颅脑外伤患者术后恢复期心理状态调查及其影响因素  

The mental state and influencing factors of craniocerebral trauma patients in convalescence period

作　　者：李锴[1] 卢丹 王常伟[1] 刘霄[1] 史鹏飞 何兵 赵余 刘德中[1] LI Kai;LU Dan;WANG Changwei(Zhoukou City Center Hospital,Zhoukou 466000,China)

机构地区：[1]周口市中心医院,周口466000

出　　处：《国际精神病学杂志》2024年第2期505-508,512,共5页Journal Of International Psychiatry

摘　　要：目的探究颅脑外伤患者术后恢复期心理状态及其影响因素。方法选取2020年3月~2023年3月期间来我院就诊的90例颅脑外伤患者,采用一般资料调查表、焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)、社会支持评定量表(Social Support Rating Scale,SSRS)、波士顿诊断性失语症测验量表(Boston diagnostic aphasia examination,BDAE)、FuglMeyer运动功能评分量表(Fugl-Meyer assessment of motor function,FAM)评估颅脑外伤患者焦虑、抑郁发生状况,并采用多因素logistic回归分析明确颅脑外伤患者术后恢复期出现焦虑抑郁的影响因素。结果经SAS、SDS量表统计得出,90例颅脑外伤术后恢复期患者中有37例(41.11%)存在焦虑,41例(45.56%)存在抑郁;经多因素logistic回归分析得出,城镇居民医保、有语言障碍、重度运动障碍是颅脑外伤术后患者发生抑郁和焦虑情绪的独立危险影响因素(P<0.05)。结论社会支持水平低、语言障碍、运动障碍、城镇居民医保付费方式是颅脑外伤术后恢复期患者发生焦虑、抑郁的危险影响因素,应给予针对性的措施加以治疗来降低焦虑、抑郁发生率。Objective To explore the psychological state and its influencing factors of patients with craniocerebral trauma during recovery period.Methods 90 patients with craniocerebral trauma who came to our hospital from March 2020 to March 2023 were selected,and general data questionnaire and Self-rating anxiety scale were used.SAS,Self-Rating Depression Scale(SDS),Social support Rating Scale(SDS),SSRS,Boston diagnostic aphasia examination(BDAE)and FuglMeyer assessment of motor function(FAM)were used to assess the occurrence of anxiety and depression in patients with craniocerebral trauma.Multivariate logistic regression analysis was used to determine the influencing factors of anxiety and depression in patients with craniocerebral trauma.Results According to the statistics of SAS and SDS,37 cases(41.11%)had anxiety and 41 cases(45.56%)had depression in 90 patients recovering from craniotraumatic surgery.Multivariate logistic regression analysis showed that medical insurance for urban residents,language disorder and severe movement disorder were independent risk factors for depression after craniocerebral trauma(P<0.05).Conclusion Low level of social support,language disorder,movement disorder and medical insurance payment mode of urban residents are risk factors for anxiety and depression and anxiety in patients recovering from craniocerebral trauma.Targeted measures should be taken to reduce the incidence of anxiety and depression.

关 键 词：颅脑外伤 恢复期 心理状态 影响因素 

分 类 号：R749[医药卫生—神经病学与精神病学]