脊髓损伤致瘫痪患者焦虑抑郁状况的调查与应对措施

Investigation of the anxiety and depression status of patients with paralysis after spinal cord injury and the coping measures

目的调查脊髓损伤致瘫痪患者存在焦虑抑郁症状的状况，探讨原因及应对措施。方法应用Zung焦虑自评量表（SAS）和抑郁自评量表（SDS），对60例脊髓损伤致瘫痪患者进行调查，发放问卷调查表，结果与国内常模进行比较。结果60例脊髓损伤致瘫痪患者的SAS、SDS评分与国内常模比较，有显著差异，其中54例占90．00％患者有焦虑心理，57例占95．00％有抑郁心理，说明焦虑和抑郁症状在脊髓损伤致瘫痪患者中发病率很高。导致焦虑、抑郁的主要原因是疾病带来的痛苦、影响工作、学习和医疗费用等。结论脊髓损伤致瘫痪患者存在心理问题，应针对性地进行健康教育及心理护理，以促进患者的康复。

Objective To investigaie the status of the anxiety and depression in the patients with paralysis after spinal cord injury, and the measures to cope with it. Methods Sixty cases of patients with paralysis after spinal cord injury were evaluated with Self-Rating Anxiety Scale （SAS） and Self- Rating Depression Scale （SDS）, the results were compared with those of the domestic norm of healthy individuals. Results The scores of patients with paralysis after spinal cord injury were higher than that of domestic norm of healthy individuals. 54 cases had anxious symptom （90.00%）, and 57 had depression. The causes led to anxiety and depression mainly came from the suffering of the disease, the influence of the work as well as the study and the cost of the treatment. Conclusions The patients with paralysis after spinal cord injury had mental problems, they need to be interfered with by healthy education and mental nursing in order to promote rehabilitation.