ICU患者家属应对方式与心理健康状况的相关性研究

Study on the correlation of coing styele of family members of ICU patients and the situation of mental health

目的了解ICU患者家属应对方式与心理健康状况的关系。方法采用特质应对方式问卷（TCSQ）和症状自评量表（SCL-90）对47名ICU患者家属进行测量，并与普通病房患者家属组比较。结果ICU患者家属存在严重的心理健康问题。应对方式中消极应对得分（20．32±7．87），明显高于对照组（30．86±5．42）（P〈0．01），积极应对得分与对照组比较，差异无统计学意义（P〉0．05）。积极应对得分与SCL-90总均分、恐怖、抑郁、焦虑等因子呈负相关关系（P〈0．05或P〈0．01），消极应对得分与SCL-90呈正相关关系（P〈0.05或P〈0．01）。结论应对方式是影响ICU患者家属心理健康的重要因素。

Objective To know the correlation of coing style of family members of ICU patients and the situation of mental health. Methods 47 family members of ICU patients were measured by TCSQ and SCL-90, then compared with those of patients in the general wards. Results The family members of ICU patients had severe problems of mental health. The score of negative coping was （20.32 ±7.87）, which was significantly higher than （30.86 ±5.42） in the control group （P 〈 0. 01 ）. There was no statistical meaning in the score of active coping between the two groups （P 〉 0. 05）. The score of active coping had negative correlations with the total score of SCL-90, terror, depression and anxiety （ P 〈 0. 05 or P 〈 0. 01 ）. The score of negative coping had a positive correlation with SCL-90 （P 〈 0. 05 or P 〈 0. 01 ）. Conclusions The coping style is a main factor of influencing the mental health of family members of ICU patients.