创伤性颅脑损伤患者家属心理状况影响因素分析

The influencing factors of family caregivers psychologic status of patients with traumatic brain injury

目的探讨创伤性颅脑损伤患者家属的心理状况及相关因素。方法选择在我院救治的创伤性颅脑损伤患者的家属476例为调查对象,采用一般资料问卷、症状自评量表、重危患者家属需求量表、社会支持量表对患者家属进行调查。分析患者家属的心理状况和相关因素。结果本组调查对象各维度得分以及总分均显著高于常模(P<0.01)。单因素分析结果显示病情越重家属心理状态越差,年龄越小心理状态越差,男性患者的家属心态较差(P均<0.05)。多因素分析结果显示病情程度是家属心理状态的危险因素,而家属年龄和对支持的利用度是保护因素(P<0.05或P<0.01)。结论创伤性颅脑损伤患者家属的心理状况较差,主要的影响因素有患者的病情、家属的年龄和对支持的利用度。

Objective To discuss association factors of family psychologic status of patients with traumatic brain injury. Methods Selected 467 family caregivers of psychologic status who were surveyed by general information questionnaire, SCL-90, dangerous patients family members demand scale, SSRS. Association factors of family caregivers psychologic status were analyzed. Results Psychologic status score of subjects was higher than norm （P〈0.01）. Single factor analysis showed the heavier the illness, the worse the family caregivers psychologic status was, and the younger, male family caregivers psychologic status were worse（P all 〈0.05）. Multiple-factor analysis showed patient＇s condition was risk fac- tor of family caregivers psychologic status, and age, utilization of support were protective factors （P〈0.05 or P〈0.01 ）. .Conclusion are patient＇s Family caregivers psychologic status of patients with traumatic brain injury are worse. Association factors condition, family caregivers age, and utilization of support.