心理社会因素与多发性硬化症中与步行相关的目标实现有关:初步研究
Kayla E Gomes1, Kaitlin E Riegler2, Heather M DelMastro3,4
1From the Physical Medicine and Rehabilitation, VA Connecticut Healthcare System, Newington, CT.
International journal of MS care
|February 25, 2025
概括
疼痛,抑郁和社会支持等心理社会因素对患有多发性硬化症 (MS) 患者的物理治疗 (PT) 结果产生重大影响. 解决这些因素可能会改善PT目标的实现,从而改善MS患者的步行能力.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 多发性硬化症 (MS) 经常导致行走困难,往往导致物理治疗 (PT) 转诊.
- 心理社会因素 (情绪,疼痛,社会支持) 可能会影响PT参与和MS成功,但这种联系还没有得到充分研究.
- 这项研究调查了MS患者实现与步行相关的PT目标与心理社会因素之间的关系.
研究的目的:
- 探索与行走相关的物理治疗目标实现与多发性硬化症 (MS) 患者的心理社会因素之间的关联.
主要方法:
- 分析了41名患有多发性硬化症的人,他们至少有一个与行走相关的PT目标.
- 步行目标是基于主观 (MSWS-12) 或客观 (6分钟步行测试) 的措施.
- 评估的心理社会因素包括疼痛/疲劳影响,抑郁/焦虑症状和社会支持.
主要成果:
- 实现所有步行目标的参与者报告了较低的疼痛影响 (P=.004) 和抑郁症状 (P=.046).
- 更高的社会支持与实现与步行相关的PT目标相关 (P=.019).
- 效果大小 (d) 表示疼痛影响 (0.95),抑郁症 (0.64) 和社会支持 (0.79) 的中等到大差异.
结论:
- 心理社会因素与MS患者实现与步行相关的目标有显著联系.
- 需要进一步的研究来了解对PT护理计划的心理社会影响.
- 针对性评估和针对心理社会因素的干预措施可以提高MS患者的PT结果.
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