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精神损伤鉴定患者家属生活质量现状及护理干预
Status of the quality of life of the family members of patients with mental injury identification and nursing intervention
【摘要】 目的:了解精神损伤鉴定患者家属的生活质量,并给予护理干预。方法:以124例精神损伤鉴定患者家属为研究组,与其性别、年龄、职业及文化程度相匹配的100名社区人群为对照组,采用生活质量综合问卷(GQOLI-74)、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行比较。结果:研究组GQOLI-74除住房、社区服务、生活环境、自尊、婚姻与家庭因子分外,其他因子分、躯体健康维度分、心理健康维度分、社会功能分、物质生活维度分、生活质量总分均低于对照组(P<0.01)。研究组SCL-90总分、因子分高于常模(P<0.01);因子分除躯体化均分外,其他因子分、总分、总均分、阳性均分均高于对照组(P<0.01))。研究组SAS、SDS粗分高于常模与对照组(P<0.01))。结论:精神损伤鉴定者家属生活质量较差,存在比较严重的心理问题,需进行及时、有效的护理干预。
【Abstract】 Objective: To investigate the status of the quality of life of the family members of patients with mental injury identification so as to provide nursing intervention for them. Methods: 124 family members of patients with mental injury identification were taken as the study group,other 100 matched community residents in sex,age,occupation and cultural level were taken as the control group. The general quality of life inventory( GQOLI- 74),self- rating anxiety scale( SAS) and self- rating depression scale( SDS) were used to assess the patients and the matched residents,and then the results were compared between the two groups. Results: The scores of other factors,the scores of physical health dimension and mental health dimension,the score of social function,the scores of material life dimensions and the total score of quality of life of the patients were lower in the study group than the control group except the scores of the factors of GQOLI-74 like housing,community service,living environment,self- esteem and marriage( P < 0. 01); the total score of SCL- 90 and factor scores were higher in the study group than the norm( P < 0. 05,P < 0. 01); the scores of other factors,the total score,total average and average positive scores except somatization scores were higher in the study group than the control group( P < 0. 05,P < 0. 01)); the scores of SAS and SDS were higher in the study group than the norm and than those of the control group( P < 0. 05,P < 0. 01)). Conclusion: The family members of patients with mental injury identification should be given timely and effective nursing intervention because of the poor quality and serious psychological problems.
【Key words】 Mental injury identification; Quality of life; Family members of patients; Nursing intervention;
- 【文献出处】 齐鲁护理杂志 ,Journal of Qilu Nursing , 编辑部邮箱 ,2015年03期
- 【分类号】R473.74
- 【被引频次】2
- 【下载频次】27