车祸所致重型颅脑损伤患者家属心理健康调查

Investigation on mental status of the family members of patients with heavy head injury in traffic accident

目的:了解车祸所致颅脑损伤患者家属的心理健康状况及其影响因素。方法:对100例交通事故所致颅脑损伤患者家属,采用症状自评量表(SCL-90)进行调查,比较本组患者家属与国内常模及不同性别、年龄、身份、文化程度、户籍地患者家属心理健康状况的差别。结果:本组患者家属SCL-90总分及各因子分除强迫和偏执2个因子评分差异无统计学意义外(P>0.05),躯体化、人际敏感、抑郁、焦虑、敌对性、恐怖、精神病性各因子评分及阳性项目数均明显高于国内常模(P<0.05～0.01),女性、中年、配偶、乡村和低文化程度家属心理健康更差。结论:车祸所致颅脑损伤患者家属普遍存在不同程度的心理问题,并受多种因素影响,应予以心理干预。

Objective： To investigate mental status of family members of patients with heavy head injury caused by traffic accident and its related factors. Methods： SCL-90 questionnaire was applied to 100 family members of patients who suffered from heavy head injury caused by traffic accident. Mental health status of the investigated objectives with different gender, age, social status, educational level and residen cy were compared with the conventional norm. Results： Factors scores of compulsion and stubborn were not significant different from the norm （P〉0.05）, while SCL-90 total score and positive rate of individual factors including somatization, interpersonal sensitivity, depression, anxiety, hostility terrorism, mental illness were significant higher than that of the conventional norm （P〈0.05-0.01）. Specifically, worse mental status were observed in female, mid aged people, and those who were spouses, had lower educational level or rural residency. Conclusion： There are many mental health problems in the family members of patients with heavy head injury caused by traffic accident, and those problems, can be influenced by many factors, thus necessary psychological intervention is needed.