was employed, with questionnaires completed at 3 times during the rehabilitation program (admit, 3 weeks, and discharge).
Results from the repeated measures multivariate analysis of covariance and post hoc follow-up tests indicated that there was no significant change in resilience, but that there was significant change for each indicator of adjustment during inpatient rehabilitation. Findings also indicated significant correlations between resilience, satisfaction with life, spirituality, and depressive symptoms.
Future studies that focus on developing interventions and examine the factors that predict resilience could help build resilience, which in turn may improve rehabilitation outcomes.
本研究旨在：(a) 确定脊髓损伤（SCI）后住院康复期间韧性和调整指标（即生活满意度、抑郁症状、灵性、功能独立性）的变化；(b) 检验康复过程不同阶段各变量之间的关系。
该样本由 42 名 SCI 患者组成，包括 33 名男性和 9 名女性，平均住院时间为 51 天（SD=14.63）。采用重复测量设计，在康复计划的 3 个时间点（入院时、3 周时和出院时）完成问卷调查。
重复测量协方差和事后随访检验的多变量分析结果表明，韧性没有显著变化，但在住院康复期间，每个调整指标都有显著变化。研究结果还表明，韧性、生活满意度、灵性和抑郁症状之间存在显著相关性。
未来的研究应重点关注制定干预措施，并研究预测韧性的因素，这有助于建立韧性，从而可能改善康复结果。
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