车伤患者心理健康状况的调查和分析

Investigation and analysis on mental health status of the patients suffered from traffic accidents injury

目的:调查并分析车伤患者伤后心理健康状况,为临床护理工作提供理论依据。方法:采用心理症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)调查300例车伤患者的心理健康状况,并与国内常模相比较。结果:车伤患者SCL-90总均分及各维度评分、SAS和SDS评分均明显高于国内常模,差异有统计学意义(P<0.01)。车伤患者的创伤严重度评分(ISS)与人际敏感、抑郁、焦虑和偏执等SCL-90各维度评分呈显著正相关,且与SAS和SDS呈显著正相关(P<0.01或<0.05)。结论:车伤患者伤后心理健康状况较差,护理人员应在重视其心理健康状态并及时给予心理干预。

Objective： To investigate the mental health status of the patients suffered from traffic accidents injury after injury to provide the reference basis for clinical nursing work. Methods： SCL-90, SAS and SDS were used to investigate the mental health status of 300 cases of traffic accidents injury, as compared to those of norms. Results： The scores of the overall SCL-90 and all dimensions, SAS, and SDS were markedly higher in traffic accidents injury patients than norms, with significant differences （all P〈0.01）. ISS of the traffic accidents injury patients was correlated directly with 4 dimensions of SCL-90 such as the mutual sensitivity, depression, anxiety and paranoid as well as to SAS and SDS（P〈0.01 or P〈0.05）. Conclusion： The mental health status of the traffic accidents injury patient is poor, and the nursing staff should emphasize this and provide prompt psychological nursing interventions.