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颅脑外伤法医精神病鉴定患者家属的心理健康状况及其护理干预
Mental health and its nursing intervention of family members of patients with traumatic brain injury needing forensic psychiatric identification
【摘要】 目的:了解颅脑外伤鉴定患者家属的心理健康状况,并确定护理干预措施。方法:采用症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对107例颅脑外伤鉴定患者家属进行调查,并与全国常模进行比较。结果:(1)研究组SCL-90总分(175.76±68.68)、总均分(1.95±0.76)、阳性项目平均分(2.78±0.64)均高于全国常模(P均<0.05);除人际关系因子外,其他因子分均高于全国常模,强迫(2.19±0.85)、抑郁(2.22±0.93)等因子均高于分界值2.0(P均<0.05)。(2)SAS(51.01±11.60)、SDS(54.69±13.70)的粗分结果也均高于常模和粗分的分界值(P均<0.01)。结论:颅脑外伤鉴定者家属存在严重心理问题,需要进行及时护理干预。
【Abstract】 Objective: To investigate mental health status of family members of patients with traumatic brain injury,and to determine nursing interventions. Methods: Symptom checklist( SCL-90),self-rating anxiety scale( SAS) and self-rating depression scale( SDS) were adopted to investigate 107 family members of the patients with traumatic brain injury. Further,the results were compared with the national norm. Results:( 1) The SCL-90 total score,the total average score,and the average score of the positive items of study group was 175. 76 ± 68. 68,1. 95 ± 0. 76,and 2. 78 ± 0. 64,respectively,which were all higher than the national norm( all P <0. 05). Except the interpersonal relationship factor,the other factor scores were all higher than the national norm. The obsessive factor score( 2. 19 ± 0. 85) and depression factor score( 2. 22 ± 0. 93) were higher than the critical value of 2. 0( all P < 0. 05).( 2) The original scores of SAS( 51. 01 ±11. 60) and SDS( 54. 69 ±13. 70) were also higher than the norm and critical value( P <0. 01). Conclusions: There are serious psychological problems in the family members of the patients with traumatic brain injury,which need for timely nursing interventions.
【Key words】 Traumatic brain injury; Forensic psychiatric identification; Mental health; Nursing intervention;
- 【文献出处】 中国民康医学 ,Medical Journal of Chinese People’s Health , 编辑部邮箱 ,2013年23期
- 【分类号】D919.3
- 【被引频次】1
- 【下载频次】46