摘要
目的了解创伤住院患者的心理健康状况和应对方式。方法应用症状自评量表(SCL-90)、简易应对方式问卷(SCSQ)对重庆市3所医院创伤病房的191例创伤住院患者进行调查。结果创伤住院患者SCL-90除人际关系外,其余各因子分和总均分都高于正常人,经比较,除人际关系和敌对性外,其余各因子分和总均分差异有统计学意义(P<0.05);与患者性别、年龄、病种(受伤部位)I、SS评分(损伤严重度评分)关系不大。但躯体化因子分在住院早期与后期差异有统计学意义(P<0.05)。创伤患者积极应对、消极应对水平均比常模低;SCL-90总均分及各因子分与积极应对方式呈负相关;与消极应对方式呈正相关。结论创伤住院患者心理状况较差,存在较多的心理健康问题,护理过程中要加以关注,引导患者多采用积极的应对方式。
Objective To investigate the mental health status and coping style condition of hospitalized trauma patients. Methods SCL- 90 and Simplified Coping Style Questionnaire （SCSQ） were used to evaluate the mental health status and coping styles among 191 hospitalized trauma patients. Results The scores of the respective factors except the factor of interpersonal communication of SCL-90 were all higher than norms. By comparison, there were significant differences in the total score and the scores of the factors except the factor of interpersonal communication and hostile （P〈0.05）. The result is little to do with Patient＇s sex, age. entity and ISS score, however, the somatization factor score between early stage and advanced stage has significant difference （P〈 0.05）. The hospitalized trauma patients scored lower than the norm in the passive coping style and active coping style. The average score and the scores of the respective factors of SCL-90 and active coping style were related in a negative way,The average score and the scores of the respective factors of SCL- 90 and passive coping style were related in a positive way. Conclusion The mental health status of the hospitalized trauma patients is poor. There are more psychological well, The Nursing processes should he pay more attention and give more guidance to help them to responsive difficulty.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第21期2711-2713,共3页
Chongqing medicine
基金
重庆市自然科学基金资助项目(CTCS2006BB)
关键词
创伤患者
心理健康
应对方式
tauma patients
mental health
coping style
