基于积极心理学理论的机器人辅助步态训练在下肢烧伤整形患者中的应用

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中图分类号 R493R644 文献标识码 A 文章编号 2096-7721（2026）03-0524-06

Application effect of robot-assisted gait training based on positive psychology theory in patients undergoing lower limb burn reconstruction

LUO Jing，KANGWenwen，HUANG Rong，ZHOU Wenjuan， SU Yunyun （Departmentof BurnandPlastic urgery，TangduHospital，FourthMilitaryedical University，Xi'an7Oo38，China）

AbstractObjective：Toevaluatethelinicaleficacyofrobot-asistedgaittrainingbasedonpositivepsyhologytheoryinpatints undergoinglowerlimbburnreconstruction.Methods：96patientswhounderwentlowerlimbburnreconstructionatTangdu Hospital from July 2O2O to July 2O24 were enrolled.They were randomly divided into the control group （ n ：48，receiving conventional rehabilitation training） and the observation group （ n =48，receiving robot-asssted gait training based on positive psychology theory） using a random numbertable.Results：Comparedwiththatbeforeintervention，teCoor-Davidsonresliencecale（CD-RISC）scoresofthetwogoups were increased， while the self-rating anxiety scale （SAS）and self-rating depresion scale （SDS）scores were decreased （ P <0.05）. Higher CD-RISC score and lower SAS and SDS scores were found in the observation group compared with the control group （ P <0.05）. Compared withthatbefoeitervetiothgoupssoedsigficantductiosinVancoverarsale（Vndsarossisstd rating （SCAR） scores （P<0.05） . Meanwhile，the VSS and SCAR scores of the observation group were allower than those of the control group （ P <0.05）.Afterintervention，theROinthecontrol groupandtheR9intheobservationgroupdecreasedsignificantlyandthe observation group had significantly higher RO and lower R9 scores than the control group （P<0.05） . Significant improvements in FuglMeyer assessment （FMA）and Berg balance scale （BBS） scores were found in the two groups after intervention （ P <0.05），with significantly higher FMA and BBS scores in the observation group than the control group （P<0.05） . The incidence of adverse events was significantly lower in the observation group than that in the control group （P<0.05） . Conclusion： Robot-assisted gait training based on positive psychologytheoryansignificantlyenancepsychologicalresilience，improvescaroutcomesandqualityoflife，andpromotefunctional recovery in patients underwent lower limb burn reconstruction，it has certain potential clinical application value. Key WordsPositive Psychology;Robot-assisted Gait Training; Lower Limb Burn Reconstruction; Rehabilitation

下肢烧伤患者在皮肤组织受损的同时，通常还伴有肌肉、骨骼等深组织损伤[1-3]。（剩余10621字）