急诊危重患者家属心理健康、社会支持与应对方式相关性调查  

Correlation Between Mental Health,Social Support and Coping Styles Among Critical Family Members in Emergency

作　　者：任松涛 王玉东 张自艳[2] REN Songtao;WANG Yudong;ZHANG Ziyan(Emergency Department Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区：[1]中国.河南省驻马店市中心医院急诊科,463000 [2]湖北省襄阳市中心医院神经内科,441000

出　　处：《中国健康心理学杂志》2018年第12期1903-1905,共3页China Journal of Health Psychology

摘　　要：目的：探讨急诊危重患者家属心理健康、社会支持与应对方式相关性。方法：采用回顾性分析法分析2014年1月至2015年1月我院收治的100例急诊危重患者家属的临床资料（研究组）,同期选取80例一般住院患者家属作为对照组,通过应对方式量表对两组患者家属的应对方式进行评估,并分析两组患者家属应对方式选择对患者焦虑情绪的影响。结果：（1）对照组患者家属SCL-90总分、躯体化、抑郁、焦虑以及精神病性等均显著高于研究组（t=2.955,3.435,3.832,2.440,2.820;P〈0.05）;（2）研究组患者家属SCSQ积极应对得分显著高于对照组,消极应对得分显著低于对照组（t=5.729,5.613;P〈0.001）;（3）研究组患者家属客观支持、主观支持、支持利用等评分显著高于对照组（t=6.023,4.501,5.345;P〈0.001）;（4）患者家属社会支持的3个维度分与SCL-90总分呈显著负相关（r=-0.241,-0.384,-0.478;P〈0.05）,积极应对与SCL-90总分呈显著负相关（r=-0.131,P〈0.05）,消极应对与SCL-90总分呈显著正相关（r=0.225,P〈0.05）。结论：应对方式、社会支持度为影响患者家属心理健康的主要因素,家属消极应对方式、社会支持度低会对其情绪产生影响,进而影响患者治疗。Objective：To explore the correlation between mental health,social support and coping style of the families of critically ill emergency patients.Methods：The clinical data（ study group） of 100 families of emergency critically patients in our hospital from January 2014 to January 2015 were analyzed retrospectively.In the same period,80 family members of general hospitalized patients were selected as the control group.The coping style scale was used to evaluate the coping style of the two families and to analyze the influence of coping styles on the anxiety of the two groups.Results：（1）The SCL-90 total score,somatization,depression,anxiety and psychosis of control group were higher than those of the study group,and the difference were statistically significant（ t = 2.955,3.435,3.832,2.440,2.820;P〈0.05）;（2）The positive coping SCSQ score of the study group was significantly higher than that in the control group,and the negative coping score was lower than that in the control group,and the difference were statistically significant（ t =-5. 729,-5. 613;P〈0. 001）;（3） The objective support,subjective support and support utilization score of study group were significantly higher than those in the control group with statistically significant difference（ t = 6.023,5.345,4.501;P〈0.001）;（4）The three dimensions of social support were negatively correlated with SCL-90 score（ r =-0.247,-0.384,-0.478;P〈0.05）,and the positive response was negatively correlated with the total score of SCL-90（ r =-0.131,P〈0.05）,and the negative response was positively correlated with the total score of SCL-90（ r = 0. 225,P〈0. 05）. Conclusion：The coping style and social support are the main factors that influence the mental health of family members.Family members＇ negative coping style and low social support will affect their mood and then may influence their treatment.

关 键 词：急诊危重症 患者家属 心理状态 社会支持 应对方式 

分 类 号：R395.9[哲学宗教—心理学]