负性情绪对外伤性脑出血患者预后的影响

The effect of negative emotions on the prognosis in paitients with traumatic cerebral hemorrhage

目的探讨负性情绪对外伤性脑出血患者预后的影响。方法根据牛津残障评分,将165例外伤性脑出血患者分为预后良好组131例和预后不良组34例。采用自我感受负担量表、焦虑自评量表(SAS)、自评抑郁量表(SDS)评价其负性情绪。采用多元回归分析方法,探讨负性情绪对其预后的影响。结果①165例外伤性脑出血患者中,91例(55.15%)存在自我感受负担者;89例(53.94%)存在焦虑,83例(50.30%)存在抑郁;②预后不良组自我感受负担、焦虑、抑郁等负性情绪评分均显著高于预后良好组,差异均有统计学意义(P<0.05);③多元线性回归分析显示,自我感受负担和抑郁均为外伤性脑出血患者预后不良的危险因素。结论自我感受负担、抑郁等负性情绪均为外伤性脑出血患者预后的影响因素。

Objective To evaluate the effect of negative emotions on the prognosis in paitients with traumatic cerebral hemorrhage. Methods Totally 165 patients with traumatic cerebral hemorrhage were divided into the favorable prognosis group and the poor prognosis group according to the Oxford Handicap Scale（OHS）. Negative emotions were evaluated by the Self- Perceived Burden Scale,Self-Rating Anxiety Scale and Self-Rating Depression Scale. Multiple linear regression analysis was used to explore the effect of negative emotions on the prognosis in paitients with traumatic cerebral hemorrhage. Results 55.15% paitients suffered self-perceived burden,53.94% paitients suffered anxiety,50.30% paitients suffered depression;The scores of self-perceived burden ,anxiety and depression in the poor prognosis group were significantly higher than those of the favorable prognosis group（P〈0.05）;Multiple regression analysis showed that self-perceived burden and depression were independent risk factors of poor prognosis. Conclusions Self-perceived burden and depression are the influencing factors of the prognosis in paitients with traumatic cerebral hemorrhage.