脑损伤患者急性应激反应及其影响因素

Acute stress reaction and its influencing factors in patients with brain injury

目的了解脑损伤患者急性应激反应情况及其与社会支持、头痛和性格的关系。方法选取497例脑损伤患者,采用斯坦福急性应激反应问卷(SASRQ)、社会支持评定量表(SSRS)和疼痛视觉模拟评分尺(VAS)和一般人口学资料对患者进行测评。结果患者SASRQ均值为(66.44±43.761)分,SASRQ总分57~150分170例(34.21%);不同性别、文化程度、性格、头痛和社会支持患者SASRQ总分及各维度评分差异有统计学意义(P<0.05)。结论脑损伤患者存在明显的急性应激反应,社会支持越低、内向、头痛越重,患者发生急性应激反应的可能性越大。

Objective To investigate the incidence of social support, headache and disposition in brain injury patients with acute stress response. Methods 497 brain injury patients were surveyed. Stanford acute stress reaction questionnaire, Social Sating Rating Scale and Visual Analogue Scale were used to make the survey. Results The mean score of SASRQ was (66.44±43.761). There were 34.21% patients whose score was 57~150. Gender, degree of education and disposition headache social support were included into the regression equation. Femininity, introversion, low degree of education, social support and severe headache had high score in SASRQ total score and each dimension, with statistically significant difference( P <0.05). Conclusions Patients with brain injury have serious acute stress response, the individuals who have lower social support, introverted and severe headache might be more likely to have acute stress response.