脑外伤患者生活质量的影响因素分析  被引量:5

Influencing factors of quality of life of patients with traumatic brain injury

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作  者:魏居芹[1] 

机构地区:[1]苏州大学附属第一医院急诊科,苏州215000

出  处:《当代护士(下旬刊)》2013年第5期3-5,共3页Modern Nurse

摘  要:目的探讨脑外伤后患者心理状态的改变对生活质量的影响,为临床采取相应的护理措施提供依据。方法选择76例脑外伤患者进行以下内容的调查:①一般情况包括性别、年龄、婚姻情况、收入;②症状自评量表、汉密尔顿抑郁量表和汉密尔顿焦虑量表,在发病后第8天对患者进行评定;③入院当时及2周后进行生活质量问卷(QOL)调查;④入院2周后进行护理工作满意度的测评。结果创伤性脑损伤患者的阳性项目数、总分与全国常模的差异有统计学意义(均P<0.05),躯体化、强迫、人际关系、抑郁、焦虑、精神病性因子评分与常模比较差异均有统计学意义(均P<0.05)。患者在发病1周内有28例(36.84%)出现不同程度的抑郁,25例(32.89%)出现焦虑。逐步回归分析结果表明年龄、护理满意度、性别、婚姻情况、焦虑与患者生活质量评分变化相关,并且年龄、护理满意度的相关性最大,其次是性别、婚姻、焦虑。结论护理满意度在患者生活质量的改善中起到了明显的促进作用,因此护士应仔细分析影响每位患者生活质量的具体因素,让患者科学认识这一疾病病理和康复过程,与患者合作制订总体的康复计划以更进一步改善患者的生活质量。Objective To investigate the impact of patient’s mental state on quality of life after traumatic brain injury.Methods 76 cases of patients with traumatic brain injury were given a survey of the following:① General information including gender,age,marital status,and income;② The Symptom Rating Scale,the Hamilton Depression Rating Scale and the Hamilton Anxiety Scale assessed eight days after the onset;③ Survey quality of life when admission and two weeks after admission;④ Evaluated nursing job satisfaction two weeks after admitted to hospital.Results Positive items,the total score between traumatic brain injury patients and national norm was statistically different(all P&lt;0.05);compared to norm,somatization,compulsion,interpersonal sensitivity,depression,anxiety,and psychotic score of traumatic brain injury patients were statistically significant(all P&lt;0.05).There were 28 cases(36.84%) with varying degrees of depression while anxiety 25 cases(32.89%) in patients with the onset of a week.Stepwise regression analysis showed that age,nursing satisfaction,sex,marriage,anxiety were related to patient quality of life score changes,and age,nursing satisfaction influence the most,followed by sex,marriage,anxiety.Conclusion Nursing satisfaction has played a significant role in improving quality of life.By a careful analysis of the specific factors that affect the quality of life of each patient,making patients the scientific understanding of the disease pathology and rehabilitation process,and to formulate overall rehabilitation program,in order to further improve the quality of life of patients.

关 键 词:脑外伤 心理障碍 生活质量 护理 影响因素 

分 类 号:R473.6[医药卫生—护理学]

 

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