外伤患者心理应激对亲社会行为的影响

Effect of Psychological Stress on Prosocial Behavior in Traumatic Patients

目的探讨外伤患者心理应激对亲社会行为的影响。方法对广东省工伤康复医院360例外伤康复患者进行人口统计学资料、事件影响量表-修订版(Impact of Event Scale-Revised,IES-R)、亲社会行为量表(Prosocial Tendencies Measure,PTM)调查,根据结果进行相关分析。结果外伤患者亲社会行为得分为(73.28±12.59)分,不同性别、年龄、婚姻、文化程度、创伤事件类型、创伤部位患者的亲社会行为得分差异有统计学意义(P<0.05),心理应激与亲社会行为呈负相关(r=-0.632,P<0.05),外伤患者心理应激对亲社会行为有31.7%负向预测作用,应激中的回避、侵袭和高唤醒对亲社会行为有16%的负向预测作用。结论外伤患者心理应激与亲社会行为呈负相关,外伤患者心理应激高,则亲社会行为减少,应加强外伤患者心理应激干预,增加心理支持及疏导,改善患者患者心理状态。

Objective To investigate the effect of psychological stress on prosocial behavior in trauma patients.Methods Demographic data,event impact scale-revised(Impact of Event Scale-Revised,IES-R),pro-social behavior scale(Prosocial Tendencies Measure,PTM)were used to investigate 360 exceptional injured rehabilitation patients of Guangdong industrial injury rehabilitation hospital,and analyzed accordingly.Results The prosocial beha-vior score of trauma patients was(73.28±12.59).The prosocial behavior was significantly different from gender,age,marriage,education level,traumatic event type and traumatic site score(P<0.05).Psychological stress was ne-gatively correlated with prosocial behavior(r=-0.632,P<0.05).Psychological stress had 31.7%negative predictive effect on prosocial behavior,while avoidance,aggression and high arousal had 16%negative predictive effect on pro-social behavior.Conclusion The psychological stress of patients with trauma is negatively correlated with prosocial behavior.The psychological stress of patients with trauma is higher and the prosocial behavior is lower.It is necessary to strengthen the psychological stress intervention,increase psychological support and counseling,and improve the psychological state of patients with trauma.