創伤性颅脑损伤病人病情程度对亲属心理状况及需求的影响.docVIP

KKME---专业医学搜索引擎/ 创伤性颅脑损伤病人病情程度对亲属心理状况及需求的影响 　　作者：邵瑛,喻坚　　作者单位：410013，中南大学护理学院。 　　【摘要】[目的]探讨创伤性颅脑损伤病人病情程度对亲属心理状况及需求的影响。[方法]采用90项症状清单(SCL90)和重危病人亲属需求量表(CCFNI)调查不同病情组的病人亲属的心理健康状况及需求。[结果]不同病情组病人亲属的SCL90总分和各维度得分存在显著的差异(P均0.05);需求种类也存在差异(P0.05)。[结论]病人的病情越重，亲属的心理压力越重，医护人员应关注病人亲属的心理健康，尤其是重症病人的亲属;重度病情组的亲属其获取信息、接纳及病情保证的需求明显高于轻度病情组，且获取信息和病情保证明显高于中度病情组的亲属。 　　【关键词】 创伤性颅脑损伤;病情;亲属;心理状况;需求 　　Abstract Objective: To probe into the influence of pathogenetic condition of traumatic craniocerebral injury patients on psychological state and demand of relatives. Methods: Psychological state and demands of relatives of patients in different pathogenetic condition were investigated by adopting SCL-90 and critical cases family-members needs inventory (CCFNI). Results: There were statistical significant differences in terms of SCL total score and scores of each dimension between patients in different pathogenetic conditions (P0.05).And the categories of demands of patients in different pathogenetic conditions were different (P0.05).Conclusions: The more severe pathogenetic condition of patient, the more heavy of the psychological pressure of their relatives with. Medical staff should pay more attention to psychological health of relatives of patients, especially relatives of critical cases.The demands of relatives of patients in critical pathogenetic condition group on acquiring information, accepting and pathogenetic condition guaranty were much higher than that of mild pathogenetic condition group and moderate pathogenetic condition group. 　　Key words traumatic craniocerebral injury; pathogenetic condition; relative; psychological state; demand 　　创伤性颅脑损伤起病急、危害大，是造成病人伤残及死亡的重要原因之一[1]。据统计，我国城市伤死病例中，创伤性颅脑损伤占60%[2]。创伤性颅脑损伤可以导致病人躯体的、智力的、情感的、社会的和职业的改变[3]，这种变化常常导致亲属角色、责任、经济状况、人际关系的改变导致整个家庭系统的不稳定[4]。亲属作为最重要的社会支持来源在此时面临很大的压力，而他们的心理状况对病人的治疗和预后极其重要。因此了解不同病情程度的病人亲属的心理状况，对亲属采取针对性的护理措施有重要意义。 　　1 对象与方法 　　1.1 对象 　　为2007年1月mdash;2007年12月某三甲综合医院神经外科住院创伤性颅脑损伤病人亲属共300例。①纳入标准：病人经医院诊