工伤患者50例心理状况分析及心理康复措施

Psychological status of 50 work-related injured patients and their psychological recovery measures

目的初步了解工伤患者的心理状况,为制定合理有效的心理康复措施提供依据。方法随机抽取天津市职工医院住院工伤患者50例,采用症状自评量表(SCL-90)进行心理状况评估,通过SPSS 16.0统计软件包,采用t检验进行数据统计,分析工伤患者与国内常模的差异。结果工伤患者与国内常模相比,总分(工伤患者146.06±41.6,国内常模129.96±38.76)、总均分(工伤患者1.6±0.46),国内常模(1.44±0.43)、阳性项目数(工伤患者36.68±19.11,国内常模24.92±18.41)、阳性项目均分、阴性项目数、躯体化因子、强迫症状因子、抑郁因子、焦虑因子及饮食睡眠因子共10个项目的差异有统计学意义(均P<0.01)结论工伤患者在受伤后易产生不同程度的心理问题,需要对工伤患者采取有针对性的心理康复措施,增强工伤患者康复的积极性,帮助工伤患者重新回归社会。

[Objective]To primarily understand the psychological status of work-related injured patients,and provide evidence for developing effective psychological rehabilitation measures.[Methods]A total of 50 inpatients with work-related injury were randomly selected from Tianjin Worker＇s Hospital,the symptom scales（SCL-90） was adopted for the mental health evaluation,by using SPSS 16 statistical software package,the t test was applied for statistical analysis of the difference between work-related injured patients and domestic norm.[Results]Comparing the work-related injury patients with the national norm,the differences of total score（the work injury patients 146.06±41.6,national norm 129.96±38.76）,the average score（the work injury patients 1.6±0.46,national norm 1.44±0.43）,the number of positive projects（the work injury patients 36.68±19.11,national norm 24.92±18.41）,average score of positive items,the number of negative items,somatization,obsessive-compulsive symptoms factor,depression factor,anxiety factor,sleep and dietary factors were significant（all P0.01）[Conclusion]It is easy to produce different degrees of psychological problems in patients after work-related injury.It is necessary to take targeted psychological rehabilitation,to improve the rehabilitation enthusiasm of injured patients,and help them return to the society.