人格特质与脑外伤偏瘫患者残障接受度的相关性研究

Relationship between the disability acceptance and personality trait in patients with traumatic brain injury

目的:了解脑外伤患者的人格特质和残障接受度现状,并探讨两者的相关性,为改善脑外伤患者残障接受度提供参考。方法:采用艾森克人格问卷简式量表(中国版)和残障接受度量表对209例脑外伤患者进行问卷调查,比较不同残障接受度患者人格特质的差别,并采用Pearson相关分析法探讨两者的相关性。结果:脑外伤患者残障接受度总分为(160.11±34.58)分,其中低接受度占29.19%,中接受度占54.07%,高接受度占16.74%。本研究209例脑外伤患者精神质、神经质、掩饰性评分显著高于中国常模(均P<0.01),内外向评分显著低于中国常模(均P<0.01)。不同接受度组的精神质、内外向、神经质和掩饰性评分比较,差异均有统计学意义(均P<0.05)。脑外伤患者残障接受度总分及各维度得分与人格特质中的精神质、神经质和掩饰性均显著负相关(均P<0.05);残障接受度总分及各维度得分与人格特质中的内外向显著正相关(均P<0.05)。结论:脑外伤患者残障接受度处于中等偏下水平,人格特质与其残障接受度密切相关,可从人格特质入手改善脑外伤患者的残障接受度。

Objective： To investigate the disability acceptance and personality trait in patients with traumatic brain injury, and analyze the relationship between them, so as to provide a new perspective to improve the disability ac- ceptance. Methods： 209 patients with traumatic brain injury were surveyed by the Acceptance of Disability Scale and the Eysenck Personality Questionnaire-revised-Short Scale for Chinese （EPQ-RSC）. The levels of personality trait were compared among the groups with different levels of the disability acceptance, and the Pearson correlation anal- ysis was used to explore the relationship between the personality trait and the disability acceptance in patients with traumatic brain injury. Results： The total score of disability acceptance was （160. 11±34. 58） in patients with trau-matic brain injury, and 29. 19% of them in the low level, 54.07% of them in the medium level, and 16. 74% of them in the high level. The levels of psychoticism, neurocitism and dissimulation in personality trait were significantly higher than those in the normal population （P〈0. 01）, and the levels of ex-traversion in personality trait were significantly lower than those in the normal population （P〈0. 01）. There was significant difference in the score of each factor of personality trait in the traumatic brain injury patients with different levels of disability accept- ance （P〈0.05）. Pearson correlation analysis revealed that the each factor of disability acceptance was significantly negatively correlated with the scores of psychotieism, neurocitism and dissimulation in personality trait （P〈0. 05）, but significantly positively correlated with the score of ex-traversion in personality trait （P〈0. 05）. Conclusions： The level of disability acceptance was in the medium level in traumatic brain injury patients, and it was closely relat- ed with personality trait. The nursing staff could start from the personality trait to improve the level of disability ac- ceptance in traumatic brain injury patients.