Istanbul Pyhsical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey.
Eur J Phys Rehabil Med. 2011 Dec;47(4):595-600. Epub 2011 Apr 20.
Spinal cord injury (SCI) effects the emotional states and coping strategies of the patients and their families. The interesting point is the interaction between the emotional status and coping strategies.
The aim of this study was to investigate the coping strategies and emotional states of the individuals with SCI and their caregivers and to compare the results of the groups.
Cross-sectional
Inpatient rehabilitation.
Thirty one patients with traumatic SCI and 31 family caregivers admitted to the inpatient rehabilitation were evaluated.
The injury duration was ≤12 months. Coping strategies and emotional status of the participants were evaluated by Brief Ways of Coping Questionnaire and Hospital Anxiety and Depression Scale. ASIA impairment scale and Functional Independence Measurement (FIM) were used for the assessment of the lesion severity and functional status.
The most common coping strategies were self confidence and optimistic strategies both in the patient and caregiver groups. There was no statistically significant difference between the coping strategies and emotional status of the groups (P>0.05). A positive correlation was found between helplessness strategy and age in patients with SCI. Coping strategies did not show correlation with FIM. Anxiety in caregivers correlated negatively with SCI duration (P<0.05).
As a result, the coping strategies and emotional status in the SCI patients and family caregiver groups showed similarity.
SCI patients and also their family caregivers must be evaluated in terms of coping strategies, anxiety and depression. The couples with maladaptive coping styles and emotional mood disorders might be supported with special interventions to help the adaptation to SCI and to improve the rehabilitation efficacy.
脊髓损伤（SCI）会影响患者及其家属的情绪状态和应对策略。有趣的是，情绪状态和应对策略之间存在相互作用。
本研究旨在调查 SCI 患者及其照顾者的应对策略和情绪状态，并比较两组的结果。
横断面研究
住院康复
31 名创伤性 SCI 患者和 31 名家庭照顾者入住住院康复病房进行评估。
损伤时间≤12 个月。采用简易应对方式问卷和医院焦虑抑郁量表评估参与者的应对策略和情绪状态。使用 ASIA 损伤量表和功能独立性测量（FIM）评估损伤严重程度和功能状态。
最常见的应对策略是患者和照顾者群体中的自信和乐观策略。两组之间的应对策略和情绪状态没有统计学上的显著差异（P>0.05）。在 SCI 患者中，无助策略与年龄呈正相关。应对策略与 FIM 不相关。照顾者的焦虑与 SCI 持续时间呈负相关（P<0.05）。
因此，SCI 患者和其家庭照顾者群体的应对策略和情绪状态表现出相似性。
必须从应对策略、焦虑和抑郁方面评估 SCI 患者及其家庭照顾者。对于应对方式和情绪障碍适应不良的夫妻，可能需要通过特殊干预来帮助适应 SCI，并提高康复效果。
