神经内科重症监护室患者家属心理健康状况的调查分析  

Investigation of Psychological Health of Relatives of Patients in Intensive Care Unit of Neurology Departments

作　　者：郭辉[1] 卜秀梅[1] 陶东霞[1] 曹丽君[1] 

机构地区：[1]中国医科大学附属第一医院神经内科,沈阳110001

出　　处：《解放军护理杂志》2007年第6期26-28,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的调查神经内科重症监护室患者家属的心理健康水平,分析其不同性别、文化程度、居住地的差异,并与相关国内常模比较,以利于患者获得最佳的家庭支持,早日康复。方法对2004年1月至2005年12月神经内科重症监护室的120例患者家属采用症状自评量表及自制一般资料调查问卷进行调查。结果神经内科重症监护室患者家属的症状自评量表各因子得分均高于国内常模,除人际关系、恐怖、精神病性因子外,其他各因子得分均高于国内常模,两者比较差异明显(P<0.01);患者子女躯体化、抑郁、焦虑3因子得分明显高于患者配偶得分(P<0.05),女性家属的躯体化、抑郁因子得分明显高于男性(P<0.01);高中以下文化者在人际关系、焦虑、偏执因子得分明显低于大专以上文化者(P<0.01);来自农村者其躯体化、抑郁因子得分低于来自城市者(P<0.01)。结论重症监护室患者家属存在不同程度的心理障碍问题,子女的心理健康水平明显低于患者配偶,女性家属的心理健康水平低于男性,文化水平低的和来自农村的患者家属低于文化水平高的和城市患者家属的心理健康水平。Objective To investigate the psychological health of the relatives of patients in intensive care unit（ICU）of neurology department, and to analyze the differences caused by different genders, academic backgrounds, and habitations. Methods 120 relatives of the patients in ICU of neurology department of our hospital from 01/2004 to 12/2005 were included in the present study, and they were surveyed with symptom checklist（SCL）and self-designed general information questionnaire. Results The SCL scores of the relatives were significantly higher than the national norm （ P 〈 0.01） ,except for the scores of interpersonal relationship, fear and psychosis factors. With scores of somatization depression and anxiety of patients＇ children were higher than those of their spouses （ P 〈0.05）. The scores of somatization and depression of female relatives were higher than those of male relatives （ P 〈0.01）. The scores of interpersonal relationship anxiety and crankiness of relatives with a higher academic background were higher than those with lower academic background （ P 〈0. 01）. The scores of somatization of relatives from countryside was higher than those from cities （ P 〈0.01）. Conclusion The relatives of the patients in ICU have psychological problems of different degrees. The SCL score of patients＇ children is lower than their spouses and that of female relatives is lower than that of male ones; relative from countryside and with a lower academic backgrounds have a poor psychological health than those from cities and those with a higher academic backgrounds.

关 键 词：重症监护 心理健康 家属 

分 类 号：R473.5[医药卫生—护理学] R395.1[医药卫生—临床医学]