摘要
目的探讨轻、中、重型脑外伤照顾者的心理健康水平和应对方式差异。方法以150例脑外伤照顾者为研究组,50例躯体外伤照顾者为对照组,使用自编基本信息问卷、症状自评量表(SCL-90)、简易应对方式问卷(SCSQ)进行评估。结果轻、中、重型组SCL-90总分阳性率分别为16.00%、26.00%和66.70%。在躯体化、强迫症状、抑郁、焦虑、睡眠及饮食、SCL-90总分方面,重型组均高于轻型组、中型组及对照组;在人际关系敏感、敌对、恐怖、偏执、精神病性方面,重型组均高于轻型组及对照组;在焦虑和敌对方面,中型组均高于对照组,以上差异均具有统计学意义(P<0.01)。除轻型组与重型组外,积极应对方式得分各组间差异均有统计学意义(P<0.01)。中型组消极应对方式与SCL-90总分及各因子得分呈高度正相关(r值0.60～0.71,P<0.01)。除躯体化得分因子外,重型组消极应对方式与SCL-90总分及各因子得分呈正相关(r值0.35～0.51,P<0.05)。结论患者病情越重,脑外伤照顾者心理健康水平越低。对中、重型脑外伤照顾者,要引导其采取积极的应对方式,尤其是中型脑外伤照顾者。护理人员应根据患者的病情程度,对其照顾者实施有效的心理干预。
【Objective】 To explore the difference of psychological health level and coping style on mild,moderate and severe traumatic brain injury（TBI） caregivers.【Methods】 Research group was 150 TBI caregivers,divided to mild,moderate,severe caregivers groups,control group was 50 traumatic body injury caregivers.Self-made basic information questionnaire,the System Check List 90（SCL-90） and Simplified Coping Style Questionnaire（SCSQ） were used as the evaluation tools.【Results】 The positive rate of the total score of SCL-90 in mild,moderate and severe group were 16.00%,26.00%,66.70% separately.On somatization,obsession,depression,anxiety,sleep and diet,total score of SCL-90,severe group were higher than mild,moderate and control group.On interpersonal sensitivity,hostility,phobia,paranoid,psychotic,severe group were higher than mild and control group.On anxiety,hostility,moderate group were higher than control group.These differences were statistically significant（P ＆lt;0.01）.Besides mild and severe group,scores of positive coping had statistically differences between all groups（P ＆lt;0.01）.There was significantly positive correlation between the score of moderate group positive coping style,the total score of SCL-90 and the factor scores（the correlative coefficients were 0.60～0.71,P ＆lt;0.01）.Besides somatization,there was positive correlation between the score of severe group positive coping style,the total Score of SCL-90 and the factor scores（the correlative coefficients were 0.35～0.51,P ＆lt;0.05）.【Conclusion】 The psychological health level of TBI caregivers decreases with the severity of TBI patient’s condition.Pay more attention at moderate and severe TBI caregivers and guide them to adopt the positive coping strategies,especially those moderate TBI caregivers.When TBI patients are in different stages of disease,the nursing staff should provide effective psychological intervention to their caregivers.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第17期76-80,共5页
China Journal of Modern Medicine
基金
教育部人文社会科学研究青年基金(No:09YJCXLX019)
关键词
脑外伤
照顾者
心理健康水平
应对方式
traumatic brain injury
caregiver
psychological health level
coping style
