Felter Cara E, Bentley Jacob A, Sadowsky Cristina L, Wegener Stephen T
Department of Physical Therapy and Rehabilitation Science, University of Maryland, Baltimore, School of Medicine, Baltimore, MD, USA.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
NeuroRehabilitation. 2017;41(1):237-240. doi: 10.3233/NRE-171476.
There is a lack of evidence regarding the psychosocial characteristics of individuals with spinal cord injury (SCI) undergoing activity-based restorative therapy (ABRT) treatment.
This study seeks to describe the hopefulness of a sample of ABRT participants and describe the relationship between hopefulness and level of rehabilitation engagement.
A prospective cross-sectional cohort study was conducted using a convenience sample of 73 individuals with SCI (mean time since injury = 66.6 months) seeking out-patient, post-acute rehabilitation at a metropolitan ABRT center. Outcome measures included a demographic survey, The Hope Scale, the Patient Health Questionare-9 and the Hopkins Rehabilitation Engagement Rating Scale.
The ABRT group reported higher levels of hope (M = 54.78, SD = 7.13) than have been reported in a sample of individuals with SCI seeking traditional rehabilitation in the acute (M = 24.58, SD = 4.06) setting. Rehabilitation engagement was not related to hopefulness in the ABRT group.
The ABRT group demonstrated high levels of hopefulness. The difference in hopefulness noted between this group and previous studies could be due to the time elapsed since injury, the presence of choice in the rehabilitation process, or the possibility that individuals who chose to participate in ABRT may have inherently different hopefulness characteristics than the broader SCI population.
关于接受基于活动的恢复性治疗（ABRT）的脊髓损伤（SCI）患者的心理社会特征，目前缺乏证据。
本研究旨在描述ABRT参与者样本的希望感，并描述希望感与康复参与程度之间的关系。
采用前瞻性横断面队列研究，便利抽样选取了73例脊髓损伤患者（受伤后平均时间=66.6个月），这些患者在一个大城市的ABRT中心寻求门诊急性后期康复治疗。结果测量包括人口统计学调查、希望量表、患者健康问卷-9和霍普金斯康复参与评定量表。
ABRT组报告的希望水平（M=54.78，标准差=7.13）高于在急性环境中寻求传统康复治疗的脊髓损伤患者样本所报告的水平（M=24.58，标准差=4.06）。在ABRT组中，康复参与与希望感无关。
ABRT组表现出较高水平的希望感。该组与以往研究中所指出的希望感差异可能是由于受伤后的时间推移、康复过程中选择的存在，或者选择参与ABRT的个体可能具有与更广泛的脊髓损伤人群本质上不同的希望特征。
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