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目的:调查急诊科留观患者家属的心理状况,为临床提供相应的医疗和护理对策。方法:采用一般调查问卷法,以症状自评量表评定心理健康状况,以量表中各因子均分作为指标。结果:急诊病房留观患者家属的强迫、人际关系、抑郁、焦虑、敌对、偏执等方面与常模相比有显著差异(t=6.24,5.16,6.40,6.44,2.05,2.81,P<0.01);女性家属比男性家属更容易产生焦虑、抑郁及强迫情绪(t=2.09,2018,2.84;P=0.049,0.032,0.005);患者家属配偶易产生焦虑与偏执情绪(t=2.08,2.09,P<0.05);受教育程度高的患者家属比受教育程度低的家属易产生焦虑和抑郁情绪(t=2.02,2.49;P<0.05)。结论:对急诊留观患者家属必须实施个性化的心理干预,以促进患者的早日康复。
OBJECTIVE: To investigate the psychological status of the family members in the emergency department and provide appropriate medical and nursing countermeasures for clinical practice. Methods: The general questionnaire method was used to assess the mental health status by self-rating Symptom Scale. The average score of each factor in the scale was used as an index. Results: There was a significant difference (P <0.01) in the compulsive, interpersonal relationship, depression, anxiety, hostility, (T = 2.09,2018,2.84; P = 0.049,0.032,0.005). Family members’ spouses were more likely to have anxiety and paranoid emotion (t = 2.08, 2.09, P <0.05). Family members with higher education level were more prone to anxiety and depression than those with low education level (t = 2.02,2.49; P <0.05). Conclusion: The families of patients with emergency observation must implement personalized psychological intervention to promote the early recovery of patients.