车祸应激致患者心理健康状态的改变与分析

Analysis the alterations of psychological healthy status in traffic patients

目的了解车祸致伤后患者心理健康状态的改变,探讨其改变对患者身心的影响。方法对200例车祸致伤的患者利用自制伤员个人信息表、ISS创伤严重度评分及SCL-90症状自评量表、SAS焦虑自评量表、SDS抑郁自评量表进行创伤严重程度与心理健康状况改变的调查,将其结果采用SPSS13.0统计软件包进行统计分析并与常模进行比较。结果本组200例车祸伤患者SCL-90总均分及各因子得分高于常模;SAS、SDS总粗分高于常模,其差异显著(P<0.01);结论本组车祸伤患者在遭受突然的车祸打击后心理健康状态发生了明显的改变,其SCL-90各因子和其焦虑、抑郁情绪明显高于常模,有显著的统计学意义(P<0.01)。提示车祸伤患者伤后心理健康状况不容乐观,在重视车祸伤患者的急救与治疗同时切不可忽略伤者的心理状态。早期发现和筛查有高危因素的伤员并及时给予心理干预十分重要。

Objective To explore the alterations of psychological healthy status in traffic patients and analyze the the possible significances. Methods The information of two hundred traffic patients were collected, which included individual information, injury severity score （ISS）, SCL-90 table, SAS table and SDS table. The parameters were statistically analyzed by SPSS 13.0 software. Results The to- tal score and individual score in SCL-90 table of the 200 traffic patients were significantly higher in comparison group than control group （ P 〈 0.01 ）. The total score in SAS table and SDS table were also significantly higher in comparison group than control group （ P 〈 0.01 ）. Conclusion It can be confirmed from our results that the alterations of psychological healthy status in traffic patients are significant. Besides the emergency treatments, mental intervention should be timely administered for the high-risk patients.