重度颅脑损伤患者家属疾病不确定感相关因素和护理对策.docVIP

重度颅脑损伤患者家属疾病不确定感相关因素和护理对策 　　摘要：目的：分析重度颅脑损伤患者家属疾病不确定感相关因素与护理对策?方法：本研究选取54例重度颅脑损伤患者家属为对象，采用调查问卷调查其疾病不确定感和应对措施，并采用SAS量表和SDS量表对其进行心理评估，根据评估结果对其进行心理疏导和健康教育等护理干预措施?对比分析护理干预前后患者家属心理状态的变化?结果 54例重度颅脑损伤患者家属不确定感和应对措施得分平均为（93.12±13.21）分?文化程度高?中年家属?有职业的家属应对措施得分明显高于文化程度低?其他年龄段家属和无职业家属的应对措施得分，差异有统计学意义（P0.05）?家属SAS评分?SDS评分均超过临界值?经过护理干预后SAS评分?SDS评分均有所下降，采用t检验分析进行数据统计，差异有统计学意义（P0.05）?结论：重度颅脑损伤患者家属普遍存在疾病不确定感，且不确定感跟患者家属年龄?文化程度和职业情况等相关，同时均存在不同程度的焦虑?抑郁心理，及时对其进行心理疏导和健康教育等护理干预措施有助于改善其心理状态，从而以积极方式应对? 　　关键词：重度颅脑损伤患者家属；疾病不确定感；相关因素；护理对策 　　Family members of patients with severe craniocerebral injury and nursing measures of disease uncertainty feeling related factors 　　Abstract： Objective To analyze the uncertainty factors and nursing countermeasures of sense in families of patients with severe craniocerebral injury. Methods in this study，54 cases of severe craniocerebral injury patients families as the research object，using the questionnaire survey and the uncertainty in illness and coping measures，and the use of SAS scale and SDS scale for psychological assessment on them，according to the results of the assessment of the psychological counseling and health education and nursing intervention measures. Comparative analysis of changes in family members of patients psychological state before and after nursing intervention. Results of 54 cases of severe craniocerebral injury patients families of uncertainty and coping measures the average score was （93.12 + 13.21）%. Culture degree is high，the middle-aged families，families of professional score measures was significantly higher than that of the low level of education，age and occupation of other family members relatives measures score，the difference was statistically significant （P 0.05）. The family of SAS score and SDS score were more than the critical value. After the nursing intervention，the SAS score and SDS score were decreased，t was used to test the statistical data，the difference was statistically significant （P 0.05）. Family members of