危重患者家属应对方式与心理健康状况相关性调查分析

Correlation analysis between mental health status and coping style in relatives of critical patients

目的分析危重患者家属简易应对方式与心理健康状况的相关性。方法选择2013年1～3月右江民族医学院附属医院危重患者家属62名,采用简易应对方式问卷调查表(SCSQ)、症状自评量表(SCL-90)进行评价,分析简易应对方式与心理健康状况的相关性。结果①危重患者家属的积极应对维度得分[(1.50±0.39)分]低于全国常模[(1.78±0.52)分],消极应对维度得分[(1.83±0.39)分]高于全国常模[(1.59±0.60)分],差异均有高度统计学意义(P<0.01)。②积极应对维度与人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、心理健康状况总分呈负相关,与睡眠和饮食呈正相关;消极应对维度与躯体化、强迫症状、抑郁、焦虑、恐怖呈正相关,与睡眠和饮食呈负相关,差异均有统计学意义(P<0.05);积极应对维度与躯体化、强迫症状、精神病性无关,差异无统计学意义(P>0.05);消极应对维度与敌对、偏执、精神病性、人际敏感性、心理健康状况总分无关,差异无统计学意义(P>0.05)。结论应对方式是影响危重患者家属心理健康的重要因素。

Objective To analyze the correlation of simple coping style and mental health status in relatives of critical patients. Methods 62 relatives of critical patients in Affiliated Hospital of Youjiang Medical Universtiy for Nationalities from January to March in 2013 were selected; simplified coping style questionnaire （SCSQ） and symptom check list-90 （SCL-90） were used to evaluate the indexes; correlation was analyzed between simple coping style and mental health status. Results ①Positive coping dimension scores in relatives of critical patients [（1.50±0.39） scores] were lower than those in national norm [（1.78±0.52） scores], negative coping dimension scores in relatives of critical patients [（1.83±0.39） scores] were higher than those in national norm [（1.59±0.60） scores], the differences were statistically significant （P 〈 0.01）. ②Negative correlation were found among positive coping dimension and sensitive of interpersonal relationship, depressive mood, anxiety, hostility, terror, crankiness, total mental health score, positive correlation were found among positive coping dimension and sleep, diet; positive correlation were found among negative coping dimensions and somatization, obsessive-compulsive symptom, depressive mood, anxiety, terror, negative correlation were found among negative coping dimensions and sleep, diet, the differences were statistically significant （P 〈 0.05）; correlation were not found among positive coping dimension and somatization, obsessive-compulsive symptom, psyehoticism, the differences were not statistically significant （P 〉 0.05）; correlation were not found among negative coping dimensions and hostility, crankiness, psychoticism, the differences were not statistically significant （P 〉 0.05）. Conclusion Coping style is the key factor of influencing the mental health status in relatives of critical patients.