重型脑外伤患者家属心理状况调查分析

李琦　阎成美　李蓉

摘要：目的　对不同文化程度、年龄、性别脑外伤患者家属的焦虑和抑郁程度进行分析，并提出相应护理对策。方法　采用精神卫生焦虑自评量表(SAS)和精神卫生抑郁自评量表(SDS)，对72例脑外伤患者家属的心理状况进行评定，以标准T≥50为划界分进行统计学处理。结果　患者家属中有69.66%存在焦虑反应，63.06%存在抑郁反应，54.17%焦虑和抑郁并存。文化程度和性别有显著性差异(P<0.05)，年龄无显著性差异(P>0.05)。结论　不同文化程度和性别脑外伤患者家属心理状况不同。文化程度越低，SAS评分越高。女性焦虑明显，男性抑郁明显。提示在护理患者的同时应注重对其家属在不同层次、性别上给予不同的心理护理。
关键词：重型脑外伤；家属；焦虑；抑郁
中图分类号：R493　　　文献标识码：A
文章编号：1008-9993(2000)01-0001-03

Investigation and Analysis of Psychology of Family Members of Severe Trauma Patients

LI Qi，YAN Cheng-mei，LI Rong
(Department of Neurosurgery,Greneral Hospital of Fuzhou Military Region,Fuzhou,350025,China)

Abstract:Objective　To probe and analyze various degrees of anxiety and depression showed in different family members of different degrees of education, age and sex and then put forward corresponding countermeasures.Methods　To apply SAS and SDS to psychological evaluation in 72 cases of family members of severe trauma patients,and to carry out statistical analysis with a criterion of ≥50 as the psychologic limit. Results　 Among all the cases,there were 69.66% members suffering from anxiety,63.06% from depression, and sex and education resulted in great different reaction (P<0.05),while different age brought out little difference in reaction (P>0.05).Conclusion　Family members of different degree of education and different sex expressed different psychololgy.The lower degree of education the family members received,the higher points of SAS were achieved.Anxiety in female members was proved to be obvious,while depression in male was outstanding.Different psychological comfort should be given to family members of different education and different sex, respectively

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