社会支持和应对方式对创伤性颅脑损伤患者家属的压力和心理健康的影响（英文）  

Effect of social support and coping style on the stress and mental health in relatives of patients with traumatic brain injury

作　　者：毛平[1,2,3] 罗爱静 杨金福[4] 丁四清[2] 姜交德[4] 叶巍巍[4] 

机构地区：[1]中南大学公共卫生学院社会医学与卫生事业管理学系,长沙410078 [2]中南大学湘雅三医院护理部,长沙410013 [3]医学信息研究湖南省普通高等学校重点实验室,长沙410013 [4]中南大学湘雅三医院神经外科,长沙410013

出　　处：《中南大学学报（医学版）》2015年第3期303-310,共8页Journal of Central South University ：Medical Science

摘　　要：目的:探讨社会支持和应对方式对创伤性脑损伤患者家属的压力与心理健康之间的影响。方法:采用家属应激量表、症状自评量表、社会支持评定量表和简易应对方式量表对长沙300名创伤性脑损伤患者家属进行测量。结果:创伤性脑损伤患者家属的心理问题与较高的应激水平、更多的消极应对、更少的积极应对和社会支持密切相关。除家属的应激与心理问题直接相关外,应对方式和社会支持也起到了中介作用。这些因素的中介效应为23.6%~43.0%,社会支持的中介效应要大于应对方式。结论:在对创伤性脑损伤患者家属进行心理护理时,应考虑社会支持和应对方式的作用,以便预防和调节家属的心理问题,从而促进患者的治疗与康复。Objective: To investigate the effect of social support and coping style on the stress and mental health in relatives of patients with traumatic brain injury.Methods: The stress, mental health, social support and coping style were investigated in 300 relatives of patients with traumatic brain injury by Relative Stress Scale, Symptom Checklist-90, Social Support Rating Scale and Simplified Coping Style Questionnaire in Changsha City.Results: The mental health problems in relatives of patients with traumatic brain injury were closely related to the levels of stress, the ways of coping and the social support. In addition to the direct effect of stress on mental health in relatives of patients, the ways of coping and social support functioned as a mediator in this regard. The value of mesomeric effect for coping styles and social support ranged from 23.6% to 43.0%, and social support had an advantage over the coping styles.Conclusion: Social support and coping styles should be considered in psychological nursing program to prevent and adjust the mental distress in relatives of patients with traumatic brain injury, which is beneficial to the treatment and recovery for patients.

关 键 词：颅脑创伤 家庭成员 心理健康 社会支持 应对方式 

分 类 号：R473.6[医药卫生—护理学]