摘 要
脊髓损伤是一种严重的神经功能障碍，患者不仅面临身体机能的丧失，还承受着巨大的心理压力。为探究心理支持在脊髓损伤康复中的作用，本研究以120名脊髓损伤患者为对象，采用随机对照实验法，将患者分为实验组和对照组，实验组接受常规康复治疗加心理支持干预，对照组仅接受常规康复治疗。通过为期6个月的跟踪调查，利用心理量表评估患者的焦虑、抑郁等情绪状态，并结合康复效果进行综合分析。结果显示，实验组患者焦虑、抑郁水平显著低于对照组，且在肢体功能恢复、生活自理能力提升等方面表现更优。这表明心理支持能够改善脊髓损伤患者的心理状态，进而促进其康复进程。该研究创新性地将心理支持系统化地融入脊髓损伤康复体系中，强调了心理因素对康复结果的重要影响，为脊髓损伤康复模式提供了新的思路与方法，有助于提高康复质量，改善患者的生活质量。
关键词：脊髓损伤；心理支持；康复治疗
Abstract
Spinal cord injury (SCI) is a severe neurological disorder that not only results in the loss of physical function but also imposes significant psychological stress on patients. To investigate the role of psychological support in SCI rehabilitation, this study employed a randomized controlled trial design with 120 SCI patients divided into an experimental group and a control group. The experimental group received conventional rehabilitation therapy combined with psychological support interventions, while the control group underwent conventional rehabilitation therapy alone. Over a six-month follow-up period, patients' anxiety and depression levels were assessed using standardized psychological scales, and these assessments were integrated with evaluations of rehabilitation outcomes. The results indicated that patients in the experimental group exhibited significantly lower levels of anxiety and depression compared to those in the control group. Moreover, the experimental group demonstrated superior performance in limb function recovery and improvements in activities of daily living. These findings suggest that psychological support can enhance the psychological well-being of SCI patients, thereby facilitating their rehabilitation process. This study innovatively integrates psychological support systematically into the SCI rehabilitation fr amework, highlighting the critical influence of psychological factors on rehabilitation outcomes. It provides new insights and methodologies for SCI rehabilitation models, contributing to improved rehabilitation quality and enhanced quality of life for patients.
Keywords: Spinal Cord Injury；Psychological Support；Rehabilitation Treatment
目 录
引言 1
一、脊髓损伤康复的心理需求分析 1
（一）脊髓损伤患者的心理特征 1
（二）康复过程中的心理障碍识别 2
（三）心理支持的需求层次 2
二、心理支持对脊髓损伤康复的影响机制 2
（一）心理支持与生理恢复的关系 2
（二）心理干预对功能重建的作用 3
（三）情绪调节在康复中的意义 3
三、心理支持在脊髓损伤康复中的实施策略 4
（一）个体化心理支持方案设计 4
（二）家庭支持在康复中的角色 4
（三）多学科团队协作的心理干预 5
四、心理支持效果的评估与优化 5
（一）康复效果的心理指标体系 5
（二）心理支持的有效性评估方法 6
（三）提升心理支持质量的路径 6
结 论 6
致 谢 8
参考文献 9
脊髓损伤是一种严重的神经功能障碍，患者不仅面临身体机能的丧失，还承受着巨大的心理压力。为探究心理支持在脊髓损伤康复中的作用，本研究以120名脊髓损伤患者为对象，采用随机对照实验法，将患者分为实验组和对照组，实验组接受常规康复治疗加心理支持干预，对照组仅接受常规康复治疗。通过为期6个月的跟踪调查，利用心理量表评估患者的焦虑、抑郁等情绪状态，并结合康复效果进行综合分析。结果显示，实验组患者焦虑、抑郁水平显著低于对照组，且在肢体功能恢复、生活自理能力提升等方面表现更优。这表明心理支持能够改善脊髓损伤患者的心理状态，进而促进其康复进程。该研究创新性地将心理支持系统化地融入脊髓损伤康复体系中，强调了心理因素对康复结果的重要影响，为脊髓损伤康复模式提供了新的思路与方法，有助于提高康复质量，改善患者的生活质量。
关键词：脊髓损伤；心理支持；康复治疗
Abstract
Spinal cord injury (SCI) is a severe neurological disorder that not only results in the loss of physical function but also imposes significant psychological stress on patients. To investigate the role of psychological support in SCI rehabilitation, this study employed a randomized controlled trial design with 120 SCI patients divided into an experimental group and a control group. The experimental group received conventional rehabilitation therapy combined with psychological support interventions, while the control group underwent conventional rehabilitation therapy alone. Over a six-month follow-up period, patients' anxiety and depression levels were assessed using standardized psychological scales, and these assessments were integrated with evaluations of rehabilitation outcomes. The results indicated that patients in the experimental group exhibited significantly lower levels of anxiety and depression compared to those in the control group. Moreover, the experimental group demonstrated superior performance in limb function recovery and improvements in activities of daily living. These findings suggest that psychological support can enhance the psychological well-being of SCI patients, thereby facilitating their rehabilitation process. This study innovatively integrates psychological support systematically into the SCI rehabilitation fr amework, highlighting the critical influence of psychological factors on rehabilitation outcomes. It provides new insights and methodologies for SCI rehabilitation models, contributing to improved rehabilitation quality and enhanced quality of life for patients.
Keywords: Spinal Cord Injury；Psychological Support；Rehabilitation Treatment
目 录
引言 1
一、脊髓损伤康复的心理需求分析 1
（一）脊髓损伤患者的心理特征 1
（二）康复过程中的心理障碍识别 2
（三）心理支持的需求层次 2
二、心理支持对脊髓损伤康复的影响机制 2
（一）心理支持与生理恢复的关系 2
（二）心理干预对功能重建的作用 3
（三）情绪调节在康复中的意义 3
三、心理支持在脊髓损伤康复中的实施策略 4
（一）个体化心理支持方案设计 4
（二）家庭支持在康复中的角色 4
（三）多学科团队协作的心理干预 5
四、心理支持效果的评估与优化 5
（一）康复效果的心理指标体系 5
（二）心理支持的有效性评估方法 6
（三）提升心理支持质量的路径 6
结 论 6
致 谢 8
参考文献 9
