民工骨折后心理状况及骨折相关知识了解及需求程度的调查分析  

Investigation and Analysis of Psychological State for the Migrant Workers with Fracture and Their Understanding and Requirement Status for Information about the Disease.

作　　者：韩巍 路潜 卢玉洁[3] 

机构地区：[1]中国.北京市平安医院(西城区),100035 [2]北京大学医学部护理学院 [3]第二炮兵总医院骨科

出　　处：《中国健康心理学杂志》2005年第6期468-471,共4页China Journal of Health Psychology

摘　　要：目的了解民工骨折后的心理状况及对骨折相关知识的了解及需求程度,为临床进行更好的心理护理提供参考依据。方法问卷调查2004年4月至10月住院骨折民工108例,问卷共包括4部分内容:一般资料、疾病专科资料、骨折后心理状况及影响因素、骨折相关知识的了解及需求程度。骨折后心理状况采用Zung氏的焦虑(SAS)、抑郁自评量表(SDS)进行评估。结果108例患者的SAS均值为46.94±9.44,SDS均值为54.10±11.58,与全国常模均存在非常显著性差异(P<O.01),其中焦虑发生率为38.89%,抑郁发生率为58.33%,焦虑与抑郁呈高度正相关(r=0.78,P<0.01);文化程度对骨折民工心理状况有显著影响,其中“小学及小学以下”与“初中”骨折民工的焦虑程度(q=6.90,P<0.01)及抑郁程度(q=377,P<0.05)有显著性差异;“小学及小学以下”与“高中”,骨折民工的抑郁程度有显著性差异(q=4.67,P<0.01)。结论民工骨折患者存在突出的焦虑、抑郁等心理症状,他们对骨折相关知识了解程度偏低而需求程度极高,而其较低的文化程度,又对他们骨折后的心理状况产生负面影响。Objective To understand the psychological state of fracture injury migrant workers and their requirement to the knowledge about fracture and provide the reference information for better psychological nursing care. Methods 108 migrant workers with bone fracture were investigated with self-designed questionnaire between April to October in 2004, The question include： general disease data, special disease data, psychological state and correlative factor after fracture, understanding and requirement about the knowledge of fracture. The psychological state after fracture injury was evaluated using Zung self-rating anxiety scale （SAS） and self-rating depression scale （SDS）. Results The average scales of SAS and SDS in 108 patients are respectively 54.10± 11.58 and 54.10± 11.58, which significantly different from normal controls in China. The anxiety showed significant correlation with the depression （r= 0.78, P〈0.01）. The incidence rates of anxiety and depression are respectively 38. 89% and 58. 33%. The psychological state of fracture injury migrant workers was significautly affected by their education background. The average scales of the SAS （q= 6.90, P〈0.01） and SDS （q= 3.77, P〈0. 05） in patients with primary or primary below education background significantly different from those with junior middle school. The average scale of SDS in patients with primary or primary below education background significantly different from those with senior high school. Conclusion Migrant workers with broken bone have obvious psychological symptoms like anxiety and depression etc, they have little knowledge of fracture and eagerly to learn it, while their psychological state was negatively affected by the lower education background.

关 键 词：民工 骨折 心理状况 骨折相关知识 相关知识了解程度 心理状况 需求程度 骨折后 民工 抑郁自评量表 显著性差异 焦虑程度 问卷调查 

分 类 号：R651.2[医药卫生—外科学] R395.6[医药卫生—临床医学]