A qualitative study of the effects of mental flexibility training on the adherence of traumatic amputee patients to prosthetic rehabilitation
心理弹性训练对创伤性截肢患者接受假肢康复依从性的质性研究

摘要

目的 本研究通过质性研究方法探讨心理弹性训练对创伤性截肢患者假肢康复依从性的影响。方法 选取某三级医院康复科2022年1月至2024年6月收治的80例创伤性截肢患者为研究对象，随机分为干预组（40例）和对照组（40例）。干预组在常规康复训练基础上增加心理弹性训练，对照组仅接受常规康复训练。通过6个月的随访，比较两组患者的康复依从性、心理弹性水平及假肢使用功能评分。结果 干预组康复依从性达标率、心理弹性评分及假肢使用功能评分均显著优于对照组（P<0.05）。结论 心理弹性训练可有效提升创伤性截肢患者的康复依从性，改善其心理适应能力及假肢使用功能。

Abstract

Objective This study investigated the effect of psychological flexibility training on the adherence to prosthetic rehabilitation of traumatic amputation patients through qualitative research methods.
Methods Eighty cases of traumatic amputation patients admitted to the rehabilitation department of a tertiary hospital from January 2022 to June 2024 were selected for the study and randomly divided into an intervention group (40 cases) and a control group (40 cases). The intervention group added psychological resilience training on the basis of conventional rehabilitation training, and the control group only received conventional rehabilitation training. After 6 months of follow-up, the two groups were compared in terms of rehabilitation compliance, psychological flexibility and prosthetic function scores.
Results The intervention group's compliance rate, psychological flexibility score and prosthetic function score were significantly better than those of the control group (P<0.05).
Conclusion   Psychological flexibility training can effectively improve the rehabilitation compliance of traumatic amputation patients, improve their psychological adaptability and prosthetic function.