颅脑外伤后患者的焦虑症状及相关因素研究  

A study of anxiety symptom and affecting factors after traumatic brain injury

作　　者：陈腾[1] 侯瑞华[2] 李鑫[2] 董梅 高军[4] 唐茂芹[2] 李传琦[2] 

机构地区：[1]济南 山东大学齐鲁医院神经外科,250012 [2]山东省精神卫生中心 [3]新泰市精神病医院 [4]济南市中心医院神经外科

出　　处：《山东精神医学》2002年第4期195-198,共4页Shangdong Archives of Psychiatry

摘　　要：目的 研究颅脑外伤后患者的焦虑症状及相关因素。方法 对63例急性期颅脑外伤患者采用标准化测评工具,包括《格拉斯哥昏迷评分(GCS)》、《汉密顿焦虑量表(HAMA)》、《社会支持评定量表》、《日常生活能力量表》及自制颅脑外伤患者人口学与相关因素调查表等,逐例进行现场临床测评,汇总资料进行整理、分析。所有统计分析均使用SAS软件包完成。结果 颅脑外伤患者焦虑症状的发生率为57.14％,其中重度、中度、轻度焦虑症状的发生率分别为9.52％、7.93％、39.68％。主要影响因素有性格、社会支持、病理征、外伤部位、经济状况及外伤原因。结论 提示器质性因素在焦虑的产生中不起决定性作用,而个体的生理心理特点和社会环境因素在焦虑产生中具有重要意义。I Objective To study anxiety symptom and affecting factors after traumatic brain injury (TBI). Methods 63 patients were observed and evaluated by standard tools including CGS, Hamilton Anxiety Scale (HAMA) ,for Depression(HRSD) ,Social Support Scale ,Activity of Daily Living Scale , and self-made questionnaires. Database was then established. Clincical materials were analysed by using SAS statistical package. Results Incidence of anxiety was 57. 14%. Severe,moderate and slight attack were 9. 52%,7. 93%,39. 68%respectively. Chief affecting factors were personality, social support, pathological signs,site of injury,economical status and the cause of injury. Conclusion It is suggested that organic factor is not the decisive factor , but individual physiopsychological traits and social environmental factors are more inportant for the incidence of anxiety symptom.

关 键 词：颅脑外伤 焦虑症状 影响因素 神经功能 心理测评 

分 类 号：R651.15[医药卫生—外科学] R749[医药卫生—临床医学]