Huang Gang, Lin Bin Lai, Hu Jian Hui, Qiu Fu Hua, Zhang Wen Ya, Zhang Zhi Liang, Fan Hong, Lu Min, Li Jiang Bo
Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Wuhu City Second People's Hospital, Affiliated to Wannan Medical College, Clinical Psychology Department, China.
Contemp Clin Trials Commun. 2021 Jul 6;24:100778. doi: 10.1016/j.conctc.2021.100778. eCollection 2021 Dec.
This study aimed to explore the differences between the effectiveness of using a combination of rehabilitation and acceptance commitment therapy (ACT), and rehabilitation therapy alone for the treatment of spinal cord injury (SCI). The newly admitted patients with spinal cord injury whose post-traumatic stress disorder (PTSD) score was higher than 38 points were randomly categorized into the treatment group and control group, with 30 patients in each group. One group underwent ACT and rehabilitation treatment, while the other underwent rehabilitation treatment only. PTSD and functional independence measure (FIM) scores were evaluated. Changes in scores were compared between the two groups before, one month, two months, and three months after treatment. The total PTSD score in SCI patients who were treated with ACT was significantly different before and after treatment (P < 0.05). Total FIM scores were also significantly different before and after treatment (P < 0.05). The FIM score in the treatment group was significantly higher than that in the control group after 2 and 3 months of treatment (P < 0.05). The combination of rehabilitation therapy and ACT could immediately reduce stress levels and significantly improve impaired function, lifelong self-care ability, and the impact of rehabilitation therapy.
本研究旨在探讨康复与接受与承诺疗法（ACT）联合使用与单纯康复疗法在治疗脊髓损伤（SCI）方面效果的差异。将新入院的创伤后应激障碍（PTSD）评分高于38分的脊髓损伤患者随机分为治疗组和对照组，每组30例。一组接受ACT和康复治疗，另一组仅接受康复治疗。评估PTSD和功能独立性测量（FIM）评分。比较两组治疗前、治疗后1个月、2个月和3个月的评分变化。接受ACT治疗的SCI患者治疗前后的PTSD总分有显著差异（P<0.05）。治疗前后的FIM总分也有显著差异（P<0.05）。治疗2个月和3个月后，治疗组的FIM评分显著高于对照组（P<0.05）。康复治疗与ACT联合使用可立即降低应激水平，并显著改善功能障碍、终身自我护理能力以及康复治疗的效果。
