【摘要】 目的　分析烧伤患者精神障碍的影响因素以及精神障碍与患者重返社会工作的相关性。方法　对年龄大于 7岁的 5 6 0例烧伤患者 ,采用焦虑自评量表 (SAS)和抑郁自评量表 (SDS)及 90项症状清单 (Symptomchecklist 90 ,SCL 90 ) ,测量其精神障碍情况 ;在烧伤康复期 1个月～ 2年间 ,采用大体评定量表 (globalassessmentscale,GAS)对其精神障碍严重程度、社会功能进行评定。出院后采用信函随访及电话联系方式对其愈后工作能力进行调查。　结果　严重烧伤、颜面部烧伤患者焦虑、抑郁发生早 ,持续时间长 ,程度重 ;患者对于重返工作岗位、家庭的关系维系、社会活动能力的担心 ,使其心理障碍加重。经心理治疗后 ,精神障碍得到改善 (P <0 .0 5 )。　结论　烧伤患者精神障碍越重 ,重返社会工作时间相对延长 ,原岗位工作受到影响更多还原

【Abstract】 Objective To analyze the influencing factors of the psychological disorder in burn patients and its correlation with the ability to resume work. Methods Five hundred and sixty burn patients aged 7～76 years old were enrolled in the study. The patients′ psychological disorder was evaluated by self rating anxiety scale (SAS),self rating depression scale (SDS) ,and symptom check list 90 (SCL 90). Global assessment scale (GAS) was employed to detect the severity of the psychological disorder and the social function during 1 month to 2 years of the convalescent stage of burn patients. Discharged burn patients were followed up by questionaire and telephone for their ability to resume work. Results Anxiety and depression in patients with severe burn or facial burn occurred earlier and severer and the patients worried about the possibility to resume their work, the maintainance of family relation, and the ability to join the society, All these problems aggravated their psychological disorder. After psychotherapy, the diorders were obviously alleviated (P<0.05). Conclusion Severe psychological disorders might delay the time of patients′ability to resume their previous work. [更多还原