神经外科急重症颅脑手术患者家属的心理危机干预研究  

Psychological crisis intervention for the families of patients with neurosurgical emergency brain surgery

作　　者：王新艳[1] 彭守华[2] 张翠萍[2] 王贵芬[1] 孔维蕾[3] 

机构地区：[1]新疆医科大学附属肿瘤医院神经外科,乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院护理部,乌鲁木齐830011 [3]新疆医科大学附属肿瘤医院宁养院,乌鲁木齐830011

出　　处：《新疆医科大学学报》2016年第1期111-113,共3页Journal of Xinjiang Medical University

基　　金：新疆医科大学人文社会科学基金(2012XYSK26)

摘　　要：目的探讨急重症颅脑手术对患者家属心理健康的影响及其实施心理和药物干预后的效果。方法选择50例急重症颅脑手术病例的患者第一授权人作为危机组,50例常规颅脑肿瘤手术患者第一授权人作为对照组,术后第2天采用焦虑量表进行心理测评,并对评分>50分者行心理和药物干预治疗,2 w后再次行焦虑量表测评,并进行统计学分析。结果术后第2天,危机组患者家属焦虑量表评分为(70.80±5.11)分,对照组焦虑量表评分为(63.53±5.86)分,差异有统计学意义(P<0.01)。男性患者家属焦虑量表评分均数为(63.03±5.87)分,女性为(70.2±5.76)分,差异有统计学意义(P<0.01)。危机组与对照组患者家属经济情况为差、一般及非常好的焦虑程度差异具有统计学意义(P<0.05)。危机组与对照组患者家属受教育程度为中学者焦虑程度差异具有统计学意义(P<0.01)。危机组患者家属干预后评分为(57.73±5.41)分,对照组干预后评分为(49.56±8.10)分,差异有统计学意义(P<0.05)。结论性别、经济能力、受教育程度是颅脑手术患者家属出现焦虑状态的独立危险因素;急重症颅脑手术的患者家属更容易出现焦虑状态;积极护理、心理及药物干预能有效地缓解患者家属的焦虑症状。Objective To investigate the impact of family members tor the patients with severe acute brain surgery,and to observe the effect of its implementation of psychological and pharmacological interventions.Methods 50 cases of the first authorized persons of the patients with acute severe brain surgery as a Crisis Group,50 cases of the first authorized persons of the patients with conventional brain tumors as a Control group,after the second day anxiety scale measuring and therapy for them who was Higher than 50 points,and anxiety re-evaluation and statistical analysis in two weeks after the therapy.Results On the second day,the anxiety scale scores（ASS） of the Crisis Group and the Control Group were（70.80±5.11） and（63.53±5.86） respectively（P〈0.01）.The ASS of male and female were（63.03±5.87） and（70.2±5.76） respectively（P〈0.01）.In the bad,general and better of economic situation,the anxiety level the families of patients of the Crisis Group was higher than that of the Control Group（P0.05）.Considering education level,the anxiety degree of the families of patients with below than college education of the Crisis Group was high than that of Control Group（P0.01）.After intervention,the score of the Intervention Group and the Control Group were lower than that of before（P〈0.05）,but the difference between the two groups was no significance（P〈0.05）.Conclusion Gender,economic situation,education level may be the independent risk factors of anxiety status for the families of patients with brain surgery;there were more prone to anxiety of the families of patients with acute severe brain surgery.And active care and drug intervention could effectively relieve their anxiety symptoms.

关 键 词：焦虑 颅脑手术 家属 干预 

分 类 号：R473.6[医药卫生—护理学]