摘要
目的:调查脑损伤后患者的生活质量、应对方式、情感状态,并分析影响脑损伤后患者生活质量的相关因素。方法:选择2003-04/2005-10青海省西宁市第二人民医院脑外科住院脑损伤康复患者85例。采用信访方式的问卷调查法,对成年脑损伤患者进行生活质量、应对方式、积极和消极情感评定与分析。结果:寄出问卷85份,共回收有效问卷52份。①脑损伤患者总体生活质量较全国常模差,独立性、心理健康和躯体健康对生活质量的影响最大(P<0.01)。在单因子中,以疼痛不适(13.10±2.12)、消极感受(12.40±2.25)、工作能力(11.54±2.48)等方面尤为突出(P<0.01)。②应对方式量表中解决问题因子分、求助因子、忍耐因子、合理化因子评分均低于全国常模[0.61±0.19,0.77±0.19;0.53±0.11,0.60±0.18;0.36±0.17,0.53±0.20;0.37±0.18,0.44±0.17,P<0.05]。③脑损伤后消极情感得分明显高于全国常模(0.95±0.34,0.87±0.21,P<0.01)。④生活质量总分与应对方式解决问题类型分呈正相关(r=0.362,P<0.01),而与应对方式的自责分呈负相关(r=-0.349,P<0.01);生活质量总分与积极情感状态分呈正相关(r=0.404,P<0.01),而与消极状态呈负相关(r=-0.317,P<0.05)。结论:脑损伤患者生活质量在生理维度、心理和社会功能的各个方面都显著低于全国常模。成熟的应对方式、积极情感有利于提高生活质量。
AIM： To investigate the quality of life （QOL）, coping style and emotional status in patients after traumatic brain injury, and analyze the related factors affected their QOL.
METHODS： Eighty-five inpatients after brain injury were selected from the Department of Cerebral Surgery, Xining Second People＇s Hospital from April 2003 and October 2005. By means of posting questionnaire, the QOL, coping style, positive and negative emotions were evaluated and analyzed in the adult patients with brain injury.
RESULTS： Totally 85 questionnaires were posted out, and 52 effective ones were recollected. （1） The general level of QOL in the patients with brain injury was worse than in national norms, independence, psychological health and somatic healthy had the greatest influence on QOL （P 〈 0.01）. In the single factors, painful upset （13.10±2.12）, negative feeling （12.40 ±9.25） and working ability （11.54±2.48） were the most outstanding （P 〈 0.01）. （2） The factor scores of solving problems, asking for help, tolerance and rationalization in coping style questionnaire （CSQ） were all lower in the patients with brain injury than in national norms （0.61±0.19, 0.77±0.19; 0.53±0.11, 0.60±0.18; 0.36±0.17, 0.53±0.20; 0.37±0.18, 0.44±0.17, P 〈 0.05）. （3） The score of negative feeling after brain injury was obviously higher than national norm （0.95±0.34, 0.87±0.21, P 〈 0.01）. （4） The total score of QOL was positively correlated with the score of solving problem （r=-0.362, P 〈 0.01）, but negatively with the score of self-blame in coping style （r=-0.349, P 〈 0.01）. The total score of QOL was positively correlated with the score of positive emotion （r=0.404, P 〈 0.01） but negatively with negative emotion （r =-0.317, P 〈 0.05）.
CONCLUSION： The patients after traumatic brain injury of group have poorer QOL than national norms on the aspects of physiological dimension, psychological and social functions. Immature coping style and positive emotion are good for the improvement of QOL
出处
《中国临床康复》
CSCD
北大核心
2006年第14期10-12,共3页
Chinese Journal of Clinical Rehabilitation
